围术期思维导图无缝隙护理模式联合手术室路径化护理对子宫肌瘤手术效果的影响

Influence of the perioperative period mind mapping based seamless nursing mode combined with path-based nursing in operating room for patients on their hysteromyoma surgery efficacy

目的:探究基于思维导图的无缝隙护理模式联合手术室路径化护理对子宫肌瘤手术患者的影响。方法:收集2021年1月-2022年8月本院收治的子宫肌瘤患者118例,随机数字表法分为两组各59例,对照组采用手术室路径化护理干预、观察组在对照组基础上联合基于思维导图的无缝隙护理模式干预。比较两组麻醉诱导前(T1)、手术结束时(T2)和手术后24 h(T3)的生命体征及术后并发症,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者不良情绪。结果:两组围术期各时间点体温无差异(P>0.05);T2、T3时的心率、舒张压和收缩压水平观察组均低于对照组,且对照组较T1时均升高、T3时较T2时降低,术后并发症总发生率观察组(5.1%)低于对照组(18.6%)(均P<0.05)。护理后两组SAS、SDS评分均降低且观察组(44.3±5.2分、45.2±4.1分)低于对照组(49.6±6.8分、50.3±5.7分)(均P<0.05)。结论:基于思维导图的无缝隙护理模式联合手术室路径化护理应用于子宫肌瘤手术患者的护理中,有助于减轻患者围术期的应激反应和消极情绪。

Objective:To explore the influence of the perioperative period mind mapping based seamless nursing mode combined with path-based nursing in operating room for patients on their hysteromyoma surgery efficacy.Methods:118patients who wanted hysteromyoma surgery were randomly divided into two groups(59cases in each group)from January 2021to August 2022.The patients in the control group were treated with the path-based nursing intervention in the operating room,and the patients in the study group were treated with the path-based nursing intervention combined with perioperative period mind mapping based seamless nursing mode in operating room.The vital signs and the postoperative complications of the patients before anesthesia induction(T1),at the end of surgery(T2),and 24hafter operation(T3)were compared between the two groups.The adverse moods of the patients were evaluated by Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS).Results:There was no significant difference in the body temperature of the patients at each perioperative time point between the two groups(P>0.05).The values of heart rate,diastolic blood pressure,and systolic blood pressure of the patients in the study group at T2and T3were significantly lower than those of the patients in the control group.The values of heart rate,diastolic blood pressure,and systolic blood pressure of the patients in the control group at T2and T3were significantly higher than those at T1,and which of the patients in the control group at T2were significantly lower than those at T3.The total incidence of postoperative complications(5.1%)of the patients in the study group was significantly lower than that(18.6%)of the patients in the control group(all P<0.05).After nursing,the SAS and SDS scores of the patients in both groups had decreased significantly,and which(44.3±5.2points and 45.2±4.1points)of the patients in the study group were significantly lower than those(49.6±6.8points and 50.3±5.7points)of the patients in the control group(P<0.05).Conclusion:The application of mind mapping based seamless nursing mode combined with path-based nursing in operating room for the patients who has undergone hysteromyoma surgery is helpful to reduce their perioperative stress reaction and negative emotions.