基于人文关怀的手术室护理措施对输尿管结石患者负性情绪与应激反应的影响  

A Study on the Impact of Humanistic Care Based Operating Room Nursing Measures on Negative Emotions and Stress Responses in Patients with Ureteral Stones

作　　者：何琳娜 高健美 HE Linna;GAO Jianmei(Department of Operating Room,Shandong Provincial Public Health Clinical Center,Ji'nan 250100,China)

机构地区：[1]山东省公共卫生临床中心手术室,济南250100

出　　处：《中国医药指南》2024年第14期8-11,共4页Guide of China Medicine

摘　　要：目的探讨基于人文关怀的手术室护理措施对输尿管结石患者负性情绪与应激反应的影响。方法本研究采用了2022年3月至2023年3月在本院收治的90例输尿管结石患者作为研究对象。随机数字表法将患者对照组(n=45)和观察组(n=45)。对照组患者接受常规护理,观察组患者接受基于人文关怀的手术室护理干预,在本研究中将采用多种指标来评估输尿管结石患者的病情和术后恢复情况,以全面了解干预的效果。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者有无不良情绪及其程度。在手术前和术后12 h,通过测量患者的舒张压(DBP)、收缩压(SBP)、肾上腺素(E)和心率(HR)等指标评估手术对患者的生理应激反应。记录两组首次下床活动时间、引流管拔除时间和肛门首次排气时间等指标。使用自制问卷评估两组患者对护理的满意度。结果在术前,两组患者的SAS评分和SDS评分对比差异无统计学差异(均P>0.05)。然而,在术后12 h,接受人文关怀护理干预的观察组患者的SAS评分和SDS评分均低于对照组(均P<0.05)。在术前,两组患者的应激指标比较差异无统计学意义(均P>0.05)。然而,在术后12 h,接受人文关怀护理干预的观察组患者的HR、E、SBP、DBP均低于对照组(均P<0.05)。实施人文关怀护理干预的观察组患者在术后恢复方面表现出色,包括首次下床活动时间、引流管拔除时间、肛门首次排气时间等早于对照组(P<0.05);观察组的护理满意度各项评分均高于对照组(均P<0.05)。结论通过经输尿管镜进行碎石和取石手术治疗输尿管结石的患者,接受以人文关怀为基础的护理干预,可以帮助其维持积极的心态,稳定应激反应的生理指标,增强自我护理的能力。此外,这种护理方法对于加快手术后的恢复进程、减少并发症的风险以及维护良好的护患关系都具有显著的效果。Objective To investigate the effects of humanistic care-based operating room nursing measures on negative emotions and stress responses of patients with ureteral stones.Methods Ninety cases of ureteral stone patients admitted to our hospital from March 2022 to March 2023 were used as the study subjects in this study.The patients were divided into a control group and an observation group through the principle of matching basic information between groups,and each group included 45 patients.The patients in the control group received conventional nursing care,and the patients in the observation group received the operating room nursing intervention based on humanistic care,in which a variety of indicators will be used to assess the condition of the patients with ureteral stones and postoperative recovery,in order to comprehensively understand the effect of the intervention.Using the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)to assess the presence and severity of adverse emotions in patients.The physiological stress response of surgery on patients was assessed by measuring their diastolic blood pressure(DBP),systolic blood pressure(SBP),epinephrine(E),and heart rate(HR)before and 12 h after surgery.Indicators such as the time of the first time to get out of bed,the time of drain removal and the time of the first anal defecation were recorded in both groups.A self-made questionnaire was used to assess patients'satisfaction with nursing care.Results In the preoperative period,there was no statistically significant difference between the SAS scores and SDS scores of the two groups of patients(P>0.05).However,at 12h postoperatively,the SAS scores and SDS scores of the patients in the observation group who received humanistic nursing intervention were significantly lower than those of the control group(all P<0.05).In the preoperative period,there was no statistically significant difference between the stress indicators of the two groups(P>0.05).However,at 12h after surgery,the HR,E,SBP,DBP of patie

关 键 词：输尿管结石 人文关怀 手术室护 负性情绪 应激反应 

分 类 号：R693.4[医药卫生—泌尿科学] R473.6[医药卫生—外科学]