循证护理干预对腹腔镜下全子宫切除术患者情绪的影响

Effect of evidence-based nursing intervention on emotionsin patients undergoing laparoscopic hysterectomy

目的探讨循证护理干预在改善腹腔镜下全子宫切除术患者焦虑、抑郁情绪及术后疼痛中的应用效果。方法随机选取120例腹腔镜下全子宫切除术患者,根据入院治疗时间分为对照组和研究组,各60例。对照组实施常规护理干预,研究组实施循证护理干预,比较2组患者护理前后焦虑、抑郁情绪以及术后疼痛程度、依从性情况。结果干预前,2组SDS评分和SAS评分差异无统计学意义(P>0.05);干预后,2组SDS评分和SAS评分均较干预前下降,但观察组下降更明显,差异有统计学意义(P<0.05);护理后,研究组不同时间段VAS评分低于对照组(P<0.05);研究组护理后依从率为96.67%(58/60),高于对照组65.00%(39/60)(P<0.05)。结论循证护理干预措施能有效改善腹腔镜下全子宫切除术患者的不良心理状态,减轻疼痛,提高生活质量及依从性,值得在临床推广。

Objective ]To study the effect of evidence-based nursing intervention on improving anxiety,depression and postoperative pain in patients undergoing laparoscopic hysterectomy.Methods A total of 120 patients undergoing laparoscopic hysterectomy were enrolled in our hospital,and were divided into control group and study group according to the time of admission,with 60 cases in each group.The control group was given routine nursing intervention,and the study group implemented high quality nursing intervention.The changes in anxiety,depression,postoperative pain and compliance were compared between the two groups before and after care.Results Before the intervention,there was no significant difference between the two groups(P>0.05).After intervention,the scores of SDS and SAS were lower than nursing before,and study group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS score of the study group was lower than that of the control group at different time points,and the difference was statistically significant(P<0.05).The rate of compliance was 96.67%(58/60),which was higher than 65.00%(39/60)in the control group,the difference was statistically significant(P<0.05).Conclusion Evidence-based nursing intervention can effectively improve poor mental state of laparoscopic hysterectomy patients,reduce pain,improve patients′quality of life and compliance,so it is worthy of clinical promotion.