基于量化评估策略的手术室护理对消化道肿瘤患者术后康复指标及应激反应的影响

Influence of Operating Room Nursing Based on Quantitative Evaluation Strategy on Postoperative Rehabilitation Indicators and Stress Response in Patients with Gastrointestinal Tumors

目的探究基于量化评估策略的手术室护理对消化道肿瘤患者术后康复指标及应激反应的影响.方法选取本院2017年9月—2021年9月收治的56例消化道肿瘤患者,按照随机数字表法分为对照组和观察组,各28例.对照组采用手术室常规护理,观察组实施基于量化评估策略的手术室护理,均持续观察至患者出院.比较两组心理状态、术后康复指标、应激反应、疼痛程度及护理满意度.结果护理前,两组心理状态比较,差异无统计学意义(P>0.05);护理后,观察组抑郁自评量表、焦虑自评量表评分分别为(29.57±3.53)分、(32.69±3.51)分,均低于对照组,组间差异有统计学意义(P<0.05).观察组术后首次下床活动时间、排气时间、排便时间、住院时间分别为(15.63±4.29)h、(1.87±0.21)d、(2.33±0.28)d、(9.65±0.48)d,均短于对照组,组间差异有统计学意义(P<0.05).术后24 h,观察组舒张压、收缩压、心率分别为(82.19±8.48)mmHg、(140.03±13.26)mmHg、(80.16±8.26)次/min,均低于对照组,疼痛视觉模拟评分(1.59±0.24)分低于对照组,组间差异有统计学意义(P<0.05).观察组护理满意度为96.43%,高于对照组的71.43%,差异有统计学意义(P<0.05).结论基于量化评估策略的手术室护理能够有效缓解消化道肿瘤患者的负性情绪,减轻应激反应及疼痛,提高护理满意度,利于术后康复,值得临床进一步推广.

Objective To explore the effect of operating room nursing based on quantitative evaluation strategy on postoperative rehabilitation indicators and stress response in patients with gastrointestinal tumors.Methods A total of 56 patients with gastrointestinal tumors admitted to our hospital from September 2017 to September 2021 were selected and divided into a control group and an observation group according to the random number table method,with 28 cases in each group.The control group received routine nursing in the operating room,while the observation group received operating room nursing based on quantitative evaluation strategy,and the patients were continuously observed until they were discharged from the hospital.The psychological state,postoperative rehabilitation index,stress response,pain degree and nursing satisfaction were compared between the two groups.Results Before nursing,there was no significant difference in the psychological state between the two groups(P>0.05);after nursing,the scores of self-rating depression scale and self-rating anxiety scale of observation group were(29.57±3.53)points and(32.69±3.51)points respectively,which were lower than those of control group,and the differences between groups were statistically significant(P<0.05).The time to first postoperative bed activity,time to defecation,time to bowel movement,and hospital stay in the observation group were(15.63±4.29)h,(1.87±0.21)d,(2.33±0.28)d,and(9.65±0.48)d,respectively,which were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).At 24 h after surgery,the diastolic blood pressure,systolic blood pressure and heart rate of the observation group were(82.19±8.48)mmHg,(140.03±13.26)mmHg and(80.16±8.26)beats/min,respectively,which were lower than those of the control group,and the pain visual analog score(1.59±0.24)points was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was 96.43%,which was higher than that of the control group,which was 71.43%,and the difference was statistically significant(P<0.05).Conclusion Operating room nursing based on quantitative evaluation strategy can effectively relieve the negative emotions of patients with gastrointestinal tumors,reduce stress and pain,improve nursing satisfaction,and facilitate postoperative recovery,which is worthy of further clinical promotion.