心理护理联合加速康复外科管理在男科患者围手术期中的应用研究

Psychological care combined with enhanced recovery after surgery management in perioperative nursing care of andrological patients: A randomized controlled study

目的:评价心理护理联合加速康复外科(ERAS)管理在男科患者围手术期快速康复中的应用。方法:选取青岛大学附属医院男性科住院手术患者300例做为研究对象,为避免相互影响,按照时间顺序先后分为对照组和研究组,对照组采取常规护理措施,研究组在围手术期贯穿ERAS管理,同时给予心理护理指导帮助男科手术患者快速康复,对上述两组患者在入院及出院时均采用焦虑自评量表(SAS)及抑郁自评量表(SDS)问卷测试焦虑及抑郁程度,同时对患者的术后住院时间、术后下床时间、首次排气时间、疼痛评分、护理满意度分别进行统计对比。结果:对照组患者出院时SAS及SDS评分较入院无明显改善(P>0.05),研究组患者出院时的焦虑及抑郁状态则较入院时显著改善,且焦虑和抑郁评分明显低于对照组(P<0.01)。研究组患者在术后住院时间、术后下床时间、首次排气时间、疼痛评分、护理满意度均优于对照组(P<0.05)。结论:心理护理联合ERAS管理可以显著改善男科患者围手术期的焦虑及抑郁情绪,并能明显缩短男科手术患者术后住院时间、降低术后疼痛评分、提升患者对护理满意度,值得在男科患者围手术期护理中推广和应用。

Objective: To evaluate the validity of psychological care combined with enhanced recovery after surgery(PC+ERAS) management in perioperative nursing care of andrological patients. Methods: A total of 300 male patients undergoing andrological surgery were included in this study, 150 given PC+ERAS and the other 150 receiving routine nursing care as controls. We evaluated anxiety and depression of all the patients on admission and discharge using Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS), and compared post-operative hospital days, off-bed time, first passage of flatus, Visual Analog Scale(VAS) score and satisfaction with nursing care between the two groups of patients. Results: On discharge, significant improvement was observed in SAS and SDS scores in the PC+ERAS group compared with the baseline, even more significant than in the control group(P < 0.01), but no obvious improvement was seen in the controls(P > 0.05). The patients in the PC+ERAS group also achieved a significantly shorter post-operative hospital stay, earlier post-operative off-bed time and passage of flatus, lower VAS score, and higher satisfaction with nursing care than those in the control group(P < 0.05). Conclusion: Psychological care combined with ERAS management deserves wide application in the perioperative nursing care of andrological patients, which can significantly improve the patients’ anxiety and depression, shorten post-operative hospital stay, reduce VAS score, and increase their satisfaction with nursing care.Natl J Androl, 2020, 26(10): 917-921.