伴侣陪伴参与的亲情干预对卵巢良性肿瘤患者术前心理应激、术后疼痛感知及睡眠质量的影响  

Effects of kindred-like intervention for patients with benign ovarian tumors by partner participation on their preoperative psychological stress, postoperative pain perception, and sleep quality

作　　者：陈玉莲 陈燕娥[1] 温云花 詹爱丁[2] 陈莉[2] CHEN Yulian;CHEN Yan'e;WEN Yunhua;ZHAN Aiding;CHEN Li(Haikou Maternal and Child Health Care Hospital,Haikou,Hainan Province,570203;Shenzhen Maternal and Child Health Care Hospital)

机构地区：[1]海南省海口市妇幼保健院,570203 [2]深圳市妇幼保健院

出　　处：《中国计划生育学杂志》2022年第8期1786-1789,1794,共5页Chinese Journal of Family Planning

基　　金：海南省自然科学基金面上项目(819MS119)。

摘　　要：目的:探讨伴侣陪伴参与的亲情干预对卵巢良性肿瘤患者术前心理应激、术后疼痛感知及睡眠质量的影响。方法:选取本院2018年1月-2021年12月收治的拟行手术切除治疗的卵巢良性肿瘤患者120例,按抽签法分为对照组(n=60)和干预组(n=60),对照组采用常规护理,干预组采取伴侣陪伴参与的亲情干预,对比两组术前心理应激、术后疼痛感知和睡眠质量。结果:手术当天干预组状态焦虑(26.39±2.38分)、特质焦虑(22.51±4.41分)、恐惧评分(3.21±1.08分),以及收缩压(115.69±3.18 mmHg)、舒张压(77.36±7.89 mmHg)、心率(86.29±5.31次/min)均低于对照组(31.64±3.26分、27.81±4.62分、4.32±1.12分、128.36±4.82 mmHg、85.21±8.71 mmHg、92.54±5.43次/min),术后重度疼痛发生率(11.7%)低于对照组(25.0%),出院时睡眠质量评分均低于对照组(均P<0.05);结论:对卵巢良性肿瘤患者采取伴侣陪伴参与的亲情干预,能明显缓解患者术前心理应激反应,减轻患者术后疼痛感知,提高睡眠质量,利于手术顺利进行及术后康复。Objective: To explore the effects of kindred-like intervention for patients with benign ovarian tumors by partner participation on their preoperative psychological stress, postoperative pain perception, and sleep quality. Methods: 120 patients with benign ovarian tumors were selected as the research subjects and were divided into two groups(60 cases in each group) according to the lottery method between January 2018 and December 2021. The patients in the control group received routine nursing, while the patients in the study group were given kindred-like intervention of partner participation. The preoperative psychological stress, postoperative pain perception, and sleep quality of the patients were compared between the two groups. Results: The scores of state anxiety(26.39±2.38 points), trait anxiety(22.51±4.41 points), and fear score(3.21±1.08 points), and the values of systolic blood pressure(115.69±3.18 mmHg), diastolic blood pressure(77.36±7.89 mmHg), and heart rate(86.29±5.31 beats/min) of the patients in the study group were significantly lower than those(31.64±3.26 points, 27.81±4.62 points, 4.32±1.12 points, 128.36±4.82 mmHg, 85.21±8.71 mmHg, and 92.54±5.43 beats/min) of the patients in the control group. The incidence of severe postoperative pain(11.7%) of the patients in the study group was significantly lower than that(25.0%) of the patients in the control group, and the sleep quality score of the patients in the study group at discharge was significantly lower than that of the patients in the control group(all P<0.05). Conclusion: Kindred-like intervention of partner participation for the patients with benign ovarian tumors can significantly relieve their preoperative psychological stress, relieve their postoperative pain perception, and enhance their sleep quality of patients, which is beneficial to the operation success and the postoperative rehabilitation.

关 键 词：卵巢良性肿瘤 伴侣陪伴参与亲情干预 心理应激 睡眠质量 

分 类 号：R473.73[医药卫生—护理学]