基于应激系统理论的护理模式在子宫腺肌病全子宫切除术患者中的应用  

Application of nursing mode based on stress system theory in patients with adenomyosis after total hysterectomy

作　　者：叶丽云 董志芳 吕清媛 郑聪霞 王珊珊 YE Liyun;DONG Zhifang;LYU Qingyuan;ZHENG Congxia;WANG Shanshan(Department of Emergency,Lishui Maternal and Child Health Hospital,Zhejiang Province,Lishui 323000,China;Department of Obstetrics,Lishui Maternal and Child Health Hospital,Zhejiang Province,Lishui 323000,China;Gynecological Ward,Lishui Maternal and Child Health Hospital,Zhejiang Province,Lishui 323000,China;Department of Nursing,Lishui Maternal and Child Health Hospital,Zhejiang Province,Lishui 323000,China)

机构地区：[1]浙江省丽水市妇幼保健院急诊科,浙江丽水323000 [2]浙江省丽水市妇幼保健院产科,浙江丽水323000 [3]浙江省丽水市妇幼保健院妇科病区,浙江丽水323000 [4]浙江省丽水市妇幼保健院护理部,浙江丽水323000

出　　处：《中国医药导报》2024年第11期135-139,共5页China Medical Herald

基　　金：浙江省卫生健康委员会科技计划项目(2021ZH 018)。

摘　　要：目的分析基于应激系统理论的护理模式在子宫腺肌病(AM)全子宫切除术患者中的应用效果。方法选取2019年1月至2023年2月浙江省丽水市妇幼保健院接受全子宫切除术的73例AM患者,根据随机数字表法将其分为对照组(36例)和观察组(37例)。对照组使用常规护理,观察组在对照组的基础上联合基于应激系统理论的护理模式。比较两组创伤后应激障碍、心理弹性、病耻感及应对方式。结果干预后,两组创伤后应激障碍评价量表评分低于干预前,且观察组低于对照组(P<0.05);干预后,两组心理弹性量表评分高于干预前,且观察组高于对照组(P<0.05);干预后,两组社会影响量表评分均低于干预前,且观察组低于对照组(P<0.05);干预后,两组回避及屈服维度评分低于干预前,且观察组低于对照组(P<0.05);干预后,两组面对维度评分高于干预前,且观察组高于对照组(P<0.05)。结论基于应激系统理论的护理模式能缓解AM全子宫切除术患者创伤后应激障碍,调节患者心理弹性,降低病耻感,改善应对方式。Objective To analyze the application effect of nursing mode based on stress system theory in patients with adenomyosis(AM)after total hysterectomy.Methods A total of 73 AM patients who underwent total hysterectomy in Lishui Maternal and Child Health Hospital,Zhejiang Province from January 2019 to February 2023 were selected,and they were divided into control group(36 cases)and observation group(37 cases)by random number table method.The control group received routine nursing,and the observation group combined nursing mode based on stress system theory on the basis of the control group.Post-traumatic stress disorder,psychological resilience,stigma,and coping styles were compared between the two groups.Results After intervention,the score of post-traumatic stress disorder checklist-civilian version in both groups was lower than that before intervention,and that of the observation group was lower than that of the control group(P<0.05).After intervention,the score of Connor-Davidson resilience scale in both groups was higher than that before intervention,and that of the observation group was higher than that of the control group(P<0.05).After intervention,the social impact scale scores of both groups were lower than those before intervention,and that of the observation group was lower than that of the control group(P<0.05).After intervention,the avoidance and yield dimension scores of both groups were lower than those before intervention,and those of the observation group were lower than those of the control group(P<0.05).After intervention,the face dimension scores of both groups were higher than those before intervention,and that of the observation group was higher than that of the control group(P<0.05).Conclusion The nursing mode based on stress system theory can alleviate post-traumatic stress disorder,regulate psychological resilience,reduce stigma,and improve coping styles in AM patients after total hysterectomy.

关 键 词：子宫腺肌病 全子宫切除术 应激系统理论 创伤后应激障碍 心理弹性 

分 类 号：R473[医药卫生—护理学]