术前心理干预联合手术室精准护理对宫颈癌手术患者的影响  

Influence of Preoperative Psychological Intervention Combined with Precision Nursing in Operating Room on Patients undergoing Cervical Cancer Surgery

作　　者：周婕[1] Zhou Jie(Department of Operating Room,Yangzhou Maternal and Child Health Care Hospital,Yangzhou 225002,Jiangsu Province,China)

机构地区：[1]扬州市妇幼保健院手术室,江苏扬州225002

出　　处：《中外医药研究》2023年第17期124-126,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨术前心理干预联合手术室精准护理对宫颈癌患者的影响。方法:选取2021年1月—2022年1月扬州市妇幼保健院收治的实施手术治疗的宫颈癌患者70例为研究对象,根据随机数字表法分为对照组与观察组,各35例。对照组给予常规手术室护理,观察组给予术前心理干预联合手术室精准护理。比较两组患者手术时间及术中出血量、心理状态、并发症发生率、应激反应。结果:观察组手术时间短于对照组,观察组术中出血量少于对照组,差异有统计学意义(P<0.001);术后,观察组汉密尔顿焦虑量表、抑郁量表评分低于对照组,差异有统计学意义(P<0.001);术后,观察组皮质醇、心率、收缩压、舒张压水平低于对照组,差异有统计学意义(P<0.001);观察组并发症发生率低于对照组,差异有统计学意义(P=0.040)。结论:术前心理干预联合手术室精准护理可以有效地缩短宫颈癌手术患者手术时间,减少患者术中出血量,改善患者术后心理状态,缓解术后应激反应,减少术后并发症。Objective:To explore the influence of preoperative psychological intervention combined with precision nursing in operating room on patients with cervical cancer.Methods:Seventy patients with cervical cancer undergoing surgical treatment in Yangzhou Maternal and Child Health Care Hospital from January 2021 to January 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with thirty-five cases in each group.The control group was given routine operating room nursing,and the observation group was given preoperative psychological intervention combined with precise nursing in operating room.Operation time,intraoperative blood loss,psychological state,complication rate and stress reaction were compared between the two groups.Results:The operation time in the observation group was shorter than that in the control group,and the amount of blood loss in the observation group was less than that in the control group,the difference was statistically significant(P<0.001);After operation,the score of Hamilton anxiety scale and depression scale in the observation group was lower than that in the control group,the difference was statistically significant(P<0.001);After operation,the levels of cortisol,heart rate,systolic blood pressure and diastolic blood pressure in observation group were lower than those in control group,the differences were statistically significant(P<0.001);The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P=0.040).Conclusion:Preoperative psychological intervention combined with precise nursing in the operating room can effectively shorten the operation time of patients undergoing cervical cancer surgery,reduce the amount of intraoperative blood loss,improve the postoperative psychological state of patients,relieve postoperative stress reaction,and reduce postoperative complications.

关 键 词：术前心理 手术室精准护理 宫颈癌手术 应激反应 

分 类 号：R47[医药卫生—护理学]