手术室护理路径对腹腔镜子宫肌瘤剔除术患者护理效果及应激反应的影响

Effect of Nursing Pathway in Operating Room on Nursing Effect and StressResponse of Patients UndergoingLaparoscopic Hysteromyomectomy

摘要: 目的：探讨手术室护理路径在腹腔镜子宫肌瘤剔除术中的临床应用效果及其对应激反应的影响。方法：选取于2015年2月至2017年5月期间我院拟实施腹腔镜子宫肌瘤剔除手术的94例患者，分为两组，每组47例。47例对照组患者在围术期采用传统护理手段进行护理，47例观察组患者在围术期采用手术室护理路径进行护理，分析比较两组患者的应激反应、住院时间、治疗费用及护理满意度。结果：T1时，观察组患者应激反应的各项指标(T、HR、MAP、血糖、血浆皮质醇)均明显低于对照组患者，差异具有统计学意义(P < 0.05)；与对照组患者相比，观察组患者的住院时间、治疗费用均明显降低(P < 0.05)，护理满意度明显提高(P < 0.05)。结论：围术期内，将手术室护理路径应用于腹腔镜子宫肌瘤剔除术，可有效缓解术中应激反应，大幅提高患者满意度，并明显降低住院时间及治疗费用。

Abstract: Objective: To study the effect of nursing path of operating room in laparoscopic myomectomy and its effect on stress response. Methods: 94 patients in our hospital from February 2015 to May 2017 for laparoscopic myomectomy were divided into two groups, 47 in each group. The patients in the control group were treated with the traditional nursing method in the perioperative period, and the patients in the observation group were treated with the nursing path of the operating room during the perioperative period; the stress response, the hospital stay time, the treatment cost and the nursing satisfaction of the two groups were compared. Results: At T1, the indices of shock response (T, HR, MAP, blood glucose and plasma cortisol) of the observation group were significantly lower than those in the control group (P < 0.05). In comparison with the control group, the hospital stay time and the treatment cost of the observation group were significantly lower (P < 0.05). The satisfaction of nursing was improved significantly (P < 0.05). Conclusion: During the perioperative period, the operation room nursing path is applied to the laparoscopic myomectomy, which can effectively relieve the stress reaction in the operation, greatly improve the patient’s satisfaction, and obviously reduce the hospital stay time and the treatment cost.