人性化管理配合循证干预对卵巢囊肿手术患者术后康复及心理应激的影响  

Influence of the humanized management combined with the evidence-based intervention for patients with ovarian cyst surgery on their postoperative rehabilitation and psychological stress

作　　者：汪红丽 段吉霏[1] 陈素钦 WANG Hongli;DUAN Jifei;CHEN Suqin(Bozhou Municipal People's Hospital,Bozhou,Anhui Province,236800)

机构地区：[1]安徽省亳州市人民医院,236800

出　　处：《中国计划生育学杂志》2025年第2期336-340,共5页Chinese Journal of Family Planning

摘　　要：目的:探究人性化管理配合循证干预对卵巢囊肿手术患者术后康复及心理应激的影响。方法:选取2022年1月-2024年3月本院收治拟行卵巢囊肿手术患者105例,采用随机抛硬币的方法分为观察组(53例)和对照组(52例),两组均接受人性化管理,观察组同时配合循证干预,比较两组术后恢复情况(住院时间、首次下床活动时间、肛门首次排气时间),采用事件影响量表(IES-R)评估患者的心理应激程度,采用15项术后恢复质量量表(QoR-15)评估患者恢复质量,比较并发症发生情况。结果:观察组术后住院时间(7.50±1.20d)、首次下床活动时间(12.34±2.09h)和肛门首次排气时间(24.56±3.45h)均短于对照组(8.10±1.30d、13.45±1.67h、26.12±3.09h),干预后两组IES-R各维度评分均较干预前降低且观察组低于对照组,两组QoR-15各维度评分均较干预前升高且观察组高于对照组(均P<0.05);两组并发症发生率(3.8%、7.7%)无差异(P>0.05)。结论:人性化管理配合循证干预可促进卵巢囊肿手术患者术后恢复,有利于减轻心理应激状态,改善术后心理状态。Objective: To explore the influence of the humanized management combined with the evidence-based intervention for patients with ovarian cyst surgery on their postoperative rehabilitation and psychological stress. Methods: 105 patients who wanted ovarian cyst surgery in the hospital were selected and randomly divided into observation group(53 cases with the literal side of the coin) and control group( 52 cases with the flower side of the coin) by the tossing coin method from January 2022 to March 2024. The patients in the two groups received the humanized management, and the patients in the observation group received the evidence-based intervention additionally. The postoperative rehabilitation status, such as the hospitalization time, the first time of getting out of bed and the first anal exhaust time, of the patients were compared between the two groups. The impact of event scale(IES-R) was used to assess the psychological stress of the patients in the two groups. 15-item quality of recovery scale(QoR-15) was applied to assess the recovery quality of the patients. The complications rate of the patients was compared between the two groups. Results: The postoperative hospital stay(7.50±1.20 d), the first time of getting out of bed(12.34±2.09h) and the first anal exhaust time(24.56±3.45h) of the patients in the observation group were significantly shorter than those(8.10±1.30d, 13.45±1.67h and 26.12±3.09h) of the patients in the control group. After intervention, the scores of IES-R in all dimensions of the patients in the two groups were significantly lower than those before intervention, and the scores of QoR-15 in all dimensions of the patients in the two groups were significantly higher than those of the patients before intervention, and which of the patients in the observation group were significantly higher than those of the patients in the control group(all P<0.05). There was no significant difference in the incidence of complications(3.8% vs. 7.7%)of the patients between the two groups(P>0.05).Conclu

关 键 词：卵巢囊肿手术 人性化管理 循证干预 术后康复 心理应激 心理状态 

分 类 号：R473.73[医药卫生—护理学]