护理干预对妇科腹腔镜手术患者生活质量、SDS、SAS评分的影响

Effect of nursing intervention on quality of life, SDS and SAS scores in patients undergoing gynecologic laparoscopic surgery

目的研究护理干预对妇科腹腔镜手术患者生活质量、抑郁自评量表(SDS)评分与焦虑自评量表(SAS)评分的影响。方法 80例腹腔镜手术患者,根据护理方法的不同分为常规组与研究组,各40例。常规组采用常规护理,研究组在常规组护理的基础上加强护理干预。观察比较两组患者干预后生活质量、SDS及SAS评分。结果研究组患者SAS、SDS评分分别为(44.10±9.80)、(40.34±3.25)分,均明显低于常规组的(51.30±11.00)、(50.42±3.25)分,差异均有统计学意义(P<0.05)。研究组患者躯体功能、认知功能、健康情绪、社会关系、术后疼痛、情感职能、角色功能、生理机能等生活质量评分均显著高于常规组,差异均有统计学意义(P<0.05)。结论护理干预用于妇科腹腔镜手术患者中,能够改善患者焦虑、抑郁状态,可以有效提升患者生活质量,改善预后,值得临床进一步推广。

Objective To study the effect of nursing intervention on quality of life, self-rating depression scale(SDS) score and self-rating anxiety scale(SAS) scores in patients undergoing gynecologic laparoscopic surgery. Methods A total of 80 patients with laparoscopic surgery were divided by different nursing methods into conventional group and research group, with 40 cases in each group. The conventional group received conventional nursing, and the research group received strengthened nursing intervention on the basis of the conventional nursing. Observation and comparison were made on quality of life, SDS and SAS score after intervention between the two groups. Results The research group had obviously lower SAS and SDS score respectively as(44.10±9.80) and(40.34±3.25) points than(51.30±11.00) and(50.42±3.25) points in the control group, and the difference was statistically significant(P<0.05). The research group had significantly higher quality of life score of physical function, cognitive function, healthy mood, social relationship, post-operative pain, emotional function, role function and physiological function than conventional group, and their difference was statistically significant(P<0.05). Conclusion Application of nursing intervention for patients undergoing gynecological laparoscopic surgery can improve their anxiety and depression, improve their quality of life and prognosis. So it is worthy of further clinical promotion.