聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者的影响

Effect offocused solution nursing mode on patients undergoing laparoscopic ovarian cystectomy

目的探讨聚焦解决护理模式对腹腔镜卵巢囊肿剥除术患者应激反应及负性情绪的影响。方法选择2018年4月—2019年4月医院收治的卵巢囊肿患者68例为研究对象,所有患者均行腹腔镜卵巢囊肿剥除术治疗,按照组间基本资料具有可比性的原则分为对照组和观察组,每组34例。对照组实施常规围术期护理,观察组在对照组基础上给予聚焦解决护理模式干预。比较两组患者入院时和出院前应激反应、焦虑抑郁情绪、生活质量评分及护理满意度。结果出院前,观察组患者的平均动脉压、血清皮质醇、心率较对照组低,差异具有统计学意义(P<0.05);出院前,观察组患者的焦虑自评量表(SAS)以及抑郁自评量表(SDS)评分较对照组低,差异具有统计学意义(P<0.05);出院前,观察组患者的认知功能、社会功能、躯体功能、情绪功能与角色功能评分较对照组高,差异具有统计学意义(P<0.05);护理后,观察组患者对健康宣教、操作技术、护理态度、心理护理的满意程度评分较对照组高,差异具有统计学意义(P<0.05)。结论聚焦解决护理模式在腹腔镜卵巢囊肿剥除术患者中应用,能够改善患者焦虑、抑郁不良情绪,有效缓解其应激反应,提高生活质量,同时明显提高患者的护理满意度。

Objective To explore the effect offocused solution nursing mode on stress reaction and negative emotion of patients undergoing laparoscopic ovarian cystectomy. Methods A total of 68 patients with ovarian cysts admitted to the hospital from April 2018 to April 2019 were selected as the study objects. All patients were treated with laparoscopic ovarian cyst cystectomy. According to the principle of comparability of basic data between groups, they were divided into a control group and an observation group, with 34 patients in each group.The control group received routine perioperative nursing, while the observation group received focused nursing intervention on the basis of the control group. The stress reaction, anxiety and depression, quality of life score and nursing satisfaction were compared between the two groups at admission and before discharge. Results Before discharge, the mean arterial pressure, serum cortisol and heart rate of patients in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05). Before discharge, the self-rating anxiety scale(SAS) and self-rating depression scale(SDS) scores in the observation group were lower than those in the control group, and the differences were statistically significant(P<0.05).Before discharge, the cognitive function, social function, physical function, emotional function, and role function scores in the observation group were higher than those in the control group, and the differences were statistically signifi cant(P<0.05). After nursing, the patients in the observation group had higher scores of satisfaction with health education, operation technology, nursing attitude and psychological nursing than those in the control group,and the differences were statistically significant(P<0.05). Conclusion The application offocused solution nursing mode in patients with laparoscopic ovarian cyst cystectomy can improve their anxiety and depression, effectively relieve their stress reaction, improve their quality of life, and signifi cantly improve their satisfaction with nursing.