優質護理模式在宮腔鏡冷刀切除術治療Ⅰ型黏膜下子宮肌瘤患者中的效果研究

陳昭君

【摘要】 目的：分析優質護理模式在宮腔鏡冷刀切除術治療Ⅰ型黏膜下子宮肌瘤患者的效果。方法：選取2018年6月-2019年6月本院收治的接受宮腔鏡冷刀切除術治療的80例Ⅰ型黏膜下子宮肌瘤患者作為研究對象，根據護理方法的不同分為兩組，對照組給予常規護理模式，觀察組給予優質護理模式，比較兩組護理效果。結果：觀察組術后并發癥發生率低于對照組，隨訪3個月觀察組宮腔粘連發生率低于對照組，觀察組月經改善率高于對照組，差異均有統計學意義（P<0.05）。觀察組護理總滿意率95.0%（38/40），高于對照組的77.5%（31/40），差異有統計學意義（P<0.05）。結論：針對Ⅰ型黏膜下子宮肌瘤患者采用優質護理可減少術后并發癥，降低宮腔粘連發生率，提高護理滿意度，值得推廣。

【關鍵詞】 宮腔鏡冷刀切除術 Ⅰ型黏膜下子宮肌瘤 宮腔粘連發生率 優質護理

doi：10.14033/j.cnki.cfmr.2020.16.029 文獻標識碼 B 文章編號 1674-6805（2020）16-00-03

The Effect of High-quality Nursing Mode in Patients with Type Ⅰ Submucosal Uterine Fibroids Treated by Hysteroscopic Cold Knife Resection/CHEN Zhaojun. //Chinese and Foreign Medical Research， 2020， 18（16）： -76

[Abstract] Objective： The effect of high-quality nursing mode in patients with type Ⅰ submucosal uterine fibroids treated by hysteroscopic cold knife resection. Method： A total of 80 patients with type Ⅰ submucous myoma who received hysteroscopic cold knife resection from June 2018 to June 2019 in our hospital were selected as the research objects. According to the different nursing methods， they were divided into two groups. The control group was given routine nursing mode， the observation group was given excellent nursing mode， and the nursing effect of the two groups was compared. Result： The incidence of postoperative complications in the observation group was lower than that in the control group， the incidence of intrauterine adhesions in the follow-up 3 months was lower than that in the control group， and the improvement rate of menstruation in the observation group was higher than that in the control group， the differences were statistically significant （P<0.05）. The total satisfaction rate of nursing in the observation group was 95.0% （38/40）， which was higher than 77.5% （31/40） in the control group， the difference was statistically significant （P<0.05）. Conclusion： High quality nursing for type Ⅰ submucous myoma patients can reduce postoperative complications， reduce the incidence of intrauterine adhesions， and improve nursing satisfaction， which is worth popularizing.

[Key words] Hysteroscopic cold knife resection Type Ⅰ submucous myoma Incidence of intrauterine adhesions Quality nursing

First-authors address： Yulin Maternal and Child Health Hospital， Yulin 537000， China

Ⅰ型黏膜下子宮肌瘤患者會出現子宮異常出血、不孕等，嚴重危害到女性的身心健康，尤其是對有生育要求的婦女。宮腔粘連是指經宮腔手術操作或因放射、感染造成子宮內膜破壞，引起宮壁相互粘連而出現的一系列臨床病變，包括腹痛、閉經、月經過少、流產、不孕等現象。其發病率逐年增加，是引起不孕的重要原因。宮腔鏡冷刀切除術利用宮腔鏡或腹腔鏡攝像，在工作站或電視屏幕，能夠清楚看清宮腔內部情況[1]。但是，由于患者身心已經受到疾病影響，在接受手術的過程中可能出現焦慮心理狀態，嚴重影響其護理工作的開展，加重術后宮腔粘連的發生。面對這種情況，針對Ⅰ型黏膜下子宮肌瘤的護理工作十分重要。優質護理模式體現的是醫護一體化，由主治醫生和責任護士組成治療護理小組，護士工作前置，跟隨醫生查房，為患者提供從入院、住院、出院無縫隙整體護理[2-3]。……