手术室护理干预对肿瘤手术患者应激反应的影响

Effect of nursing intervention in operation room on stress response in patients undergoing surgical operation

目的探讨手术室护理干预对肿瘤手术患者应激反应的影响。方法选取2016年11月至2017年12月间在陕西省宝鸡市中心医院接受手术治疗的177例肿瘤患者,按照入院先后顺序排序并按照奇偶数分组,其中,观察组89例,对照组88例,在接受肿瘤手术治疗的基础上,对照组患者采用常规的护理干预措施,观察组患者以常规护理为基础开展手术室护理干预。比较两组患者的应激反应情况以及护理满意度。结果观察组的心率和血压显著优于对照组,差异均有统计学意义(均P <0. 05)。观察组术后不良反应发生情况显著低于对照组,差异均有统计学意义(均P <0. 05)。手术前,两组患者抑郁评分和焦虑评分比较,差异无统计学意义(P> 0. 05)。手术后,观察组抑郁评分和焦虑评分低于对照组,差异均有统计学意义(均P <0. 05)。观察组护理满意度为92. 1%,高于对照组患者的78. 4%,差异有统计学意义(P <0. 05)。结论手术室护理干预的实施,能够有效改善患者心理状况,可改善心率和血压的波动情况,减少不良的应激反应,提升护理满意度,进而从整体上提升手术治疗的效果。

Objective To investigate the effect of operating room nursing intervention on the stress response in patients undergoing surgical operation. Methods A total of 177 patients undergoing surgery for cancer at Baoji Central Hospital from November 2016 to December 2017 were selected and divided into an observation group( 89 patients) and a the control group( 88 patients) according to the sequence of admission. The observation group was given nursing interventions in the operating room based on routine care and the control group was only given routine nursing interventions. The stress response and nursing satisfaction were compared between the two groups. Results In terms of heart rate and blood pressure,the observation group was significantly better than the control group,and there was a significant difference between the two groups( all P < 0. 05). The incidence of adverse reactions after surgery was significantly lower in the observation group than in the control group( P < 0. 05). There was no significant difference in depression and anxiety scores before surgery( P > 0. 05). After surgery,depression and anxiety scores were significantly lower in the observation group than in the control group( all P < 0. 05). Satisfaction with care was 92. 1%for the observation group which was significantly higher than 78. 4% of the control group( P < 0. 05).Conclusion The nursing intervention in operating room can effectively improve psychological problems,improve the fluctuation of heart rate and blood pressure,reduce the adverse stress reaction,and improve the satisfaction of nursing,which thereby improves the overall efficacy of surgical treatment.