子宫肌瘤患者围麻醉期心理干预对麻醉期间应激反应的影响

Effect of Psychological Intervention During Peri-anesthesia Period on Stress Response in Patients with Uterine Fibroids

目的观察围麻醉期心理干预对子宫肌瘤患者麻醉期间应激反应的影响。方法选取2018年1月-2021年6月在我院行子宫肌瘤术的56例患者为研究对象,采用随机数字表法分为对照组和观察组,各28例。围麻醉期对照组实施常规护理干预,观察组在对照组基础上开展心理干预,比较两组不同时间段收缩压(SBP)、舒张压(DBP)、心率(HR)、焦虑和抑郁评分、皮质醇、白细胞介素-6水平及护理满意度。结果两组切皮时、手术结束后、术后1 d SBP、DBP、HR水平均高于手术前1 d,但观察组均低于对照组(P<0.05);手术结束后,两组焦虑、抑郁评分均低于术前1 d,且观察组低于对照组(P<0.05);手术结束后,两组皮质醇、白细胞介素-6水平均高于术前1 d,且观察组低于对照组(P<0.05);观察组护理满意度为96.43%,高于对照组的82.14%(P<0.05)。结论给予子宫肌瘤患者围麻醉期心理干预可促进患者不良情绪的消除,减轻手术应激反应,使其血压、心率维持基本稳定,且可减轻术后炎症因子水平和焦虑、抑郁评分,提高护理满意度,进一步促进患者康复。

Objective To observe the effect of psychological intervention during peri-anesthesia period on stress response in patients with uterine fibroids.Methods A total of 56 patients who underwent hysteromyoma surgery in our hospital from January 2018 to June 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 28 cases in each group.The control group was given routine nursing intervention during peri-anesthesia period,and the observation group was given psychological intervention on the basis of the control group.The systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),anxiety and depression scores,cortisol,interleukin-6 levels and nursing satisfaction were compared between the two groups at different time periods.Results The levels of SBP,DBP and HR in the two groups at the time of skin incision,after operation and 1 d after operation were higher than those at 1 d before operation,but those in the observation group were lower than those in the control group(P<0.05).After the operation,the scores of anxiety and depression in the two groups were lower than those at 1 day before operation,and those in the observation group were lower than those in the control group(P<0.05).After the operation,the levels of cortisol and interleukin-6 in the two groups were higher than those at 1 d before operation,and those in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was 96.43%,which was higher than 82.14%of the control group(P<0.05).Conclusion Psychological intervention during peri-anesthesia period for patients with uterine fibroids can promote the elimination of adverse emotions,reduce surgical stress response,maintain basic stability of blood pressure and heart rate,reduce postoperative inflammatory factor levels and anxiety and depression scores,improve nursing satisfaction,and further promote patient recovery.