应激系统理论指导下多维度支持护理对经口腔镜甲状腺切除术患者的影响  

Effect of multi-dimensional support nursing care under the guidance of stress system theory on patients undergoing TOET

作　　者：李艳满 区楚婷 谢间英 Li Yanman;Qu Chuting;Xie Jianying(The Sixth Affiliated Hospital of South China University of Technology,Foshan Guangdong 528200,China)

机构地区：[1]华南理工大学附属第六医院佛山市南海区人民医院,广东佛山528200

出　　处：《齐鲁护理杂志》2024年第20期26-30,共5页Journal of Qilu Nursing

摘　　要：目的:探讨应激系统理论指导下多维度支持护理对经口腔镜甲状腺切除术(TOET)患者应激水平及术后疼痛反应的影响。方法:选取2022年6月1日~2023年11月30日接受TOET的80例患者,随机分为标准组和实验组各40例,标准组实施常规护理,实验组执行应激系统理论指导下多维度支持护理;比较手术前后两组生理应激水平[包括心率(HR)、舒张压(DBP)、收缩压(SBP)]、心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[采用匹兹堡睡眠质量指数(PSQI)]、生活质量[采用生活质量核心问卷(QLQ-C30)],监测两组术后6、12、48 h疼痛程度[采用疼痛数字评分法(NRS)]及术后并发症的发生情况。结果:术后48 h,实验组HR、DBP、SBP水平及SAS、SDS、PSQI(除睡眠障碍)评分均低于标准组(P<0.05,P<0.01);术后6、12、48 h,实验组NRS评分均低于标准组(P<0.05,P<0.01);术后48 h,实验组QLQ-C30评分均高于标准组(P<0.05,P<0.01)。结论:应激系统理论指导下多维度支持护理能够降低TOET患者的身心应激水平,有助于减轻术后疼痛,降低并发症的发生风险,从而改善生活质量。Objective:To explore the effect of multi-dimensional support nursing care under the guidance of stress system theory on stress level and postoperative pain response in patients undergoing transoral endoscopic thyroidectomy(TOET).Methods:A total of 80 patients who received TOET from June 1,2022 to November 30,2023 were randomly divided into the standard group and the experimental group,with 40 patients in each group.The standard group was given routine nursing care,and the experimental group was given multi-dimensional support nursing care under the guidance of the stress system theory.Physiological stress level[including heart rate(HR),diastolic blood pressure(DBP),systolic blood pressure(SBP)],psychological state(SAS,SDS),sleep quality(PSQI),quality of life(QLQ-C30)were compared between the two groups before and after operation.The degree of pain(NRS)respectively 6,12 and 48 hours after operation and the occurrence of postoperative complications were monitored.Results:The levels of HR,DBP,SBP and the scores of SAS,SDS,PSQI(except sleep disorder)in the experimental group were lower than those of the standard group 48 hours after operation(P<0.05,P<0.01).6,12 and 48 hours after operation,the NRS scores of the experimental group were lower than those of the standard group(P<0.05,P<0.01).48 hours after operation,the QLQ-C30 scores of the experimental group were higher than those of the standard group(P<0.05,P<0.01).Conclusion:Multi-dimensional support nursing care under the guidance of stress system theory can reduce the physical and mental stress level of TOET patients,and can help to reduce the postoperative pain and the risk of complications so as to improve the quality of life of the patients.

关 键 词：经口腔镜甲状腺切除术 应激系统理论 多维度支持护理 应激反应 术后疼痛 

分 类 号：R473.6[医药卫生—护理学]