个性化舒适护理模式对胃肠手术患者负性情绪和生活质量的影响

The influence of individualized comfort care on negative emotion and life quality of patients after gastrointestinal surgery

目的探讨个性化舒适护理模式对胃肠手术患者心理状态和生活质量的影响。方法选取2016年1-12月行胃肠手术的76例患者,随机分为对照组和观察组各38例,对照组给予胃肠手术常规治疗及护理,观察组在对照组基础上实施个性化舒适护理模式。比较2组患者负性情绪评分、应对方式、胃肠道蠕动功能恢复情况和生活质量。结果治疗后观察组负性情绪评分低于对照组;对负性情绪的应对方式优于对照组;患者术后排气时间、胃管拔除时间及住院时间短于对照组;生活质量评分高于对照组。结论个性化舒适护理可改善胃肠手术患者精神状态,提高其对负性情绪的应对能力,改善患者的生活质量。

Objective To explore the effect of individualized comfort care on the mental state and life quality of patients after the gastrointestinal surgery. Methods Seventy-six patients undergoing gastrointestinal surgery between January and December in 2016 were randomly divided into an observation group and a control group, each of 38. Both groups were given routine operative treatment and nursing, while the observation group was additionally provided with individualized comfort care. The patients′ negative emotion and coping style were evaluated, and the gastrointestinal peristalsis function and life quality were compared. Results After the treatment, the scores of Hamilton anxiety scale, self-rating depression scale, self-rating anxiety scale and MARDS of the observation group were significantly lower than that of the control group after the treatment （ P 〈0.05）. The coping style to the negative emotion of the observation group was superior to the control group. The time of postoperative exhaust, gastric tube extraction and hospitalization time of the observation group were significantly shorter than that of the control group. The life quality of the former group was significantly higher than the latter. Conclusion The personalized comfort nursing can improve the mental state of the patients with gastrointestinal surgery, and improve their coping style and life quality.