优质护理及心理干预策略对妇科手术患者术前心理应激反应的干预作用  

Intervention Effect of High-quality Nursing and Psychological Intervention Strategy on Preoperative Psychological Stress Response of Patients Undergoing Gynecological Surgery

作　　者：马丽梅 李冰[2] 官俊杰[3] MA Limei;LI Bing;GUAN Junjie(Operating room,Women and Children's Hospital Affiliated to Xiamen University(Xiamen Maternity and Child Health Hospital),Xiamen,Fujian Province,361000 China;Department of Anesthesiology,Women and Children's Hospital Affiliated to Xiamen University(Xiamen Maternity and Child Health Hospital),Xiamen,Fujian Province,361000 China;Department of Urology,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)

机构地区：[1]福建省厦门大学附属妇女儿童医院(厦门市妇幼保健院)手术室,福建厦门361000 [2]福建省厦门大学附属妇女儿童医院(厦门市妇幼保健院)麻醉科,福建厦门361000 [3]福建省厦门大学附属第一医院泌尿科,福建厦门361000

出　　处：《中外医疗》2021年第26期160-163,198,共5页China & Foreign Medical Treatment

基　　金：贝朗麻醉科学研究基金(BBDF-2019-005)。

摘　　要：目的探究优质护理联合心理干预策略对妇科手术患者术前心理应激反应的干预作用。方法方便选择2020年3—12月在福建省厦门大学附属妇女儿童医院行妇科择期手术治疗的150例患者进行研究,采用随机数表法将其随机分为3组,每组50例。其中对照组在围术期实施常规护理干预,单一组围术期实施优质护理干预,联合组实施优质护理联合心理干预,比较3组患者进入手术室时的焦虑、抑郁评分以及不同时间点血压、心率变化情况。结果术前1 d,3组患者的焦虑(SAS)、抑郁(SDS)评分比较,差异无统计学意义(P>0.05)。进入手术室时,联合组的SAS评分(44.74±3.23)分、SDS评分(45.82±2.18)分低于对照组和单一组,差异有统计学意义(F=51.063、88.510,P<0.001)。手术当日清晨,3组的收缩压、舒张压、心率比较差异无统计学意义(P>0.05),进入手术室后15 min,联合组患者的舒张压(77.16±4.15)mmHg、收缩压(126.66±5.36)mmHg、心率(78.10±3.30)次/min,均明显低于对照组和单一组,差异有统计学意义(F=49.259、31.120、76.879,P<0.001)。结论优质护理联合心理干预策略能够有效缓解妇科择期手术患者的术前心理应激反应,稳定其生命体征,且有助于提高患者满意度,改善护理质量,值得推广应用。Objective To explore the intervention effect of high quality nursing combined with psychological intervention strategy on preoperative psychological stress reaction of patients with gynecological surgery.Methods 150 cases of gynecological surgery patients in the hospital from March to December 2020 were selected as the research objects.The patients were randomly divided into 3 groups with 50 cases in each group by random number table method.The control group received routine nursing intervention,the single group received high-quality nursing intervention,and the combined group received high-quality nursing combined with psychological intervention.The anxiety and depression scores,blood pressure and heart rate changes at different time points were compared among the three groups.Results One day before operation,there were no statistically significant difference in the scores of anxiety(SAS)and depression(SDS)among the three groups(P>0.05).When entering the operating room,the SAS score of the combined group was(44.74±3.23)points,SDS score(45.82±2.18)points,which were significantly lower than control group and single group,the difference was statistically significant(F=51.063,88.510,P<0.001).On the day of operation,there were no statistically significant difference in systolic blood pressure,diastolic blood pressure and heart rate among the three groups(P>0.05).15 min after entering the operating room,the diastolic blood pressure of the combined group was(77.16±4.15)mmHg,systolic blood pressure(126.66±5.36)mmHg,heart rate(78.10±3.30)times/min,which were significantly lower than control group and single group,the difference was statistically significant(F=49.259,31.120,76.879,P<0.001).Conclusion High quality nursing combined with psychological intervention strategy can effectively alleviate the preoperative psychological stress reaction of patients with gynecological elective surgery,stabilize their vital signs,which is worthy of promotion and application.

关 键 词：妇科择期手术 心理干预 优质护理 应激反应 

分 类 号：R473[医药卫生—护理学]