全程护理对外科术后患者应激反应的影响

Influence of Whole Course Nursing on Stress Response of Patients After Surgery

目的:探讨分析全程护理对外科术后患者应激反应的影响。方法:选取2015年1月-2017年1月本院收治外科手术患者100例作为研究对象,按入院顺序不同将其分为对照组和观察组,各50例,对照组接受常规护理措施进行干预,观察组在对照组基础上给予全程护理干预。观察比较两组干预效果,包括护理前后的心理状态、应激反应、术后恢复情况及护理满意度。结果:护理前,两组汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)评分比较,差异均无统计学意义(P>0.05),护理后观察组HAMD和HAMA评分均明显低于对照组(P<0.05);护理前两组血压和心率比较,差异均无统计学意义(P>0.05),护理后观察组血压和心率均低于对照组(P<0.05);观察组术后康复情况及护理满意度均明显优于对照组(P<0.05)。结论:在临床外科手术患者的护理中,给予全程护理干预能够降低患者术后应激反应,进而促进康复效果及护理满意度的提高,具有较高的临床应用价值,值得推广。

Objective:To explore the influence of whole course nursing on stress reaction of patients after surgery.Method:100 cases of surgical patients in our hospital from January 2015 to January 2017 were selected as research objects,according to the order of admission,they were divided into control group and observation group,50 cases in each group.The control group received routine nursing intervention,and observation group was given whole course nursing intervention on basis of control group.The intervention effect of two groups was observed and compared,included the psychological state,stress reaction before and after nursing,postoperative recovery and nursing satisfaction.Result:Before nursing,Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)score of two groups were compared,the differences were not statistically significant(P>0.05),after nursing,HAMD and HAMA scores of observation group were significantly lower than those of control group(P<0.05).Before nursing,the blood pressure and heart rate of two groups were compared,the differences were not statistically significant(P>0.05),after nursing,the blood pressure and heart rate of observation group were significantly lower than those of control group(P<0.05).The postoperative recovery and nursing satisfaction of observation group were obviously better than those of control group(P<0.05).Conclusion:The clinical nursing in surgical patients,given the whole course nursing can reduce the postoperative stress response,and promote the rehabilitation effect and nursing satisfaction,and has high clinical application value,it is worth promoting.