基于和谐护理理论的护理干预对腹腔镜子宫肌瘤切除术患者创伤性应激障碍及氧化应激因子的影响  

Effect of nursing intervention based on harmonious nursing theory on traumatic stress disorder and oxidative stress factors in patients undergoing laparoscopic myomectomy

作　　者：王雨涵 董琳 WANG Yuhan;DONG Lin(Department of Laparoscopy,Women’s Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital),Jiangsu,Nanjing 210000,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)腔镜科,江苏南京210000

出　　处：《中国医药科学》2023年第9期134-137,共4页China Medicine And Pharmacy

摘　　要：目的研究基于和谐护理理论的护理干预对腹腔镜子宫肌瘤切除术患者创伤性应激障碍及氧化应激因子影响。方法选取2019年1月至2021年1月南京医科大学附属妇产医院(南京市妇幼保健院)腔镜科腹腔镜子宫肌瘤切除术患者100例,按照住院尾号单双号分为观察组和对照组,每组各50例。对照组应用常规术后护理,观察组行基于和谐护理理论的护理干预。对比两组护理前后创伤应激障碍[创伤性应激障碍自评量表(PTSD-SS)]评分,对比两组不同时点氧化应激因子[去甲肾上腺素(NE)、皮质醇(Cor)]变化。结果护理后两组社会功能损伤、主观评定、回避症状、警觉性增高、反复重现体验及PTSD-SS总分均较护理前降低,差异有统计学意义(P<0.05);与对照组比较,观察组护理后社会功能损伤、主观评定、反复重现体验及PTSD-SS总分更低,差异有统计学意义(P<0.05);术中两组NE、Cor较术前升高,差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05);两组术后NE、Cor水平较术前升高,较术中均降低,差异有统计学意义(P<0.05);观察组术后NE、Cor水平均低于对照组,差异有统计学意义(P<0.05)。结论基于和谐护理理论的护理干预对腹腔镜子宫肌瘤切除术患者的应用效果显著,可促进患者术后康复,减轻术后创伤应激障碍,降低氧化应激因子水平。Objective To study the effect of nursing intervention based on harmonious nursing theory on traumatic stress disorder and oxidative stress factors in patients undergoing laparoscopic myomectomy Methods A total of 100 patients undergoing laparoscopic myomectomy in the Department of Laparoscopy in Women’s Hospital of Nanjing Medical University(Nanjing Maternity and Child Health Care Hospital)from January 2019 to January 2021 were selected and divided into an observation group(n=50)and a control group(n=50)according to the last number of the hospitalization number(odd or even).The control group received conventional postoperative nursing,while the observation group received harmony nursing theory-based nursing intervention.The scores of traumatic stress disorder[Self-rating Traumatic Stress Disorder Scale(PTSD)]before and after nursing were compared between the two groups,and the changes of oxidative stress factors[norepinephrine(NE),cortisol(Cor)]at different time points were compared between the two groups.Results After nursing intervention,the scores of social function impairment,subjective rating,avoidance symptoms,increased alertness and repeated traumatic experience,and the total Post-traumatic Stress Disorder Self-rating Scale(PTSD-SS)score in both groups were lower than those before nursing intervention,with statistically significant differences(P<0.05).Meanwhile,the above-mentioned scores in the observation group were lower than those in the control group after nursing intervention,with statistically significant differences(P<0.05).During surgery,the levels of serum norepinephrine(NE)and cortisol(Cor)in both groups were higher than those before surgery,with statistically significant differences(P<0.05),but without statistically significant differences between the two groups(P>0.05).NE and Cor levels in both groups were lower before surgery and higher during surgery compared with those after surgery,with statistically significant differences(P<0.05).NE and Cor levels in the observation group were lower tha

关 键 词：创伤应激障碍 和谐护理理论 腹腔镜子宫肌瘤切除术 术后康复 

分 类 号：R473.71[医药卫生—护理学]