手术室护理对胃癌手术患者应激反应和满意度的影响分析

Analysis on the Influence of Operating Room Nursing for Stress Response and Satisfaction of Patients with Gastric Cancer

目的:探讨手术室护理对胃癌手术应激反应和满意度的影响。方法:选取2017年1月至2019年4月莆田市第一医院收治的胃癌手术患者60例作为研究对象,随机分为对照组和观察组,每组30例。对照组进行常规护理,观察组进行手术室护理。比较2组患者的睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]、应激状况(生理应激及心理应激)和满意度。结果:观察组手术前晚观察组的PSQI评分、术中心率、舒张压、收缩压及麻醉前SAS、SDS评分显著低于对照组,护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论:手术室护理可有效减轻胃癌手术的术中应激反应,改善睡眠质量,提升满意度。

Objective:To investigate the influence of operating room nursing for stress response and satisfaction of patients with gastric cancer.Methods:A total of 60 patients with gastric cancer surgery in First Hospital of Putian City from January 2017 to April 2019 were divided into routine group and intervention group with 30 cases in each group according to the computer random grouping method.The routine group were with routine nursing,and the intervention group were with operating room nursing.Then the sleep quality[Pittsburgh sleep quality index(PSQI scale)],stress status(physiological stress and psychological stress)and satisfaction of two groups were compared.Results:The PSQI score,heart rate,diastolic blood pressure and systolic blood pressure during the surgery,and pre-anesthesia SAS and SDS scores of intervention group were significantly lower than those of routine group,the nursing satisfaction was significantly higher than that of routine group,there were statistically significant differences(P<0.05).Conclusion:The operating room nursing can effectively improve the reduce intraoperative stress response,improve sleep quality and improve satisfaction of patients with gastric cancer surgery.