手术室正性暗示语言干预对异位妊娠腹腔镜手术患者心理应激及舒适度的影响  

Influence of the positive suggestive language intervention for patients with laparoscopic surgery of ectopic pregnancy in the operating room on their psychological stress and comfor

作　　者：雷崇坤 向睿 张珊珊 杨智玲 陈国艳 LEI Chongkun;XIANG Rui;ZHANG Shanshan;YANG Zhiling;CHEN Guoyan(The Second Affiliated Hospital of Chengdu Medical College·Nuclear Industry 466 Hospital,Chengdu,Sichuan Province,610000)

机构地区：[1]成都医学院第二附属医院·核工业四一六医院,610000

出　　处：《中国计划生育学杂志》2025年第3期667-671,共5页Chinese Journal of Family Planning

基　　金：2023年成都市医学科研课题(2023620)。

摘　　要：目的:分析手术室正性暗示语言干预对异位妊娠腹腔镜手术患者心理应激及舒适度的影响。方法:选取2020年10月-2023年10月本院收治的异位妊娠患者80例,均接受腹腔镜手术治疗,随机抽样法分为对照组(常规干预)和干预组(常规干预联合手术室正性暗示语言干预)各40例;观察对比两组术后恢复情况,比较两组入院时、进入手术室前、麻醉前生命体征(心率、平均动脉压),干预前后心理应激[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、舒适度[简化舒适状况量表(GCQ)]及护理满意度。结果:干预组首次排气时间、首次进食时间、首次排便时间及住院时间均短于对照组;进入手术室前、麻醉前,两组心率、平均动脉压均高于入院时但干预组低于对照组(均P<0.05)。干预后干预组SAS(38.95±4.25分)、SDS(42.29±4.72分)评分均低于对照组(43.34±4.99分、46.24±5.15分),GCQ各维度评分高于对照组,护理总满意度(92.5%)高于对照组(72.5%)(均P<0.05)。结论:对异位妊娠腹腔镜手术患者给予手术室正性暗示语言干预可维持生命体征稳定,降低心理应激反应,缩短术后恢复时间,在舒适度、护理满意度方面均有提升。Objective:To analyze the influence of the positive suggestive language intervention for patients with laparoscopic surgery of ectopic pregnancy in the operating room on their psychological stress and comfort.Methods:A total of 80 patients with laparoscopic surgery of ectopic pregnancy in the hospital were selected and were divided into two groups(40 cases in each group)by the simple random sampling method from October 2020 to October 2023.All the patients in the two groups received the routine nursing intervention in the operating room,and the patients in the study group received the positive suggestion language intervention additionally.The postoperative recovery status of the patients in the two groups was observed and compared.The values of the vital signs,such as the heart rate and the mean arterial pressure at admission,before entering the operating room and before anesthesia,the psychological stress evaluated by the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),the comfort evaluated by simplified general comfort questionnaire(GCQ)score,and the nursing satisfaction of the patients were compared between groups.Results:The first exhaust time,the first feeding time,the first defecation time and the hospitalization time of the patients in the study group were significantly shorter than those of the patients in the control group.The heart rate and the mean arterial pressure of the patients in the two groups before entering the operating room and before anesthesia were significantly higher than those at admission,but which of the patients in the study group were significantly lower than those of the patients in the control group(all P<o.05).After intervention,the scores of SAS(38.95±4.25 points)and SDS(42.29±4.72 points)of the patients in the study group were significantly lower than those(43.34±4.99 points and 46.24±5.15 points)of the patients in the control group,and each dimension scores of GCQ of the patients in the study group were significantly higher than those of the pat

关 键 词：异位妊娠腹腔镜手术 手术室护理 正性暗示语言 心理应激 舒适度 护理满意度 

分 类 号：R47[医药卫生—护理学]