综合护理干预对阑尾炎手术患者疼痛程度、心理状态及生活质量的影响

Effect of comprehensive nursing intervention on the pain degree,mental state and quality of life in patients with appendicitis

目的评估阑尾炎手术患者实施综合护理干预对其疼痛程度、心理状态、生活质量的影响。方法选取2017年8月~2019年1月就诊于大连市第三人民医院的122例阑尾炎手术患者,遵循随机对照原则分为对照组(61例)和研究组(61例)。对照组实施常规护理,研究组接受常规护理及综合护理干预,对两组手术相关指标、疼痛程度、心理状态及生活质量等进行比较。结果研究组的术后排便时间、肛门排气时间、卧床时间及住院时间短于对照组,术后24 h的视觉模拟评分量表(VAS)评分低于对照组,术后并发症总发生率低于对照组,差异均有统计学意义(P<0.05);研究组的术后3个月汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分低于对照组,生活质量综合评定问卷(GQOLI-74)评分高于对照组,差异均有统计学意义(P<0.05)。结论对阑尾炎手术患者实施综合护理干预可加快术后恢复,减轻疼痛,缓解不良心理状态,改善术后生活质量,降低并发症发生风险。

Objective To evaluate the effect of comprehensive nursing intervention on the degree of pain,mental state,and quality of life for patients undergoing appendectomy.Methods A total of 122 patients undergoing appendectomy in Dalian Third People′s Hospital from August 2017 to January 2019 were selected.They were divided into control group(n=61)and study group(n=61)following the principle of randomized control.The control group used routine nursing,the study group used routine nursing plus comprehensive nursing.The surgical-related indicators,pain degree,mental state and quality of life were compared in the two groups.Results The postoperative defecation time,anal exhaust time,bed time and hospital stay in the study group were shorter than those in the control group(P<0.05).The visual analogue scale(VAS)score at 24 h after surgery was lower than that in the control group,the total incidence of postoperative complications of the study group was lower than that in the control group,with statistical differences(P<0.05).In the study group,the scores of the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)three months after surgery were lower than those of the control group,the score of comprehensive quality of life assessment questionnaire(GQOLI-74)was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Comprehensive nursing intervention for patients undergoing appendectomy can speed up their postoperative recovery,alleviate pain,relieve poor mental state,improve postoperative quality of life,and reduce the risk of complications.