手术室护理干预在降低肿瘤手术患者应激反应中的效果观察

The effect of nursing intervention on reducing stress reaction in patients with tumor surgery

目的:观察手术室护理干预对肿瘤手术患者应激反应的影响。方法:将所收治的68例准备手术的肿瘤患者随机分为两个组,对照组接受传统的护理方法,干预组进行系统的手术室护理干预。手术后对护理干预的结果进行对比分析。结果:与对照组比较,干预组术后出现焦虑、恐惧心理的患者数量显著减少,正常状态患者比例显著升高(P<0.01);与术前1d比较,对照组术前5min的血压及心率显著升高(P<0.01);而干预组除心率加快外(P<0.01),血压变化并不显著(P>0.05)。结论:系统化、规范化的手术室护理干预对肿瘤手术患者围手术期应激反应具有显著的改善作用,能够帮助患者更好地适应手术,提高手术效果。

Objective： To observe the effect of nursing intervention on stress reaction in patients with tumor surgery in operation room. Methods： 68 patients were randomly divided into two groups. Patients in the control group were received traditional nursing method, while the intervention group was carried out in the operation room with nursing intervention. After operation, the results of nursing intervention were compared and analyzed. Results： Compared with the control group, the situation of anxiety and fear in intervention group after operation were significantly reduced. The proportion of normal state were increased significantly （P 〈 0.01 ） ; On the one day before operation, blood pressure and heart rate in control group within the first 5 rain increased significantly （P 〈 0. 01 ） ; while intervention group in addition to increasing heart rate （P 〈 0. 01 ）, the change of blood pressure is not significant （P 〉 0. 05 ）. Conclusion： Systematic and standardized nursing intervention during operation can significantly improve the stress response in patients with cancer surgery, which can help the patients to adapt to the operation and improve the operation effect.