基于社会心理学的护理干预对子宫内膜癌伴糖尿病患者腹腔镜子宫全切联合淋巴结清扫手术后应激状态的影响

Effect of nursing intervention based on social psychology on the stress state of diabetic patients combined with endometrial cancer after laparoscopic hysterectomy and lymph node dissection

目的探究社会心理学在子宫内膜癌伴糖尿病患者腹腔镜子宫全切联合淋巴结清扫手术后应激状态的影响。方法选取2016年3月至2018年4月徐州市中心医院诊治的子宫内膜癌伴糖尿病患者102例,采用社会心理学进行干预的51例作为观察组,采用常规干预的51例作为对照组。两组患者均口服二甲双胍治疗糖尿病、血糖控制稳定,且均接受腹腔镜子宫全切联合淋巴结清扫手术。比较两组患者术后应激反应、疼痛程度及应对方式。结果观察组术后12h、术后24h皮质醇和肾上腺素水平及HAMA评分均低于对照组,差异具有统计学意义(P<0.05);观察组术后12h、24h疼痛评分均低于对照组,差异具有统计学意义(P<0.05);观察组术后回避、屈服评分均低于对照组,面对评分高于对照组,差异具有统计学意义(P<0.05)。结论社会心理学应用于子宫内膜癌伴糖尿病患者可有效降低其腹腔镜术后应激反应及疼痛程度,同时改善其应对方式,值得临床推广。

Objective To explore the effects of nursing intervention based on social psychology on the stress state of diabetic patients combined with endometrial cancer after laparoscopic hysterectomy and lymph node dissection. Methods 102 diabetic patients with endometrial cancer from March 2016 to April 2018 in our hospital were selected, including 51 cases who received routine care(control group) and 51 cases that received nursing intervention based on social psychology(observation group). All the patients took oral metformin and received laparoscopic hysterectomy and lymph node dissection. Postoperative stress response, pain degree and coping style were compared between the two groups. Results Cortisol, adrenaline levels and HAMA scores in the observation group were lower than those in the control group at 12 h and 24 h after operation, with statistically significant differences(P<0.05);The pain scores of the observation group were lower than those of the control group at 12 h and 24 h after operation, with statistically significant differences(P<0.05);the postoperative avoidance and yield scores of the observation group were lower than those of the control group, with statistically significant differences(P<0.05). Conclusions The application of social psychology can effectively reduce the postoperative stress response and pain of diabetic patients combined with endometrial cancer after laparoscopic surgery and improve the coping style, which is worthy of clinical promotion.