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目的研究优质护理理念在子宫内膜息肉宫腔镜术后护理中的应用价值。方法 120例子宫内膜息肉患者,均行宫腔镜子宫内膜息肉切除术进行治疗,根据术后护理方法不同进行分组,术后实施常规护理的63例患者作为常规组,术后实施优质护理的57例患者作为优质组。观察比较两组患者护理前后负面情绪及护理后并发症发生情况。结果常规组患者护理前抑郁自评量表(SDS)评分和焦虑自评量表(SAS)评分别为(60.71±4.95)分和(58.35±5.08)分,护理后SDS评分和SAS评分分别为(54.18±3.07)分和(52.63±4.21)分;优质组患者护理前SDS评分和SAS评分分别为(60.74±4.91)分和(58.32±5.13)分,护理后SDS评分和SAS评分分别为(50.04±2.85)分和(48.16±2.47)分。两组患者护理后的SDS评分和SAS评分均低于护理前,且优质组患者护理后的SDS评分和SAS评分均低于常规组,差异具有统计学意义(P<0.05)。优质组患者护理后并发症发生率为21.05%,显著低于常规组的61.90%,差异具有统计学意义(P<0.05)。结论优质护理理念应用于子宫内膜息肉宫腔镜术后,可改善患者的负面情绪,减少术后并发症,是一种安全、有效的护理模式。
Objective To study the value of high-quality nursing in the nursing of endometrial polyps after hysteroscopic surgery. Methods A total of 120 patients with endometrial polyps underwent hysteroscopic endometrial polypectomy. The patients were divided into groups according to different postoperative nursing methods. Sixty-three patients who underwent routine nursing after operation were treated as normal group and received postoperative high-quality nursing 57 patients as a high quality group. The negative emotions and the post-nursing complications were compared between the two groups before and after treatment. Results The scores of SDS and SAS in the routine group were (60.71 ± 4.95) and (58.35 ± 5.08) respectively, and the scores of SDS and SAS were (54.18 ± 3.07) points and (52.63 ± 4.21) points respectively. The quality scores of SDS and SAS before treatment in high quality group were (60.74 ± 4.91) and (58.32 ± 5.13) points respectively. SDS score and SAS score were 50.04 ± 2.85) points and (48.16 ± 2.47) points. The scores of SDS and SAS after nursing were lower than those before nursing in both groups, and the scores of SDS and SAS after the nursing were lower in the quality control group than those in the control group. The difference was statistically significant (P <0.05). The incidence of post-care complication in high-quality group was 21.05%, which was significantly lower than 61.90% in the conventional group, the difference was statistically significant (P <0.05). Conclusion The concept of quality nursing applied to endometrial polyps after hysteroscopy can improve the patient’s negative emotions and reduce postoperative complications, is a safe and effective mode of care.