Objective: To explore the effect of incentive nursing intervention for perioperative anxiety and rehabilitative situation of patients with gynecologic laparoscopy. Methods: Seventy-six patients who underwent laparoscopic surgery in our hospital were divided into the observation group (38cases) and control group (38cases) by using convenience sampling method. Patients in the observation group received incentive nursing intervention, and those who were in the control group received routine care and health education. Series of indicators of the two groups, included of the anxiety level of pre and post intervention, postoperative satisfaction for nursing, rehabilitation process and complications, were determined and compared, respectively. Results: The anxiety degree of the observation group was significantly lower than that of the control group(t=6.265, P<0.05). The score of nursing satisfaction of the observation group was higher than that of the control group (x2=4.544, P<0.05). The postoperative exhausting time for the first time, normal activity time for the first time and the duration in hospital stays postoperation were obviously were shorten in the observation group, and all of these indicators of observation group were significantly shorter than that of control group (t=-5.104, t=-3.275, t=-2.435; P<0.05). On the other hand, the occurrence rate of nausea and vomiting of the complications postoperation of observation group was no difference with that of control group (x2=1.754, P>0.05). And the occurrence rates of sore shoulder, aching back and abdominal distension of observation group were significantly lower than that of control group (x2=8.418, x2=10.794; P<0.05), respectively. Conclusion: The research showed that the incentive nursing intervention is more effective, in alleviating the degree of postoperative anxiety for gynecologic patients who underwent laparoscopic surgery, and enhancing nursing satisfaction, and accelerating the process of postoperative habilitation and reducing complication, than the routine nursing and health education.%目的:探讨激励式护理干预对妇科腹腔镜围术期患者焦虑情绪及术后康复进度的影响.方法:选取在医院就诊的76例腹腔镜手术患者,采用便利抽样的方法将其分为观察组和对照组,每组38例.观察组接受激励式护理干预方法,对照组接受常规护理及健康教育,测定并比较两组护理前、后焦虑以及术后护理满意度、康复进程和并发症各项指标.结果:观察组患者手术后焦虑程度低于对照组患者,两组比较差异有统计学意义(t=6.265,P<0.05);观察组护理满意度得分高于对照组,两组比较差异有统计学意义(x2=4.544,P<0.05);观察组术后首次排气时间、首次下床活动时间和术后住院时间明显缩短,且优于对照组,两组比较差异有统计学意义(t=-5.104,t=-3.275,t=-2.435;P<0.05);观察组术后并发症中恶心呕吐发生率与对照组相比,其差异无统计学意义(x2=1.754,P>0.05),但肩背酸痛和腹胀发生率少于对照组,两组比较差异有统计学意义(x2=8.418,x2=10.794;P<0.05).结论:采用激励式护理干预可缓解妇科腹腔镜手术患者术后焦虑程度,可减轻患者术后焦虑,提高护理满意度,加快术后康复进程,减少并发症发生,与常规护理及健康教育相比较更为有效.
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