圍術期中西醫結合護理對腹腔鏡子宮肌瘤切除術后恢復和生活質量的影響

付華艷　王淑華　楊萍　周文婷

【摘要】? 目的? ? 探討圍術期中西醫結合護理對腹腔鏡子宮肌瘤切除術（LM）后患者恢復和生活質量的影響。方法? ? 將2020年1月—2021年12月于我院行LM的70例子宮肌瘤（UF）患者按隨機數字表法分為對照組與研究組，每組35例，對照組給予圍術期常規護理，研究組給予圍術期中西醫結合護理。比較2組患者圍術期指標、并發癥情況、術后生活質量及護理滿意度。結果? ? 研究組患者術后肛門排氣時間、腸鳴音恢復時間、排便時間、進食時間、下床活動時間和住院時間均短于對照組（P<0.05）。研究組患者術后并發癥總發生率為8.57%，明顯低于對照組的31.43%（P<0.05）。護理后2組患者生活質量問卷（NHP）各維度評分均低于護理前，且研究組精力、睡眠、疼痛、軀體活動及情感反應評分均較對照組顯著降低（P<0.05）。研究組護理滿意度為100.00％，明顯高于對照組的82.86％（P<0.05）。結論? ? 圍術期中西醫結合護理能有效促進子宮肌瘤患者術后恢復，減少并發癥，且可提高生活質量及護理滿意度。

【關鍵詞】? 腹腔鏡子宮肌瘤切除術；圍術期；中西醫結合護理；胃腸功能；生活質量；滿意度

Effect of perioperative integrated traditional Chinese medicine and western medicine nursing intervention on recovery and quality of life after laparoscopic myomectomy

Fu Huayan 1， Wang Shuhua 1， Yang Ping 2.1 The Ruijin General Hospital，Rujin，Jiangxi? 342500;2 The? Traditional Chinese Medicine Hospital of Ruijin City，Ruijin，Jiangxi? 342500

【Abstract】? Objective? ? To explore the effect of perioperative integrated traditional Chinese medicine and western medicine nursing intervention on recovery and quality of life after laparoscopic myomectomy （LM）. Methods? ? 70 patients with uterine fibroid （UF） who underwent LM in our hospital from January 2020 to December 2021 were randomly divided into control group and study group， with 35 cases in each group. The control group was given routine nursing during perioperative period， and the study group was given integrated nursing of traditional Chinese and western medicine during perioperative period. The perioperative indexes， complications， postoperative quality of life and nursing satisfaction were compared between the two groups. Results? ? The anal exhaust time， bowel sound recovery time， defecation time， feeding time， out-of-bed activity time and hospital stay in the study group were shorter than those in the control group （P<0.05）.The total incidence of complications in the study group was 8.57% ， which was significantly lower than 31.43%? in the control group （P<0.05）. After nursing， the scores of all dimensions of NHP in the two groups were lower than those before nursing （P<0.05）， and the scores of energy， sleep， pain， physical activity and emotional response in the study group were significantly lower than those in the control group （P<0.05）. At discharge， the nursing satisfaction of the study group was 100.00%， which was significantly higher than 82.86% of the control group （P<0.05）.Conclusion? ? Perioperative integrated traditional Chinese and western medicine nursing can effectively promote the postoperative recovery of patients with LM， reduce the incidence of complications， and improve the quality of life and nursing satisfaction.

【Key Words】? Laparoscopic myomectomy；Perioperative；Integrated traditional? Chinese and western medicine nursing；Gastrointestinal function；Quality of life；Satisfaction

中圖分類號：R737.33? ? ? ? 文獻標識碼：A? ? ? ? 文章編號：1672-1721（2023）12-0097-04

DOI：10.19435/j.1672-1721.2023.12.033

子宮肌瘤（UF）好發于30～50歲女性，發病率極高[1]。腹腔鏡子宮肌瘤切除術（LM）因術中損傷較小及術后恢復較快、并發癥輕的優點，在臨床上被廣泛應用于UF的治療[2]。但該術式操作較為復雜及手術本身所產生的應激性損傷，使不少患者出現術后康復效果不佳及生活質量較差等情況，因此實施圍術期高質量的護理干預對加快恢復進度極為重要[3-4]。目前，中醫與西醫護理方法相互結合應用于多種術式患者術后康復中，且已取得良好效果[5-6]。本研究旨在探究圍術期實施中西醫結合護理對LM術后恢復效果的影響。

1? ? 資料與方法

1.1? ? 一般資料? ? 選取2020年1月—2021年12月于我院行LM的70例UF患者作為研究對象。納入標準：（1）符合《婦產科學》中UF的診斷標準[7]，并通過影像學檢查確診；（2）具有LM適應證。排除標準：（1）存在麻醉禁忌；……