手术室舒适护理模式对腹腔镜下子宫肌瘤剔除术患者术后应激反应的影响  

Effect of Comfortable Nursing Mode in Operating Room on Post-operative Stress Response of Patients Undergoing Laparoscopic Myomectomy

作　　者：吴芸[1] 林丽珠[1] WU Yun;LIN Li-zhu(Operating Room,Women's and Children's Hospital Affiliated to Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]厦门大学附属妇女儿童医院手术室/厦门市妇幼保健院,福建厦门361000

出　　处：《中外医疗》2020年第6期121-123,共3页China & Foreign Medical Treatment

摘　　要：目的探讨手术室舒适护理对子宫肌瘤剔除术患者术后应激反应的影响。方法方便选取40例2018年9月-2019年3月在该院行子宫肌瘤剔除术患者为研究对象,将其分为对照组和观察组,给予对照组患者手术室常规护理,观察组患者给予手术室舒适护理,观察并比较两组患者术后生理及心理应激反应情况。结果观察组术后外周血血糖水平术后1 d(5.87±0.82)mmol/L,术后2 d(4.52±0.61)mmol/L,术后3 d(4.43±0.64)mmol/L,术后4 d(4.39±0.66)mmol/L恢复明显快于对照组的外周血血糖水平术后1 d(5.91±0.81)mmol/L,术后2 d(5.86±0.66)mmol/L,术后3 d(4.59±0.55)mmol/L,术后4 d(4.41±0.53)mmol/L(t=0.256,7.198,0.158,0.148);观察组的外周血胰岛素水平恢复也明显快于对照组;观察组VAS评分(2.88±0.86)分、HAMA评分(15.23±1.41)分及HAMD评分(14.56±1.34)分均低于对照组的(5.81±0.84)分、(24.96±2.63)分及(25.12±2.28)分,组间比较差异有统计学意义(P<0.05)。结论针对子宫肌瘤剔除术患者,给予手术室舒适护理可有效改善患者术后应激反应,临床意义重大。Objective To explore the effect of comfortable nursing in operating room on stress response after hysteromyomectomy. Methods 40 patients who underwent hysteromyomectomy in the hospital from September 2018 to March 2019 were convenient selected as the research objects. They were divided into control group and observation group.The patients in the control group were given routine nursing in the operating room, while the patients in the observation group were given comfortable nursing in the operating room. The physiological and psychological stress reactions of the patients in the two groups were observed and compared. Results The level of peripheral blood glucose in the observation group(5.87±0.82) on the 1st day(4.52±0.61)mmol/L on the 2nd day,(4.43±0.64)mmol/L on the 3 rd day and(4.39±0.66)mmol/L on the 4th day) was significantly faster than that of the control group(5.91±0.81)mmol/L on the 1st day,(5.86±0.66)mmol/L on the 2nd day,(4.59 ±0.55)mmol/L on the 3 rd day,(4.41 ±0.53)mmol/L on the 4 days after operation),the difference was statistically significant(t=0.256, 7.198, 0.158, 0.148, on the 4 days after operation). Peripheral blood insulin levels in the observation group also recovered significantly faster than the control group;the observation group had a VAS score of(2.88±0.86)points,a HAMA score of(15.23±1.41)points, and a HAMD score of(14.56±1.34)points, which were all lower than those of the control group at(5.81±0.84)points,(24.96±2.63)points, and(25.12±2.28)points, the difference between groups was statistically significant(P <0.05). Conclusion For patients undergoing myomectomy, comfortable nursing in the operating room can effectively improve the stress response of patients after operation, which is of great clinical significance.

关 键 词：舒适护理 子宫肌瘤 腹腔镜 术后应激反应 

分 类 号：R473[医药卫生—护理学]