手术室路径化护理对腹腔镜下子宫肌瘤切除术患者舒适度与应激反应的影响  

Effect of pathway-based nursing in operating room on comfort and stress response of patients undergoing laparoscopic myomectomy

作　　者：王星[1] 潘琴芬[1] 潘磊 WANG Xing;PAN Qinfen;PAN Lei(Maternity and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing,210004,China)

机构地区：[1]南京医科大学附属妇产医院(南京市妇幼保健院)手术室,江苏省南京市210004

出　　处：《护理实践与研究》2022年第10期1549-1553,共5页Nursing Practice and Research

摘　　要：目的探讨手术室路径化护理在腹腔镜下子宫肌瘤切除术患者中的应用价值。方法选择2019年1月—2021年1月医院收治的子宫肌瘤患者96例,按照组间基本特征具有可比性的原则分为对照组与观察组,各48例。对照组实施常规护理,观察组采用手术室路径化护理。比较两组心理状态、舒适度、应激反应及并发症发生情况。结果干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、Kolcaba舒适状况量表(GCQ)评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS、SDS评分低于对照组,GCQ评分高于对照组,差异有统计学意义(P<0.05);干预前,两组心率(HR)、呼吸(R)比较,差异无统计学意义(P>0.05);干预后,观察组HR、R、BP低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论手术室路径化护理能够减轻腹腔镜下子宫肌瘤切除术患者负性情绪,降低应激反应,提高舒适度,减少并发症的发生。Objective To explore the application value of pathway-based nursing in operating room in patients undergoing laparoscopic myomectomy was as the study subject.Methods A total of 96 patients with uterine fi broids who were admitted to the hospital from January 2019 to January 2021 were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 48 cases in each group.The control group received routine nursing,and the observation group received path-based nursing in operating room to compare the psychological state,comfort level,stress response and complications between the two groups.Results Before intervention,there was no significant diff erence in the self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Kolcaba general comfort questionnaire(GCQ)scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the observation group were lower than those of the control group,the GCQ score was higher than that of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in the heart rate(HR)and respiration(R)between the two groups(P>0.05).After the intervention,the HR,R and BP of the observation group were lower than those of the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of postoperative complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of path-based nursing in operating room can reduce the negative emotions of patients undergoing laparoscopic myomectomy,reduce stress response,improve comfort,and reduce the occurrence of complications.

关 键 词：腹腔镜下子宫肌瘤切除术 手术室路径化护理 舒适度 应激反应 并发症 

分 类 号：R473.71[医药卫生—护理学]