以患者为中心的护理对严重腹部创伤患者围术期应激反应及并发症的影响  

Influence of Patient-Centered Nursing on Perioperative Stress Response and Complications in Patients with Severe Abdominal Trauma

作　　者：张莉娜 马鹏丽 魏慧颖 ZHANG Li'na;MA Pengli;WEI Huiying(Nursing Department,Gongyi People's Hospital,Gongyi 451200,China)

机构地区：[1]河南省巩义市人民医院护理部,河南巩义451200

出　　处：《临床医学工程》2022年第3期389-390,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191513)。

摘　　要：目的探讨以患者为中心的护理对严重腹部创伤患者围术期应激反应及并发症的影响。方法将80例严重腹部创伤患者随机分为观察组(以患者为中心的护理)与对照组(常规护理)。比较两组患者的应激指标、心理状态、手术指标及并发症。结果术后,观察组的胰岛素、皮质醇水平低于对照组,肾上腺素水平高于对照组(P<0.05)。护理后,观察组的HAMA、HAMD评分低于对照组(P<0.05)。观察组的肛门排气时间、下床活动时间短于对照组(P<0.05)。观察组并发症发生率为2.50%,低于对照组的15.00%(P<0.05).结论以患者为中心的护理可减轻严重腹部创伤患者的生理、心理应激,减少并发症,促进患者康复。Objective To explore the influence of patient-centered nursing on perioperative stress response and complications in patients with severe abdominal trauma.Methods 80 patients with severe abdominal trauma were randomly divided into observation group(patient-centered nursing)and control group(routine nursing).The stress indicators,mental state,operation indicators and complications were compared between the two groups.Results After operation,the insulin and cortisol levels of the observation group were lower than those of the control group,and the adrenaline level was higher than that of the control group(P<0.05).After nursing,the scores of HAMA and HAMD in the observation group were lower than those in the control group(P<0.05).The anal exhaust time and out-of-bed activity time in the observation group were shorter than those in the control group(P<0.05).The incidence of complications in the observation group was 2.50%,lower than 15.00%in the control group(P<0.05).Conclusions Patient-centered nursing can reduce the physiological and psychological stress,reduce the complications and promote the rehabilitation of patients with severe abdominal trauma.

关 键 词：以患者为中心的护理 严重腹部创伤 应激反应 并发症 

分 类 号：R473.6[医药卫生—护理学]