目的 探讨护理干预对无痛可视人流手术患者负性情绪及满意度的影响.方法 将本院妇产科2016年3-10月收治的1 136例进行无痛可视人流手术的患者采用数字表法分为观察组568例和对照组568例,对照组采用常规护理,观察组加强护理干预,比较两组的负性情绪变化及护理满意度.结果 观察组干预后的焦虑、抑郁评分低于对照组,避孕知识掌握率高于对照组,差异有统计学意义(P＜0.05).观察组在获取信息、服务态度、心理支持、护理安全方面的满意度均高于对照组,差异有统计学意义(P＜0.05).结论 加强护理干预能够缓解无痛可视人流手术患者的负性情况,减少人流综合征,提高护理满意度.

Objective To explore the effect of post abortion care on adverse psychological and contraceptive knowledge grasp in the patients with artificial abortion.Methods Patients with artificial abortion from August to November 2016 were selected as the research objects, and 600 patients who were successfully followed up were divided into the observation group and control group groups by Digital table with 300 cases each group.The control group was given postoperative observation and general health education, the observation group was given postoperative observation and post abortion care.The adverse psychology and contraceptive knowledge grasp condition of the two groups were compared.Results The anxiety and depression score in the observation group after intervention was lower than those in the control group, and the differences were statistically significant (P<0.05).The grasp rate of contraceptive knowledge (importance of the contraception, the control of the contraceptive method and the knowledge of emergency contraception) in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05).Conclusions Post abortion care can reduce the adverse psychological of patients with artificial abortion, improve the contraceptive knowledge, to avoid the occurrence of repeated abortion.

Objective:To investigate the nursing intervention and cause of urine retention by extensive abdominal hysterectomy.Methods:80 cases of cervical cancer patients,a extensive abdominal hysterectomy plus pelvic lymph node dissection in 40 cases,sub-extensive abdominal hysterectomy in 40 cases,according to different methods of postoperative care were randomly divided into test and control groups in all 40 cases.Results:The extensive abdominal hysterectomy plus pelvic lymph node dissection 12 cases of urinary retention(30.0%)lower than the sub-extensive abdominal hysterectomy 5 cases of urinary retention urinary(12.5%)(χ2=3.98, P<0.05);The amount of residual urine of test group(100±15) ml was significantly lower than control group(400±50) ml(t=65.12, P<0.01);the urinary retention of test group 6 cases(15.0%)lower than the control group 11 cases(27.5%)(χ2=3.78, P<0.05).Conclusion:Nursing intervention to their own emiction function and urinary retention plays an important role in patients with abdominal hysterectomy.

Objective: To investigate the care intervention of uterine fibroids treatment by two methods. Methods: 80 cases of uterine fibroid patients were divided into vaginal myomectomy and abdominal myomectomy group, with 40 cases in each group, and surgical results and the degree of pain of two groups were compared. Results: The anus exhaust time of abdom inal myomectomy group was (26.20±5.05) h, higher than the vaginal myomectomy group of (16.25±3.90) h (t=2.445, P0.05); the hospital days of abdominal myomectomy group was (9±1) d, higher than vaginal myomectomy group of (6±1) d (t=2.341, P0.05). The level of pain in vaginal myomectomy grade Ⅰ, Ⅱ and Ⅲ were 20 cases (50.0%), 15 cases (37.5 %) and 5 (12.5%) cases, lower than the abdominal myomectomy group of 10 cases (25.0%), 18 cases (45.0%) and 12 cases (30.0%) (χ2=3.98, χ2=3.89, χ2=3.86, average P0.05). Conclusion: Nursing intervention of uterine fibroids can improve the efficacy by vaginal myomectomy.

Objective To investigate the nursing intervention of Painless Abortion in patients with early pregnancy.Methods In 100 cases were divided into propofol + fentanyl group(treatment group)50 cases,the propofol group(control group) 50 cases.In the treatment group 0.05mg+fentanyl intravenous propofol 150mg,in the control group only intravenous propofol 150mg,to observe the results of response.Results The effect of 48 cases(96.0%),effective in 2 cases(4.0%),inefficacy 0 cases,a total effective rate of 100% in in treatment group;41 cases of effect(82.0%),effective in 3 cases(6.0 percent),5 cases of invalid(10.0%),a total effective rate 88.0% in control group,there Efficiency comparison the difference was significant(χ2=3.98,P0.05);during operation time、post-operative bleeding amount、amount of propofol in treatment group were better than the control group(t = 2.210,t = 2.345,t = 2.118,P both 0.05);The psychological care,preoperative,intraoperative,and postoperative care of patients with the treatment have certain action.Conclusion The treatment of propofol joint propofol played a very good effect.