围术期共情沟通对腹腔镜腹股沟疝修补术后疼痛感知、焦虑及满意度的影响

The effect of perioperative empathic communication on pain perception,anxiety,and satisfaction after laparoscopic inguinal hernia repair surgery

目的:探讨腹腔镜腹股沟疝修补术围术期共情沟通对术后疼痛感知、焦虑及满意度的影响。方法:选取2019年1月至2022年6月在我院行腹腔镜腹股沟疝修补术治疗的96例患者,按随机数字表法分为常规组(n=48)和共情组(n=48)。常规组于围术期实施常规护理,共情组于围术期实施共情沟通护理。比较两组患者术后住院时间、满意度以及疼痛和焦虑改善情况。结果:共情组患者术后住院时间明显短于常规组,共情组患者满意度评分显著高于常规组,差异有统计学意义(P<0.05)。共情组患者术后1 d、3 d和7 d疼痛视觉模拟评分(VAS)评分均明显低于常规组,差异有统计学意义(P<0.05)。两组术后1 d、3 d和7 d自评焦虑量表(SAS)评分显著低于护理前,共情组患者术后1 d、3 d和7 d SAS评分显著低于常规组,差异有统计学意义(P<0.05)。结论:围术期共情沟通在腹腔镜腹股沟疝修补术中应用效果良好,不仅能有效减轻患者术后疼痛及焦虑情绪,同时还能缩短住院时间及提升护理满意度。

Objective:To investigate the effect of perioperative empathic communication on pain perception,anxiety,and satisfaction after laparoscopic inguinal hernia repair.Methods:A total of 96 patients who underwent laparoscopic inguinal hernia repair in our hospital from January 2019 to June 2022 were divided into routine group(n=48 cases)and empathic group(n=48 cases)according to the random number table method.The routine group received routine nursing during perioperative period,and the empathic group received empathic communication nursing during perioperative period.The postoperative hospitalization time,satisfaction,improvement of pain and anxiety were compared between the two groups.Results:The postoperative hospitalization time of patients in the empathic group was significantly shorter than that in the routine group,and the satisfaction score of patients in the empathic group was significantly higher than that in the routine group,the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of patients in the empathic group were significantly lower than those in the routine group on 1 d,3 d and 7 d after surgery,the difference was statistically significant(P<0.05).The scores of Self Rating Anxiety Scale(SAS)of the two groups were significantly lower than those before nursing care on 1 d、3 d and 7 d after surgery,the SAS scores of the empathic group on 1 d、3 d and 7 d after surgery were significantly lower than those of routine group,with statistical significance(P<0.05).Conclusion:The application of perioperative empathic communication in laparoscopic inguinal hernia repair is effective.It can not only effectively reduce the postoperative pain and anxiety,but also shorten the hospitalization time and improve nursing satisfaction.