手术室护理路径对腹腔镜子宫肌瘤剔除术患者应激反应、心理情绪以及满意度的影响

Effect of operating room nursing pathway on stress response,psychological emotion and satisfaction in patients undergoing laparoscopic myomectomy

目的:探讨手术室护理路径对腹腔镜子宫肌瘤剔除术患者应激反应的影响。方法:选择2021年1月至2022年12月于医院接受腹腔镜子宫肌瘤剔除术治疗患者120例,依据数表随机分组方式,分为对照组(手术室常规护理)与研究组(手术室护理路径),各60例。分别监测患者围手术期患者应激反应,评估手术前后患者心理情绪变化,并观察患者的并发症现象,最后调查护理满意度。结果:与T0时刻相比,两组患者在T1、T2时刻的心率、舒张压、收缩压均明显升高(P<0.05);且与对照组相比,研究组T1、T2时刻的心率、舒张压、收缩压均更低(P<0.05)。与入院时相比,出院时两组SAS、SDS评分均明显下降(P<0.05);且与对照组相比,研究组SAS、SDS评分更低(P<0.05)。与对照组相比,研究组并发症率更低(P<0.05)。与对照组相比,研究组护理满意度更高(P<0.05)。结论:对腹腔镜子宫肌瘤剔除术患者实施手术时护理路径,能够显著减轻患者的围术期应激反应,有利于手术的顺利进行,并可缓解患者的心理不良情绪,降低并发症现象,有利于加速患者术后的康复进程。

Objective:To explore the influence of nursing path in operating room on stress response of patients undergoing lapa-roscopic myomectomy.Methods:From January 2021 to December 2022,120 patients who received laparoscopic myomectomy in the hospital were randomly divided into control group(routine nursing in operating room)and research group(nursing path in operating room)with 60 patients in each group.Monitor the stress response of patients during perioperative period,evaluate the psychological and emotional changes of patients before and after operation,observe the complications of patients,and final-ly investigate the nursing satisfaction.Results:Compared with time To,the heart rate,diastolic blood pressure and systolic blood pressure of the two groups increased significantly at time T1 and T2(P<0.05).Compared with the control group,the heart rate,diastolic blood pressure and systolic blood pressure in the study group were lower at T1 and T2(P<0.05).Com-pared with admission,the scores of SAS and SDS in both groups decreased significantly at discharge(P<0.05).Compared with the control group,the scores of SAS and SDS in the study group were lower(P<0.05).Compared with the control group,the complication rate in the study group was lower(P<0.05).Compared with the control group,the nursing satisfac-tion of the study group was higher(P<o.05).Conclusion:The nursing path for patients undergoing laparoscopic myomecto-my can significantly reduce the perioperative stress response of patients,which is conducive to the smooth operation,and can alleviate the patients bad psychological mood,reduce complications and accelerate the postoperative rehabilitation process.