THE EFFECT OF NURSING INTERVENTION IN PATIENT’S POSITIONING ON TOTAL LAPAROSCOPIC HYSTERECTOMY

Fang Chai^*, Yuting Guan, Juan Deng

Department of Operation Room, The First People’s Hospital of Mengcheng Country Bozhou City Anhui Province, Mengcheng, Bozhou, Anhui 233500, China

Introduction: This research aimed to investigate the clinical effect of patient’s positioning in nursing in total laparoscopic hysterectomy. 

Materials and methods: A total of 84 patients with total laparoscopic hysterectomy admitted to our hospital from January 2020 to June 2022 were divided into the observation group and the control group at random, with 42 cases in each. The control group received routine care while the observation group received additional positioning care. Quality of life (QoL), satisfaction, anxious mood, pressure injuries, adverse reactions and pain scale were all compared between the 2 groups. 

Results: After nursing intervention, HAMA score was significantly lower than before in both groups, with a lower level in the observation group than in the control group. SF-12 score was higher than before in both groups, with a significantly higher level in the observation group than in the control group. At 24 h and 48 h after intervention, VAS scores were lower in both groups than those at 30 min (P < 0.05), and only the observation group showed lower score at 48 h than at 24 h (P < 0.05). QoL and satisfaction scores were all relatively higher in the observation group than in the control group. 

Conclusion: Nursing intervention in patient’s positioning could prevent laparoscopic hysterectomy from potential problems, improve the clinical effect, reduce the incidence of complications, relieve patients' anxious mood, and deserve clinical promotion.