术后早期活动结合心理干预对腹腔镜子宫肌瘤剔除术患者康复效果的影响

　　[摘要]目的 探讨术后早期活动结合心理干预对腹腔镜子宫肌瘤剔除术患者康复效果的影响。方法 选取2015年3月～2017年3月在我院住院行腹腔镜子宫肌瘤剔除术的158例患者为研究对象，采用随机数字表法将其分为观察组81例和对照组77例。对照组给予常规术后护理，观察组在此基础上给予早期活动和针对性心理干预，比较两组患者术后疼痛情况，胃肠功能恢复时间，相关并发症发生率以及患者满意度。结果 观察组患者术后3 d的疼痛评分低于对照组，肛门排气时间及首次进食时间早于对照组，术后并发症发生率低于对照组，患者满意度高于对照组，差异均有统计学意义（P<0.05）。结论 术后早期活动结合心理干预有助于改善患者术后疼痛情况，促进胃肠功能恢复，减少相关并发症，同时提高患者的满意度。
　　[关键词]早期活动；心理干预；腹腔镜；子宫肌瘤剔除术；康复效果
　　[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-4721（2018）2（b）-0176-03
　　Effect of postoperative early activities combined with psychological intervention on rehabilitation in patients with laparoscopic myomectomy
　　ZHU Ying-yan1 LI Shu-ying2 ZHANG Shu-juan2
　　1.Department of Gynecology and Obstetrics，People′s Hospital of Raoping County，Guangdong Province，Raoping 515700，China；2.Department of General Surgery，People′s Hospital of Raoping County，Guangdong Province，Raoping 515700，China
　　[Abstract]Objective To explore the effects of postoperative early activities combined with psychological intervention on the rehabilitation in patients with laparoscopic myomectomy.Methods A total of 158 patients with laparoscopic myomectomy were selected from March 2015 to March 2017 and randomly divided into observation group（81 cases） and control group（77 cases） according to random number table method.Patients in the control group were received routine postoperative care，while patients in the observation group were received early activity and psychological intervention on the basis of the control group.The pain score，gastrointestinal function recovery time，complication incidence and patients′satisfaction were compared between the two groups.Results The pain score of the observation group was lower than that of the control group 3 days after surgery，the anus exhaust time and first feeding time were earlier than that of the control group，the incidence of postoperative complications was lower than that of the control group，the patients′satisfaction was higher than that of the control group，Differences were statistically significant （P<0.05）.Conclusion Postoperative early activities combined with psychological intervention can improve postoperative patient pain，promote gastrointestinal function recovery，reduce related complications and improve patient satisfaction.
　　[Key words]Early activity；Psychological intervention；Laparoscope；Myomectomy；Rehabilitation effects
　　子宮肌瘤是女性生殖器官最常见的良性肿瘤，多发于育龄期女性，给患者的生殖健康带来严重影响[1-3]。腹腔镜子宫肌瘤剔除术具有创伤小、恢复快、出血少等优点，在子宫肌瘤手术治疗中得到广泛应用[4-5]。由于受到术中二氧化碳气体及麻醉药物的影响，术后患者往往存在胃肠功能紊乱、肩部及膈下疼痛等问题[6-7]。部分患者由于缺乏相关疾病知识，担心肌瘤复发或影响生育，影响患者术后康复。研究显示，术后早期活动有利于促进腹腔内残留的二氧化碳排出，从而减轻腹胀和疼痛，促进胃肠功能的恢复[8-9]。本研究将早期活动与心理干预相结合，对腹腔镜子宫肌瘤剔除术患者进行护理，取得了较好的效果，现报道如下。

相关热词搜索：剔除 术后 干预 子宫肌瘤 康复