阶段式细节化护理对原发性肝癌切除术患者围术期心理应激反应及术后疼痛程度的影响

Effects of staged detailed nursing on perioperative psychological stress response and postoperative pain degree of patients undergoing primary liver cancer resection

目的分析阶段式细节化护理对原发性肝癌切除术患者围术期心理应激反应及术后疼痛程度的影响。方法选取我院收治的88例拟行切除术的原发性肝癌患者,采用随机数字表法将其分为对照组(44例,常规护理)和观察组(44例,阶段式细节化护理)。比较两组的护理效果。结果术前及护理后,观察组的HAMA、HAMD评分均低于对照组(P<0.05)。术后12、24、48、72 h,观察组的VAS评分均低于对照组(P<0.05)。观察组的术后首次下床活动时间、正常进食时间、术后住院时间均短于对照组(P<0.05)。观察组术后并发症总发生率低于对照组,术后辅助诊疗完全依从率高于对照组(P<0.05)。结论阶段式细节化护理应用于原发性肝癌切除术患者围术期可减轻其心理应激反应与术后疼痛程度,促进术后恢复。

Objective To analyze the effects of staged detailed nursing on perioperative psychological stress response and postoperative pain degree of patients undergoing primary liver cancer resection.Methods A total of 88 patients with primary liver cancer who underwent resection in our hospital were selected and divided into control group(44 cases,routine nursing)and observation group(44 cases,staged detailed nursing)by random number table method.The nursing effects of the two groups were compared.Results Before operation and after nursing,the HAMA and HAMD scores in the observation group were lower than those in the control group(P<0.05).At 12,24,48,and 72 h after operation,the VAS score in the observation group was lower than that in the control group(P<0.05).The time of first postoperative ambulation,normal eating time and postoperative hospital stay in the observation group were shorter than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the complete compliance rate of postoperative adjuvant diagnosis and treatment was higher than that in the control group(P<0.05).Conclusion The implementation of staged detailed nursing in the perioperative of patients undergoing primary liver cancer resection can reduce their psychological stress response and postoperative pain degree,and promote postoperative recovery.