多维度照护模式对妇科全麻术后患者心理状态及生活质量的影响  

Effects of multi-dimensional care model on psychological state and quality of life of patients after gynecological general anesthesia surgery

作　　者：曹娟[1] 郭果 CAO Juan;GUO Guo(Department of Obstetrics and Gynecology,Nanyang Second People’s Hospital,Nanyang Henan 473000,China;Department of Operation room,Nanyang Hospital of Traditional Chinese Medicine,Nanyang Henan 473000,China)

机构地区：[1]南阳市第二人民医院妇产科监护室,河南南阳473000 [2]南阳市中医院手术室,河南南阳473000

出　　处：《临床研究》2023年第4期186-188,191,共4页Clinical Research

摘　　要：目的 探讨多维度照护模式对妇科全麻术后患者心理状态及生活质量的影响。方法 选取2021年1月至2022年10月南阳市第二人民医院收治的92例在全麻下行妇科腹腔镜的患者,按照随机数表法分为对照组与研究组各46例。对照组予以常规护理模式,研究组予以多维度照护模式,两组患者均连续干预2周。比较两组术后12 h、术后24 h、术后48 h疼痛程度[视觉模拟评分法(VAS)],比较两组术后恢复指标(肠鸣音恢复、首次下床活动及肛门排气、排便时间),比较干预期间两组并发症发生率,比较两组干预前后心理状态[状态-特质焦虑量表(STAI)]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]。结果 研究组术后12 h、术后24 h、术后48 h VAS评分均低于对照组,差异有统计学意义(P<0.05)。研究组术后肠鸣音恢复、首次下床活动及肛门排气、排便时间均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。两组干预后STAI评分较干预前均下降,且研究组低于对照组,差异有统计学意义(P<0.05)。两组干预后GQOLI-74较干预前均上升,且研究组高于对照组,差异有统计学意义(P<0.05)。结论 多维度照护模式在于全身麻醉下行妇科腹腔镜手术的患者中应用价值较高,能有效减少患者术后恢复时间与并发症,在改善其生理疼痛与心理状态方面均有显著效果,对提高患者生活质量具有积极意义。Objective To explore the effect of multi-dimensional care mode on psychological state and quality of life of patients after gynecological general anesthesia.Methods A total of 92 gynecologic laparoscopy patients admitted to the Second People's Hospital of Nanyang City from January 2021 to October 2022 under general anesthesia were selected and divided into control group and study group with 46 cases respectively according to random number table method.The control group was given routine nursing mode,and the study group was given multidimensional nursing mode.Both groups of patients were continuously intervened for 2 weeks.The pain degree of 12 h,24 h and 48 h after surgery was compared between the two groups[visual analog scale(VAS)].The postoperative recovery indexes(bowel sound recovery,first movement of getting out of bed,anal exhaust and defecation time)were compared between the two groups.The incidence of complications during the intervention period,psychological status[State-trait Anxiety Inventory(STAI)]and quality of life[General Quality of Life Inventory-74(GQOLI-74)]were compared between the two groups before and after the intervention.Results VAS scores of the study group at 12 h,24 h and 48 h after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05).Postoperative bowel sound recovery,the first time of getting out of bed,anal exhaust and defecation time in the study group were lower than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).STAI scores in both groups were lower after intervention than before intervention,and the study group was lower than the control group,the difference was statistically significant(P<0.05).After intervention,GQOLI-74 increased in both groups,and the study group was higher than the control group,the difference was statistically significant(P<0.05)

关 键 词：多维度照护模式 妇科 全麻术后 心理状态 生活质量 

分 类 号：R473[医药卫生—护理学]