压力管理为中心的综合护理对接受卵巢癌手术患者术后恢复和不良心理的影响

Effect of comprehensive nursing centered on stress management on postoperative recovery and negative emotions in patients with ovarian cancer

目的探究压力管理为中心的综合护理对接受卵巢癌切除术患者术后恢复和不良心理的影响。方法选取2018年5月至2020年5月南京市妇幼保健院收治的88例行卵巢癌切除术患者,采用简单随机分组法将其分为对照组和观察组,各44例。对照组患者采用常规护理干预,观察组采用压力管理为中心的综合护理干预,两组患者均持续护理1个月。评估两组患者术后的胃肠功能恢复情况、干预前后的生活质量情况和不良心理变化。结果干预后,两组的腹胀、腹痛、恶心和呕吐评分均显著低于同组干预前(P值均<0.05),且观察组的腹胀、腹痛、恶心和呕吐评分均显著低于对照组(P值均<0.05)。干预后,两组的认知功能、躯体功能和社会功能评分均显著高于同组干预前(P值均<0.05),且观察组的认知功能、躯体功能和社会功能评分均显著高于对照组(P值均<0.05)。干预后,两组的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均显著低于同组干预前(P值均<0.05),且观察组的SAS和SDS评分均显著低于对照组(P值均<0.05)。结论压力管理为中心的综合护理可以促进接受卵巢癌切除术患者的术后恢复,改善其不良心理,提高生活质量。

Objective To investigate the effect of comprehensive nursing centered on stress management on postoperative recovery and negative emotions in patients with ovarian cancer.Methods A total of 88 patients who underwent ovarian cancer surgery at Nanjing Maternal and Child Health Hospital from May 2018 to May 2020 were enrolled.According to the simple random grouping method,they were divided into a control group and an observation group,with 44 cases in each group.The control group was given routine nursing,while the observation group was given comprehensive nursing centered on stress management.Patients in both groups received nursing care for 1 month.The postoperative recovery of gastrointestinal function,changes in quality of life and negative emotions before and after intervention in both groups were evaluated.Results After intervention,the scores of abdominal distension,abdominal pain,nausea and vomiting in the two groups were decreased significantly(all P<0.05),and the scores of abdominal distension,abdominal pain,nausea and vomiting in the observation group were significantly lower than those in the control group(all P<0.05).After intervention,the scores of cognitive function,physical function and social function in the two groups were increased significantly(all P<0.05),and the scores of cognitive function,physical function and social function in the observation group were significantly higher than those in the control group(all P<0.05).After intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups were decreased significantly(all P<0.05),and the SAS and SDS scores of the observation group were significantly lower than those of the control group(both P<0.05).Conclusion Comprehensive nursing centered on stress management can promote postoperative recovery,improve negative emotions and quality of life in patients with ovarian cancer.