Effect of comfort nursing based on teamwork on the outcome of patients undel-gone laparoscopic myomectomy of hysteromyoma

Abstract

Objective To investigate the effect of comfort nursing based on teamwork on patients after laparoscopic myomectomy of hysteromyoma. Methods One hundred and fifty-six patients who chose laparoscopic myomectomy of hysteromyoma were randomly divided in the intervention group and the control group, each with 78 cases. The control group received conventional nursing while the intervention group received comfort nursing including preoperative interactive supervision, intranperative comfort nursing and postoperative visits. Effect of nursing was compared between two groups. Results The operation time, called the eye opening after the operation, called the open fist time and the tracheal extubation time was respectively （52. 63 ± 7.25 ） min, （ 18. 62 ± 1.65） min, （ 22. 15 ± 1.32 ） min and （ 25.37 ± 1.52） min in the intervention group, shorter than （58.72 ± 7. 31 ） min, （23.05 ± 1.72 ） min, （ 25.67 ± 1.38 ） min and （ 29. 62 ± 1.56 ） min in the control group, and the differences were statistically significant （t = 5. 224,16. 415,16. 279,17. 233, respectively; P 〈 0.01）. The pain score 12, 24, 48 and 72 h after operation was respectively （4. 32 ± 1.42）, （3.29 ± 1.27）, （2. 37 ± 1.05）, （ 1.25 ± 1.02）in the intervention group, lower than（5.47 ± 1.52）, （4. 56 ± 1.31 ）, （3.56 ± 1.08 ）, （ 1.82 ± 1.05 ） in the control group, and the differences were statistically significant （ t = 4. 883,6. 147, 6. 977,3.439, respectively; P 〈 0. 05）. The time of first being out of bed was （12. 35 ± 3.17 ）＇h in the intervention group and （17.52 ± 3.23 ）h in the control group, with statistically significant difference （t = 10. 089,P 〈0. 05）. Sleep time 24, 48 and 72 h after surgery as well as hospitalization time was respectively （5.72 ± 2. 31 ） h, （6. 55 ± 1.58） h, （7. 87 ± 1.25 ） h and （7. 13 ± 1.28 ） d in the intervention group, better than （17.52 ±3.23）h, （3.59 _±2.35）h,（5.37 ± 1.63）h, （6.58 ± 1.27） h and（8. 67 ± 1.59） d in the control group, and the differences were statistically significant （ t = 5.709,4. 591,6. 393,6. 663, respectively; P 〈0.01 ）. The incidence of complication was 6. 41% in the intervention group, and 24.36% in the control group, with statistically significant difference （ X2 = 9. 652, P 〈 0. 05 ）. Conclusions Comfort nursing for patients after laparoseopic myomectomy of hysteromyoma can improve their surgical compliance, shorten operation time and awakening time, reduce postoperative complications and enhance surgical effect. Key words: Laparoscopic surgery; Hysteromyoma; Operation cooperation; Comfort nursing