多模块护理干预对子宫全切术患者负性情绪和手术配合度的影响  

Effects of multi-module nursing interventions on negative emotion and operative coordination in patients undergoing total hysterectomy

作　　者：王思琴[1] 贾喜珍[1] WANG Siqin;JIA Xizhen(Operating Theater,Yantai Yuhuangding Hospital,Yantai,Shandong,264000)

机构地区：[1]山东省烟台毓璜顶医院手术室,山东烟台264000

出　　处：《中西医结合护理（中英文）》2018年第5期38-41,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨多模块护理干预对子宫全切患者负性情绪及手术配合的影响。方法选取2013年1月—2015年1月收治的60例子宫全切术患者,按入院顺序随机分为对照组和观察组,各30例。对照组实施常规围手术期护理,观察组在此基础上根据应激理论、正性心理学及罗伊适应理论制定适合子宫全切患者的多模块护理干预方案,包括控制应激源模块、加快适应进程模块及心理疏泄模块。采用自制子宫全切患者心理状况调查表评估患者心理状态,对比患者术前视觉模拟焦虑评分尺(VASA)评分、生命体征(心率、收缩压、舒张压)及手术配合程度。结果术后3 d,观察组担心夫妻感情不和睦、担心术后并发症、担心失去女性特有魅力、担心性欲下降和担心夫妻性生活不协调5项评分均低于对照组(P<0.05)。术日晨、术前5 min,观察组焦虑得分均低于对照组(t=-2.985、-3.007,P<0.05)。术前5 min,观察组患者心率、舒张压低于对照组(t=-3.671、-2.849,P<0.05)。观察组手术配合程度高于对照组(Z=5.281,P<0.05)。结论对行子宫全切术患者采用系统性多模块护理干预,能够有效改善患者的心理状态,减轻术前焦虑情绪,使术前生命体征平稳,提高患者手术的配合度。Objective To investigate the effect of multi-module nursing interventions on negative emotion and operative coordination in patients undergoing total hysterectomy.Methods Totally 60 patients undergoing total hysterectomy were assigned to the observation group(n=30)and the control group(n=30)according to the admission sequence.Patients of two groups received routing care in perioperative period,and those in the observation group were given multi-module nursing interventions based on diathesis-stress,positive psychology and Roy's adaptation theory.A self-made questionnaire was used to investigate the mental status of patients.The visual analogue scale of anxiety(VASA),vital signs and operative coordination of patients were observed and compared between two groups.Results At 3 days after surgery,patients of the observation group had lower scores in terms of worrying about emotional discord,postoperative complications,losing femininity,decreased libido and sexual incompatibility compared with those in the control group(P<0.05).The score of VASA was lower in the observation group than that of controls on the morning of the day and 5 minutes before operation(t=-2.985、-3.007,P<0.05).Patients in the observation group had a relatively lower heart rate and diastolic blood pressure at 5 minutes before operation compared with those in the control group(t=-3.671、-2.849,P<0.05).The degree of operative coordination was higher in the observation group than that of controls(Z=5.281,P<0.05).Conclusion The multi-module nursing interventions are potentially effective to relieve the negative emotion,stabilize the vital signs and improve the operative coordination in patients undergoing total hysterectomy.

关 键 词：子宫全切术 多模块护理干预 负性情绪 焦虑 心理护理 子宫肿瘤 子宫出血 

分 类 号：R473.6[医药卫生—护理学]