手术室人性化管理对卵巢囊肿手术患者术后恢复、心理应激及治疗依从性影响

Effects of humanized management of operating room for patients with ovarian cyst surgery on their postoperative rehabilitation,psychological stress and treatment compliance

目的:探究手术室人性化管理对卵巢囊肿手术患者术后恢复效果、心理应激、治疗依从性影响。方法:选择2021年10月-2024年3月本院收治的妇科卵巢囊肿手术患者80例,随机数字法分为两组各40例,两组均予以常规护理,观察组加用手术室人性化管理,护理两个月,对比两组术后康复、心理应激、依从性及并发症发生情况。结果:观察组下床活动时间(16.79±4.12h)、术后住院时间(4.68±0.49d)、导尿管留置时间(8.59±2.27h)、初次排气时间(26.15±5.35h)均短于对照组(25.64±5.49h、5.62±0.79d、13.34±2.84h、35.24±7.35h),出院时汉密尔顿焦虑量表(8.16±2.19分)评分、汉密尔顿抑郁量表(6.35±1.98分)评分、并发症发生率(5.0%)均低于对照组(11.63±2.54分、9.12±2.12分、17.0%),治疗依从性(97.5%)、出院时Morisky服药依从性量表(6.15±1.24分)均高于对照组(82.5%、6.15±1.24分)(均P<0.05)。结论:手术室人性化管理干预对卵巢囊肿手术患者术后恢复、心理应激、治疗依从性及术后并发症减少均有较好效果。

Objective:To study the effects of the human-based management intervention for patients with ovarian cyst surgery in operating room on their postoperative rehabilitation,psychological stress and treatment compliance.Methods:A total of 80 patients who wanted gynecological ovarian cyst surgery were selected and divided into two groups(40 cases in each group) according to random number method from October 2021 to March 2024.The patients in the two groups were given routine nursing for two months,and the patients in the observation group were given humanbased management in operating room additionally.The situations of the postoperative rehabilitation,psychological stress,compliance and complications of the patients were compared between the two groups.Results:The time of getting out of bed(16.79±4.12h),the postoperative hospital stay(4.68±0.49d),the catheter indwelling time(8.59±2.27h) and the first exhaust time(26.15±5.35h) of the patients in the observation group were significantly shorter than those(25.64±5.49h,5.62±0.79d,13.34±2.34h and 35.24±7.35h) of the patients in the control group.The scores of Hamilton anxiety scale(8.16±2.19 points) and Hamilton depression scale(6.35±1.98 points) at discharge,and the incidence of complications(5.0%) of the patients in the observation group were significantly lower than those(11.63±2.54 points,9.12±2.12 points and 17.0%) of the patients in the control group.The treatment compliance(97.5%) and the Morisky medication compliance scale score at discharge(6.15±1.24 points) of the patients in the observation group were significantly higher than those(82.5% and 6.15±1.24 points) of the patients in the control group(all P<0.05).Conclusion:Human-based management intervention for the patients with ovarian cyst surgery in operating room is effective in their postoperative rehabilitation,psychological stress and treatment compliance,and in their reduction of postoperative complications.