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| Effects of intraoperative risk management combined with perioperative psychological support for patients with gynecological laparoscopic surgery on their rehabilitation |
| Zhoushan Women's and Children's Hospital, Zhoushan, Zhejiang Province, 316004 |
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Abstract To explore the effects of intraoperative risk management combined with perioperative psychological support for patients with gynecological laparoscopic surgery on their rehabilitation. Methods: A total of 102 patients with uterine fibroids or ovarian cysts who wanted gynecological laparoscopic surgery were included and were divided into two groups (51 cases in each group) by random number table method from January 2022 to December 2023. The patients in the two groups were given routine care. The patients in the intervention group were given intraoperative risk management combined with perioperative psychological support additionally. The postoperative gastrointestinal function recovery indexes, the complications, the scores of postoperative pain by visual analogue scale (VAS), Hamilton depression scale (HAMD), generalized anxiety disorder Self-rating scale (GAD-7), exercise of self-care Agency scale (ESCA) and health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ), and the satisfaction for the intervention of the patients in the two groups were observed. Results: The related indexes of the gastrointestinal function recovery of the patients in the intervention group were significantly shorter than those of the patients in the control group. The incidence of postoperative complications (2.0%) of the patients in the intervention group was significantly lower than that (13.7%) of the patients in the control group. The VAS scores of the patients the intervention group in postoperative 1, 4 and 7 days (4.03±0.26 points, 1.35±0.32 points and 0.41±0.08 points) of the patients in the intervention group were significantly lower than those (4.74±0.34 points, 2.01±0.29 points and 0.85±0.12 points) of the patients in the control group. The scores of HAMD (11.52±1.85 points), GAD-7 (10.06±1.85 points), ESCA (122.49±2.85 points) and HPLP-Ⅱ (168.45±7.34 points) of the patients in the intervention group after intervention were significantly better than those (14.95±2.12 points, 12.35±2.05 points, 118.65±3.23 points and 142.35±8.45 points) of the patients in the control group. The intervention satisfaction of the patients in the intervention group was significantly higher than that of the patients in the control group (all P<0.05). Conclusion: Intraoperative risk management combined with perioperative psychological support for the patients with gynecological laparoscopic surgery can promote their postoperative gastrointestinal function recovery, reduce their postoperative complications, improve their psychological state, enhance their self-care ability and help their developing the healthy behaviors, which is conducive to the postoperative recovery of the patients, and with higher satisfaction.
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