同理心护理在腹腔镜下袖状胃切除术后患者中的应用

Application of empathy nursing in patients after laparoscopic sleeve gastrectomy

目的探究同理心护理在腹腔镜下袖状胃切除术后患者中的应用效果。方法采用方便抽样法,选取于2018年1月—2019年10月在上海市第十人民医院行腹腔镜下袖状胃切除术的100例患者为研究对象,依据随机数字表法将患者分为两组,对照组(n=50)采用常规临床护理,观察组(n=50)在对照组的基础上采用同理心护理。比较两组患者术前与术后6个月BMI、体脂率、腹围、积极情感量表、消极情感量表和中文版简明健康调查量表(SF-36)得分。结果术后6个月两组患者的BMI、体脂率、腹围均低于术前,且观察组患者BMI、体脂率、腹围低于对照组,差异均有统计学意义(P<0.01)。术后6个月两组患者消极、积极情感量表得分与术前比较,差异均有统计学意义(P<0.01),且观察组患者消极情感量表得分低于对照组,积极情感量表得分高于对照组,差异均有统计学意义(P<0.01)。术后6个月两组患者中文版SF-36各维度得分高于术前,且观察组患者得分高于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜下袖状胃切除术后患者接受同理心护理可以改善心理状态,提高减重效果和其生活质量,临床应用价值较好。

Objective To explore the application effect of empathy nursing in patients after laparoscopic sleeve gastrectomy.Methods Using the convenient sampling method,a total of 100 patients who underwent laparoscopic sleeve gastrectomy in Shanghai Tenth People's Hospital from January 2018 to October 2019 were selected as the research objects.According to the random number table,the patients were divided into two groups.The control group(n=50)received routine clinical nursing,while the observation group(n=50)received empathy nursing on the basis of the control group.The BMI,body fat percentage,abdominal circumference,the Positive Affect Scale,the Negative Affect Scale and the Chinese version of the MOS 36-item Short-Form Health Survey(SF-36)scores were compared between the two groups before and 6 months after the operation.Results At 6 months after operation,BMI,body fat percentage and abdominal circumference of patients of two groups were lower than those before operation,and BMI,body fat percentage and abdominal circumference of the observation group were lower than those of the control group at 6 months after operation,and the differences were statistically significant(P<0.01).At 6 months after surgery,scores of the Negative Affect Scale and the Positive Affect Scale of patients in two groups were significantly different from those before surgery,and the differences were statistically significant(P<0.01).The score of the Negative Affect Scale in the observation group was lower than that in the control group,and the score of the Positive Affect Scale in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.01).At 6 months after operation,scores of the SF-36 in each dimension of the two groups were higher than those before the operation,and scores of patients in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Empathy nursing for patients after laparoscopic sleeve gastrectomy can improve their mental state,reduce their weight-related indicators and improve their quality of life,which has better clinical application value.