体位和活动指导对妇科腹腔镜术后患者胃肠功能恢复的影响
Effect of Position and Activity Guidance on Recovery of Gastrointestinal Function in Patients Undergoing Gynecological Laparoscopic Operation
-
摘要: 目的 探讨体位和活动指导对妇科腹腔镜术后患者胃肠功能恢复的影响.方法 将130例妇科腹腔镜手术患者随机分为观察组和对照组各65例, 对照组采用常规护理, 观察组在常规护理的基础给予体位和活动指导.比较分析2组患者临床疗效、胃肠道功能恢复及生活质量.结果 观察组临床有效率为89.23%, 对照组为75.38%, 观察组明显高于对照组, 差异具有统计学意义 (P<0.05) .观察组腹胀程度轻于对照组, 肠鸣音恢复时间和肛门排气时间均小于对照组, 食欲不振和便秘发生率均低于对照组, 差异均有统计学意义 (P<0.05) .干预后生活质量各项指标比较, 观察组均明显高于对照组, 差异有统计学意义 (P<0.05) .结论 对于妇科腹腔镜手术患者, 术后采取科学、适宜的体位以及活动指导, 可以减少患者腹胀的发生, 促进胃肠蠕动功能的恢复, 提高患者的生活质量, 值得进行临床广泛推广应用.Abstract: Objective To investigate the effect of position and activity guidance on the recovery of gastrointestinal function of patients undergoing gynecological laparoscopic surgery.Methods One hundred and thirty patients undergoing gynecological laparoscopic surgery were randomly divided into observation group and control group, 65 cases in each group.The control group used routine nursing, the observation group was given position and activity guidance based on the conventional care.The clinical curative effect, recovery of gastrointestinal function and quality of life were compared between the two groups.Results The clinical effective rate in observation group was 89.23%, it was significantly higher than that of the control group (75.38%) , the difference was statistically significant (P<0.05) . The degree of abdominal distention in observation group were milder than that of the control group, the recovery time of bowel sound and anal exhaust time were less than that of the control group, the incidence of appetite and constipation was lower than that of the control group, the differenceswere statistically significant (P <0.05) .After intervention, the quality of life of the observation group were significantly higher than that of the control group, the difference was statistically Statistically significance (P <0.05) .Conclusion The patients undergoing gynecologic laparoscopic surgery taking a scientific and proper position and activity guidance, can reduce the occurrence of abdominal distension, promote the recovery of gastrointestinal peristaltic function, improve the quality of life of patients.It is worth of clinical application.
-
Key words:
- Functional exercise /
- Position intervention /
- Gynecology /
- Laparoscopy /
- Gastrointestinal function
-
[1]潘晓梅.52例腹腔镜子宫肌瘤剔除术病人的手术护理配合[J].全科护理, 2011, 9 (12) :3161-3162. [2]邱慧莲.护理干预对妇科腹腔镜术后腹胀的影响[J].当代医学, 2010, 16 (36) :121-122. [3]欧秀华, 温萃莉, 杨晓荣.腹腔镜下子宫肌瘤剔除术64例临床护理[J].齐鲁护理杂志, 2013, 19 (20) :92-93. [4]左绪磊.实用妇科腹腔镜学[M].沈阳:辽宁科学技术出版社, 2004:93-94. [5]李小玲, 曾慧, 李敬菲.腹腔镜手术治疗输卵管妊娠的护理[J].现代医院, 2010, 10 (5) :109-110. [6]潘雨萍, 冯素文.妇科腹腔镜术后促进胃肠功能康复的研究进展[J].护理与康复, 2015, 14 (11) :1025-1028. [7]汪永坚, 唐娅琴, 郑爱玲.简易排气操对妇科腹腔镜术后患者胃肠功能恢复的效果观察[J].护理与康复, 2010, 9 (8) :706. [8]徐少静.按摩护理对妇科腹腔镜患者术后胃肠功能恢复的促进作用[J].辽宁中医杂志, 2015, 42 (2) :402-403. [9]彭秋琴, 许春霞, 何美清.妇科腹腔镜术后患者早期护理干预对腹胀的影响[J].当代医学, 2012, 18 (35) :119-120. [10]李长江, 安珍.护理干预对促进妇科腹腔镜术后胃肠蠕动功能恢复的体会[J].中国医药科学, 2015, 5 (20) :86-88. [11]石云萍.优质舒适护理干预对腹部手术患者术后胃肠功能恢复的影响[J].临床合理用药, 2014, 8 (2C) :157-158. [12]钟为民, 诸纪华, 王珍华, 等.腹腔镜下后腹膜肿瘤切除患儿8例的护理[J].护理与康复, 2011, 10 (1) :24-25. [13]高志英.护理干预对促进妇产科腹腔镜术后胃肠螺动功能恢复的体会[J].中国内镜杂志, 2011, 17 (2) :172-174. [14]谭静, 何雪莹, 魏鹤群, 等.腹腔镜手术对术后胃肠功能恢复的影响[J].实用临床医学, 2012, 13 (4) :105-106. [15]陈芸, 张铭, 丁焱.体位干预对妇科腹腔镜术后腹腔引流量的影响[J].中华护理杂志, 2010, 45 (4) :314-316. [16]韩叶芬.耳穴压豆促进妇科腹腔镜术后患者胃肠功能恢复的护理研究[J].西南军医, 2012, 14 (6) :900-901.
点击查看大图
计量
- 文章访问数: 2976
- HTML全文浏览量: 1496
- PDF下载量: 159
- 被引次数: 0