手术室护理干预对甲状腺手术患者应激反应及心理状态的影响  

Effect of nursing intervention in operating room on stress response and psychological status of thyroid surgery patients

作　　者：姚岚[1] 郭菲 YAO Lan;GUO Fei(Department of Anesthesia and Surgery,First Affiliated hospital of Xi’an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学第一附属医院麻醉手术部,西安710061

出　　处：《长春中医药大学学报》2020年第6期1294-1296,共3页Journal of Changchun University of Chinese Medicine

基　　金：陕西省自然科学基础研究计划项目(2017JM8097)。

摘　　要：目的探讨手术室护理干预对甲状腺手术患者应激反应及心理状态的影响。方法选取2016年7月-2019年3月在我院甲乳外科进行甲状腺手术治疗的60例患者为研究对象,按随机数字表法分为观察组和对照组,每组30例。对照组围手术期采用常规护理,观察组在对照组的基础上联合手术室护理干预,比较2组的应激反应以及心理状态。结果观察组患者术中舒张压、收缩压、心率与对照组相比明显降低,差异具有统计学意义(P<0.05);观察组的SAS、SDS不良情绪评分与对照组相比明显降低,差异具有统计学意义(P<0.05);观察组发生术后疼痛人数与对照组相比明显减少,差异具有统计学意义(P<0.05)。结论对甲状腺手术患者应用手术室护理干预可明显降低心理状态以及应激反应,减少其焦虑、烦躁等不良情绪的发生和疼痛率,值得在推荐。Objective To explore the effect of operating room nursing intervention on stress response and mental state of patients undergoing thyroid surgery.Methods From July 2016 to March 2019,60 patients undergoing thyroid surgery in our hospital were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,30 cases in each group.The patients in the control group received routine nursing during the perioperative period of thyroid surgery.The observation group combined with the operating room nursing intervention on the basis of the control group to compare the stress response and mentality.Results The diastolic blood pressure,systolic blood pressure and heart rate in the observation group were significantly lower than those in the control group(P<0.05).Conclusion nursing intervention in operating room can significantly reduce the psychological state and stress response of patients with thyroid surgery,reduce the incidence of anxiety,irritability and other adverse emotions and pain rate,which is worth recommending.

关 键 词：手术室护理干预 甲状腺手术 应激 心理状态 

分 类 号：R473.6[医药卫生—护理学]