手术室护理干预在子宫肌瘤伴糖尿病患者中的应用

陈飞飞

[摘要] 目的 探讨手术室护理干预在子宫肌瘤伴糖尿病患者中的应用效果。方法 选取96例该院于2016年1—12月所收治的子宫肌瘤伴糖尿病患者，依随机数字表法将其分为对照组和观察组，对照组行常规护理，观察组行手术室护理干预，观察并比较两组患者术后的月经恢复情况及患者护理满意情况。结果 观察组患者月经周期、月经量及月经期均明显低于对照组[（28.46±1.13）d vs（34.27±1.25）d、（49.58±6.23）% vs （74.82±6.36）%、（4.74±0.56）d vs （7.42±0.68）d]，差异有统计学意义（P<0.05），护理满意率明显高于对照组（97.92%vs85.42%），差异有统计学意义（P<0.05）。结论 对子宫肌瘤伴糖尿病患者行手术室护理干预可有效降低患者手术风险，促进患者术后康复，提高患者护理满意度，有效改善护患关系，值得在临床护理当中进行推广。

[关键词] 护理干预；子宫肌瘤；糖尿病

[中图分类号] R47 [文献标识码] A [文章编号] 1672-4062（2017）04（a）-0024-02

[Abstract] Objective To study the application effect of nursing intervention in the operating room in patients with fibroid and diabetics. Methods 96 cases of patients with fibroid and diabetics admitted and treated in our hospital from January to December 2016 were selected and randomly divided into two groups， the control group and the observation group respectively adopted the routine nursing and nursing intervention in the operating room， and the menstruation recovery and nursing satisfactory degree of the two groups were observed and compared. Results The menstruation cycle， menstruation amount and menstruation period in the observation group were obviously lower than those in the control group， and the differences were statistically significant[（28.46±1.13） d vs （34.27±1.25） d， （49.58±6.23）% vs （74.82±6.36）%， （4.74±0.56）d vs （7.42±0.68）d]（P<0.05），The satisfaction rate of nursing was obviously higher than that of control group （97.92%vs85.42%）， the difference was statistically significant （P<0.05）. Conclusion The nursing intervention in the operating room for patients with fibroids and diabetes can effectively reduce the operation risk， promote the postoperative recovery， improve the nursing satisfactory degree and effectively improve the nurse-patient relationship， and it is worth promotion in the clinical nursing.

[Key words] Nursing intervention； Fibroids； Diabetics

子宮肌瘤是一种临床常见的女性生殖系统肿瘤，此肿瘤属良性肿瘤，发病多与雌激素和孕激素有关[1]。现临床治疗子宫肌瘤主要采取手术切除方式。但若患者同时伴糖尿病，其手术风险则会明显加大，术中麻醉及应激反应很可能会使患者糖尿病病情加重，引起各类严重并发症，影响患者预后，因此于围手术期对患者行护理服务具非常重要的意义。为探讨手术室护理干预在子宫肌瘤伴糖尿病患者当中的应用效果，该案选取96例该疾病患者为对象进行研究，现报道如下。

1 资料与方法

1.1 一般资料

该案患者96例均为该院于2016年1—12月所收治的子宫肌瘤伴糖尿病患者，所有患者均经MRI、B超或妇科检查确诊为患有子宫肌瘤，且存在痛经、经期异常、贫血及月经量增多等症状，同时与WHO所制定糖尿病相关诊断标准相符。所有患者均行手术治疗，知晓该案研究内容，并签署知情同意书。排除精神异常、智力障碍、子宫腺肌症、肉瘤等患者。……