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江西省萍乡市安源区妇幼保健院妇女保健部
纸质出版日期:2022,
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黎萍. 康复操在妇科腹腔镜术后患者康复中的应用效果[J]. 保健医学研究与实践, 2022,19(5):148-151.
Li Ping. Effectiveness of rehabilitation gymnastics in the rehabilitation of patients underwent gynecological laparoscopy[J]. Health Medicine Research and Practice, 2022,19(5):148-151.
目的 探讨康复操在妇科腹腔镜术后患者康复中的应用效果。方法 选取2019年1月—2019年12月萍乡市某医院收治的48例行妇科腹腔镜手术患者作为研究对象
采用随机数字表法随机分为对照组(n=24)和观察组(n=24)。对照组患者采用常规围术期护理
观察组患者在常规围术期护理基础上给予康复操训练
2组患者均持续护理4 d。比较2组患者术后恢复情况、术后并发症发生情况和护理满意度
比较2组患者术前及术后视觉模拟评分法(VAS)评分、日常活动能力(ADL)评分。结果 观察组患者术后肠鸣音恢复时间、首次肛门排气时间、下床活动时间、恢复正常饮食时间和术后住院时间均短于对照组
差异均有统计学意义(P<0.05)。观察组患者术后2 d、3 d时的VAS评分均低于术前
对照组患者术后3 d时的VAS评分低于术前
差异均有统计学意义(P<0.05);观察组患者术后1 d、2 d、3 d时的VAS评分均低于对照组
差异均有统计学意义(P<0.05)。2组患者术后1 d、4 d时的ADL评分均高于术前
且观察组高于对照组
差异均有统计学意义(P<0.05)。观察组患者术后并发症发生率为33.33%
低于对照组患者的62.50%
差异有统计学意义(P<0.05)。观察组患者护理满意度为95.83%
高于对照组患者的75.00%
差异有统计学意义(P<0.05)。结论 康复操训练可显著改善妇科腹腔镜术后患者疼痛程度及日常生活能力
降低术后并发症发生风险
提高护理满意度
值得在临床上推广使用。
Objective To explore the effect of rehabilitation gymnastics in the rehabilitation of patients underwent gynecological laparoscopy.Methods Patients underwent gynecological laparoscopy in a hospital in Pingxiang City from January 2019 to December 2019 were selected as study subjects(48 cases) and assigned to a control group(n=24) and an observation group(n=24) using a simple random sampling method.The patients in the control group received conventional perioperative care
while the patients in the observation group received rehabilitation gymnastics after receiving the perioperative care
and both groups were continuously cared for 4 d.The postoperative recovery
postoperative complications and nursing satisfaction of the patients in the two groups were compared
and the preoperative and postoperative visual analog scale(VAS) scores and activity of daily living(ADL) scores of the patients in the two groups were compared.Results The time of recovery to postoperative bowl sound
time to first anal exhaust
time to get out of bed
time to resume normal diet and postoperative hospital stay were shorter in the observation group than those in the control group
and the differences were statistically significant(P<0.05).The VAS scores of patients in the observation group at 2 d and 3 d after operation were lower than those before operation
and scores of patients in the control group at 3 d after operation were lower than those before operation
and the differences were statistically significant(P<0.05);the VAS scores of patients in the observation group at 1 d
2 d and 3 d after operation were lower than those in the control group
and the differences were statistically significant(P<0.05).The ADL scores of patients in the two groups at 1 d and 4 d after operation were higher than those before operation
and the observation group had higher scores than the control group
with statistically significant difference(P<0.05).The incidence of postoperative complications in the observation group was 33.33%
which was lower than that in the control group(62.50%)
and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in the observation group was 95.83%
which was higher than that in the control group(75.00%)
and the difference was statistically significant(P<0.05).Conclusion Rehabilitation gymnastics training can significantly improve the pain degree and ability of daily living of patients underwent gynecological laparoscopy
reduce the risk of postoperative complications
and improve nursing satisfaction
which is worthy of clinical promotion.
康复操妇科腹腔镜康复效果日常活动能力疼痛视觉模拟
Rehabilitation gymnasticsGynecological laparoscopyRehabilitation effectivenessAbility of daily livingVisual analog scale
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