ABSTRACT
Objective:To analyze the effect of accelerated rehabilitation surgery nursing (ERAS) combined with ear point pressing on beans on elderly patients undergoing laparoscopic hysterectomy for cervical cancer.Methods:Totally 76 elderly patients who underwent laparoscopic hysterectomy for cervical cancer were randomly divided into observation group and control group, 38 cases in each group. The control group adopted routine nursing measures, while the observation group applied ERAS concepts and measures combined with ear acupoints pressing beans. The first exhaust time, first defecation time, first ambulation time, hospitalization time and the incidence of complications were observed.Results:The first exhaust time, the first defecation time, the first ambulation time, the hospitalization time, and cost of hospitalization of the patients in the observation group were (20.37 ± 2.12) h, (3.43 ± 0.49) d, (12.20 ± 1.41) h, (7.30 ± 1.05) d, (19 453.04 ± 770.25) yuan, while (38.75 ± 3.62) h, (4.02 ± 0.74) d, (19.15 ± 1.13) d, (10.33 ± 1.06) d, (21 962.33 ± 939.56) yuan, 36.8% (14/38) in the control group. The difference between the two groups were statistically significant ( t values were -8.568--1.747, P < 0.05); the incidence of postoperative complications of the patients in the observation group was 18.9% (7/38), while 36.8% (14/38) of the control group. The difference between the two groups was statistically significant ( χ2 value was 2.987, P>0.05). Conclusion:The application of accelerated rehabilitation surgery nursing concept combined with ear acupoint pressing beans in laparoscopic hysterectomy for cervical cancer in elderly patients can significantly shorten the recovery time, reduce hospitalization costs, reduce postoperative complications and promote the recovery process.
ABSTRACT
Objective To investigate the psychological state and coping modes of the infertility couples and provides basis for the development of standardized psychological nursing measures. Methods Totally 206 pairs of infertility couples who were planning to use IVF treatment in the hospital from June 2016 to February 2017 were chosen,used the questionnaire survey(Including general data questionnaire, Self-Rating Anxiety Scale, Self-Rating Depression Scale and Medical Coping Modes Questionnaire) psychological status and coping modes assessment was carried out on the infertility couples. Results Among the patients with infertility, there were 57 cases of wife with anxiety, accounting for 27.7 % and 140 cases with depression,accounting for 68.0%.There were 40 cases of husband with anxiety,accounting for 19.4%,and 134 cases with depression,accounting for 65.0%.The anxiety scores of both couples were different(t=2.193,P<0.05),while the wife's anxiety scores were higher than her husband′s,but there was no difference in depression scores(t=1.869,P>0.05).The anxiety and depression scores of both couples were positively correlated(r=0.426,0.371,both P<0.01).Infertility couples of coping styles,the wife in the face,avoiding,yield dimension scores respectively(48.43±4.24),(44.53±3.36)、(43.42±4.17),higher scores in the face of the dimension, the difference was statistically significant (F = 89.358, P < 0.01);Husband's scores (19.05 ± 2.42), (16.14 ± 3.09), (43.26 ± 5.06), higher scores in yield dimension, the difference was statistically significant(F=337.774,P<0.01),and both sides of husband and wife in the face and avoiding dimension scores comparison, the wife′s scores were higher than the husband′s, difference was statistically significant (t = 86.362, 78.628, P < 0.01). Conclusions The depression in the infertility couples is prevalent, and the anxiety and depression in both husband and wife affect each other.In coping styles,the wives are able to face the treatment actively,while the husbands yield to it.