基于故事理论的健康管理对子宫肌瘤患者围术期心理状态与疼痛的影响

Influences of health management based on the story theory on perioperative psychological status and pain of patients with uterine fibroid

目的观察基于故事理论的护理干预联合疼痛管理对子宫肌瘤患者围术期心理状态与疼痛的影响。方法98例子宫肌瘤患者随机分为对照组(48例)和观察组(50例),分别接受常规围术期护理和基于故事理论的健康管理。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、视觉模拟量表(VAS)、匹兹堡睡眠指数量表(PSQI),评估并比较2组手术前后心理状况、疼痛和睡眠情况。结果干预前,2组SAS、SDS、VAS、PSQI评分比较,差异均无统计学意义(均P>0.05)。干预后,观察组SAS、SDS评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05);对照组干预前后SAS、SDS评分差异无统计学意义(P>0.05)。干预后,2组VAS、PSQI评分均降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论采用基于故事理论的健康管理模式能改善子宫肌瘤手术患者的焦虑、抑郁情绪,减轻术后疼痛感,改善睡眠质量。

Objective To observe the effects of nursing intervention based on the story theory combined with pain management on perioperative psychological status and pain of patients with uterine fibroid.Methods A total of 98 patients with uterine fibroid were randomly divided into control group(n=48)and observation group(n=50).The control group received routine perioperative nursing,while the observation group received health management based on the story theory.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),visual analogue scale(VAS)and Pittsburgh sleep quality index(PSQI)were used to evaluate and compare psychological status,degree of pain and sleep quality of patients in the two groups before and after operation.Results Before intervention,the differences in SAS,SDS,VAS,PSQI scores between the two groups were of no statistical significance(all P>0.05).After intervention,the scores of SAS and SDS of the observation group were decreased,which were lower of the observation group than those of the control group.The differences were statistically significant(P<0.05).There were no significant differences in the above scores before and after intervention in the control group(P>0.05).After intervention,the scores of VAS and PSQI of both groups were significantly decreased,which were lower of the observation group than those of the control group.The differences were statistically significant(P<0.05).Conclusions The application of health management based on the story theory could ameliorate anxiety and depression of patients with uterine fibroid,alleviate postoperative pain,and improve sleep quality.