宫颈原位癌围手术期个性化护理的应用价值  

Application value of perioperative personalized nursing for cervical cancer in situ

作　　者：余辉 傅海鹦 全培青[1] YU Hui;FU Hai-ying;QUAN Pei-qing(Outpatient Operating Room,Obstetrics and Gynecology Hospital Afiliated to Fudan University,Shanghai 200090,China)

机构地区：[1]上海市复旦大学附属妇产科医院门诊手术室,上海200090

出　　处：《中国肿瘤临床与康复》2020年第5期632-635,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨个性化护理在宫颈原位癌围手术期的应用价值。方法选取2018年1月至2019年5月间上海市复旦大学附属妇产科医院收治的行超高频电波刀锥形切除术(LEEP)的80例宫颈原位癌患者。根据采用的护理方法不同进行分组,采用常规护理的40例患者纳入对照组,采用个性化护理的40例患者纳入观察组。比较两组患者的手术指标、焦虑(SAS)、抑郁(SDS)、幸福感以及自我感受负担。结果观察组患者手中出血量、收缩压、舒张压和心率均低于对照组患者,差异均有统计学意义(均P<0.05)。干预前,两组患者的SAS和SDS比较,差异无统计学意义(P>0.05)。干预后,观察组的SAS和SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。干预前,两组患者的情绪幸福感(EWB)、心理幸福感(PWB)和社会幸福感(SWB)比较,差异无统计学意义(P>0.05)。干预后,观察组的SWB、PWB和EWB均高于对照组,差异均有统计学意义(均P<0.05)。干预前,两组患者经济、身体和情感自我感受负担评分比较,差异无统计学意义(P>0.05)。干预后,观察组身体和情感自我感受负担评分明显低于对照组,差异均有统计学意义(均P<0.05)。结论宫颈原位癌患者围手术期采用个性化护理可改善患者术中生命体征,降低负面情绪,改善自我感觉负担,提高患者幸福感。Objective To analyze the value of perioperative personalized nursing in patients with cervical carcinoma in situ.Methods Eighty patients with cervical carcinoma in situ who underwent loop electrosurgical excision procedure(LEEP)at Obstetrics and Gynecology Hospital Affiliated to Fudan University from January 2018 to May 2019 were selected,and the patients were randomized based on the nursing they received.Forty patients receiving personalized nursing were included in an observation group and 40 patients receiving conventional nursing were included in a control group.The surgical indicators,anxiety(self-rating anxiety scale,SAS),depression(self-rating depression scale,SDS),happiness and self-perceived burden were compared between the two groups.Results The intraoperative hemorrhage,systolic blood pressure,diastolic blood pressure,and heart rate were lower in the observation group than in the control group(all P<0.05).There was no significant difference in scores of SAS and SDS between the two groups before the intervention(P>0.05).After intervention,scores of SAS and SDS were lower in the observation group than in the control group(all P<0.05).Before the intervention,there was no significant difference in the emotional well-being(EWB),psychological well-being(PWB)and social well-being(SWB)between the two groups(P>0.05).However,EWB,PWB and SWB were higher in the observation group than in the control group after the intervention(all P<0.05).Moreover,score of self-perceived burden was lower in the observation group than in the control group(P<0.05).Conclusion Perioperative use of personalized care can improve vital signs during the surgery,reduce negative emotions,improve self-perceived burden,and increase happiness in patients with cervical carcinoma in situ.

关 键 词：原位宫颈肿瘤 个性化护理 自我感觉负担 

分 类 号：R737.33[医药卫生—肿瘤]