早期心理护理联合疼痛干预在机器人辅助手术治疗子宫颈癌患者中的应用  

Application of early psychological nursing care combined with pain intervention in patients undergoing robot-assisted surgery for cervical cancer

作　　者：段晶晶 木群 段瑶 郝泉水 胡娟 DUAN Jingjing;MU Qun;DUAN Yao;HAO Quanshui;HU Juan(Department of Anesthesiology,Huanggang Central Hospital,Huanggang 438000,China)

机构地区：[1]黄冈市中心医院麻醉科,湖北黄冈438000

出　　处：《机器人外科学杂志(中英文)》2025年第3期498-502,507,共6页Chinese Journal of Robotic Surgery

基　　金：湖北省卫生健康科研项目(WJ2021M084)。

摘　　要：目的:探究早期心理护理联合疼痛干预在机器人辅助手术治疗子宫颈癌患者中的临床疗效。方法:选取2021年7月—2023年12月黄冈市中心医院行机器人辅助手术治疗子宫颈癌的患者30例,随机分为对照组(n=15)和观察组(n=15)。对照组给予术后常规疼痛护理干预,观察组在对照组基础上给予早期心理干预,干预4周,比较两组患者围手术期护理满意度、心理状况、疼痛程度、睡眠质量、生活质量及术后相关并发症。结果:观察组在服务态度、护理操作及心理护理方面的评分均高于对照组(P<0.05);观察组患者的抑郁自评量表(SDS)、焦虑自评量表(SAS)及视觉模拟评分量表(VAS)评分均低于对照组,且使用镇痛泵的次数也低于对照组(P<0.05);观察组的匹兹堡睡眠质量指数(PSQI)和生活质量评分量表(QOL)各项评分均优于对照组(P<0.05);两组患者并发症发生情况的差异无统计学意义(P>0.05)。结论:早期心理护理联合疼痛干预在机器人辅助手术中的应用改善了子宫颈癌患者的心理状态,有效缓解患者术后疼痛,提高患者睡眠质量、生活质量及满意度,临床值得推广。Objective:To explore the clinical effect of early psychological nursing care combined with pain intervention in patients undergoing robot-assisted surgery for cervical cancer.Methods:30 cervical cancer patients who underwent robot-assisted surgery in the Huanggang Central Hospital from July 2021 to December 2023 were selected.They were randomly divided into the control group(routine postoperative pain management,n=15)and the observation group(early psychological nursing care combined with pain intervention,n=15).All patients were intervened for 4 weeks,and the perioperative nursing satisfaction,psychological status,pain levels,sleep quality,quality of life,and postoperative complications were compared between the two groups.Results:The scores of service attitude,nursing operation,and psychological nursing in the observation group were higher than those in the control group(P<0.05),and the scores of SDS,SAS,and VAS and the frequency of using analgesic pump in the observation group were lower than those in the control group(P<0.05).The observation group had a higher PSQI and QOL scores than the control group(P<0.05),and there was no significant difference in the occurrence of complications between the two groups(P>0.05).Conclusion:The application of early psychological care combined with pain intervention in robot-assisted surgery can not only improve the psychological state of cervical cancer patients,but also effectively relieve postoperative pain,improve the quality of sleep and life,and increase patients’satisfaction,which is worth promoting clinically.

关 键 词：子宫颈癌 机器人辅助手术 早期心理干预 疼痛护理 

分 类 号：R473.73[医药卫生—护理学]