多元化正向情感唤醒护理对全麻前列腺癌手术患者应激反应及麻醉恢复的影响  

Effect of diversified positive emotional arousal nursing on stress response and anesthesia recovery of patients undergoing prostate cancer surgery under general anesthesia

作　　者：潘剑[1] 梁超[2] 谢欣[1] PAN Jian;LIANG Chao;XIE Xin(Anesthesia Operating Room,Jiangsu Province Hospital,Jiangsu Province,Nanjing210029,China;Department of Urology,Jiangsu Province Hospital,Jiangsu Province,Nanjing210029,China)

机构地区：[1]江苏省人民医院麻醉手术室,江苏南京210029 [2]江苏省人民医院泌尿外科,江苏南京210029

出　　处：《中国医药导报》2023年第30期173-176,共4页China Medical Herald

基　　金：江苏省自然科学基金青年基金项目(BK20191077)。

摘　　要：目的探讨多元化正向情感唤醒护理对全麻前列腺癌手术患者应激反应及麻醉恢复的影响。方法选取2020年7月至2022年7月江苏省人民医院麻醉手术科治疗的前列腺癌患者120例,采用随机数字表法将其分为对照组和干预组,各60例。对照组行常规麻醉苏醒唤醒护理,干预组在对照组基础上行多元化正向情感唤醒护理,比较两组干预前后Herth希望指数量表评分、应激反应水平及麻醉恢复情况。结果干预后,两组积极行动、态度、与他人亲密关系评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05);两组白细胞介素-6水平低于干预前,且干预组低于对照组,两组皮质醇、去甲肾上腺素水平均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05);两组躁动评分均高于干预前,且干预组高于对照组,两组睁眼时间、呼吸恢复时间均短于对照组,差异有统计学意义(P<0.05)。结论多元化正向情感唤醒护理有助于提升患者对疾病治疗的希望水平,改善患者麻醉后的应激反应,减轻麻醉后的躁动情况,促进麻醉及呼吸的快速恢复。Objective To explore the effect of diversified positive emotional arousal nursing on stress response and anesthesia recovery of patients undergoing prostate cancer surgery under general anesthesia.Methods A total of 120 patients with prostate cancer who were treated in the Department of Anesthesia Operating Room,Jiangsu Province Hospital from July 2020 to July 2022 were selected.They were divided into control group and intervention group by random number table method,with 60 cases in each group.The control group received routine anesthesia awakening nursing,while the intervention group received diversified positive emotional arousal nursing on basis of the control group.The Herth hope index score,stress response level,and anesthesia recovery were compared between the two groups before and after intervention.Results After intervention,the scores of positive action,attitude,and intimacy with others in both groups were higher than those before intervention,and the intervention group was higher than the control group,and the differences were statistically significant(P<0.05).Interleukin-6 levels in both groups were lower than before intervention,and the intervention group was lower than the control group,the levels of cortisol and norepinephrine in both groups were higher than those before intervention,and those of the intervention group was higher than the control group,and the differences were statistically significant(P<0.05).The agitation score of both groups was higher than before intervention,and the intervention group was higher than those of the control group;the eye opening time and respiratory recovery time of both groups were shorter than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Diversified positive emotional arousal nursing can improve patients’hope level for disease treatment,improve the stress response of patients after anesthesia,reduce the agitation after anesthesia,and promote the rapid recovery of anesthesia and breathing.

关 键 词：多元化正向情感唤醒护理 全麻 前列腺癌手术 应激反应 麻醉恢复 

分 类 号：R473[医药卫生—护理学]