舒适护理在子宫输卵管造影中的应用.doc

舒适护理在子宫输卵管造影中的应用 罗爱珍1 周园2 (宁波市医院宁波 315010【】 【关键词】舒适护理子宫输卵管造影不良反应 心理状况 ?Comfort care in the application of hysterosalpingography Luo Aizhen1 ZhouYuan2 Ningbo City Chinese Medicine Hospital,Ningbo ZHEjiang 315010 .China 【 Abstract】 Objective: To investigate the comfort care in the application of hysterosalpingography in effect. Methods: A prospective line of 260 patients with gynecological clinic hysterosalpingography were randomly divided into control group (130 patients) with conventional care, the observation group (130 cases) the use of comfort care. Two groups of patients before and after surgery anxiety and tension gastrointestinal adverse reactions occur, lower abdominal pain and a comparative analysis of the situation. Results: The intraoperative gastrointestinal adverse reactions, lower abdominal pain and anxiety and tension before and after surgery than the control group. Difference was statistically significant (P 0.05). Conclusion: Comfort care can effectively reduce hysterosalpingography in patients with psychological stress, reduce the postoperative incidence of adverse reactions. Throughout the inspection process so that patients get the comfort and relaxation, the establishment of a harmonious nurse-patient relationship of trust reflects the people-centered care philosophy. 【 Key words】 comfort care；hysterosalpingography；adverse effects ；psychological status 子宫输卵管造影是妇科不孕症的重要诊断及治疗方法，在不孕症诊断和治疗中起重要作用。由于检查有一定痛苦和不适，不少患者难以接受。为此，我科于2009年10月---2010年4月。 资料子宫输卵管造影均无造影禁忌症，碘过敏试验阴性，造影剂2 方法 缓解患者治疗前的紧张、恐惧等不良心理，尽最大可能确保患者的心理舒适。.2 检查中的舒适护理 这包括生理和心理二方面的舒适，是主要的过程，温暖的室温、柔和尽可能采用自然光；24～28℃，湿度在50%～60%，室内保持整洁、安静，室内物品摆放整齐规范嘱患者排空膀胱，协助其膀胱截石位，脱去一侧裤腿后穿上袜套，臀部垫一次性治疗巾，备好卫生巾。在进行外阴阴道消毒时，动作要轻柔，勿损伤阴道壁和宫颈组织，插入宫导管不可太深，以跨过宫颈内口或有脱空感即止，以免损伤子宫内膜。固定气囊以2—3ml为宜，或视宫颈内口松紧而调节，然后让患者稍作休息调整，待自我感觉好转后，再推注造影剂。整个操作过程必须轻柔而流畅，医护配合默契。 1.3.3 检查后的舒适护理 检查完毕擦净患者外阴、臀部的血迹，更换清洁臀垫平卧30—60分钟，1～2d 消失；嘱患者注意外阴清洁，口服抗菌素3—5天，以防感染术后15天内禁止性生活、盆浴及阴道塞药3.4 检查过程中观察记录插管情况、患者的恶心、呕吐及疼痛等不适程度。患者的疼痛程度根据WHO 疼痛标准[3]评定，即无疼痛或仅感