梁燕平

[摘要]目的 探討團隊合作舒適護理模式在腹腔鏡子宮肌瘤剔除術(shù)患者中的應(yīng)用效果。方法 選取2017年10月～2018年10月我院收治的60例子宮肌瘤患者作為研究對象，按照隨機數(shù)字表法分為對照組（n=30）與觀察組（n=30）。觀察組采用團隊合作舒適護理方法，對照組采用常規(guī)護理方法。比較兩組術(shù)后并發(fā)癥總發(fā)生率、生存質(zhì)量測定量表簡表（WHOQOL-BREF）、手術(shù)情況、住院時間。結(jié)果 干預(yù)前兩組WHOQOL-BREF評分比較，差異無統(tǒng)計學意義（P>0.05）;干預(yù)后兩組WHOQOL-BREF評分高于干預(yù)前，且觀察組干預(yù)后WHOQOL-BREF評分高于對照組，差異均有統(tǒng)計學意義（P<0.05）;觀察組術(shù)后并發(fā)癥總發(fā)生率低于對照組，差異有統(tǒng)計學意義（P<0.05）;觀察組的手術(shù)時間、術(shù)后肛門排氣時間、術(shù)后臥床時間及住院時間短于對照組，差異均有統(tǒng)計學意義（P<0.05）;觀察組術(shù)中出血量少于對照組，差異有統(tǒng)計學意義（P<0.05）。結(jié)論 團隊合作舒適護理模式在腹腔鏡子宮肌瘤剔除術(shù)患者效果顯著，可降低術(shù)后總并發(fā)癥發(fā)生率，提高生存質(zhì)量，縮短手術(shù)時間，值得臨床推廣。

[關(guān)鍵詞]護理;腹腔鏡子宮肌瘤剔除術(shù);生存質(zhì)量測定量表簡表;視覺模擬量表

[中圖分類號] R473.73 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1674-4721（2020）6（b）-0219-03

[Abstract] Objective To explore the application effect of team cooperation comfortable nursing mode in patients with laparoscopic myomectomy. Methods A total of 60 patients with uterine fibroids admitted to our hospital from October 2017 to October 2018 were selected as the study subjects， and were divided into the control group （n=30） and the observation group （n=30） according to the random number table method. The observation group was treated with team work comfort nursing method， while the control group was treated with routine nursing method. The incidence of postoperative complications， summary of quality of life measurement scale（WHO QOL-BREF）， operation and length of stay were compared between the two groups. Results There was no significant difference in who WHO QOL-BREF score between the two groups before intervention （P>0.05）. The WHO QOL-BREF scores of the two groups after intervention were higher than those before intervention， and the WHO QOL-BREF score of the observation group after intervention was higher than that of the control group， with statistical differences （P<0.05）. The total incidence of postoperative complications in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. The operation time， postoperative anal exhaust time， postoperative bed time and hospital stay in the observation group were shorter than those in the control group， with statistical differences （P<0.05）. The amount of intraoperative blood loss in the observation group was less than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The model of team cooperation and comfortable nursing has a significant effect in patients with laparoscopic myomectomy， which can reduce the incidence of postoperative complications， improve the quality of life， reduce postoperative pain and shorten the operation time. It is worth clinical promoting.

綜上所述，團隊合作舒適護理模式在腹腔鏡子宮肌瘤剔除術(shù)患者中效果顯著，可降低術(shù)后并發(fā)癥發(fā)生，提高生存質(zhì)量，縮短手術(shù)時間，值得臨床推廣。

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（收稿日期：2019-09-29 ?本文編輯：崔建中）