手术室系统性护理干预对肺癌根治术应激反应的影响

Effect of systematic nursing intervention in operating room on stress response of patients undergoing radical resection of lung cancer

目的探究肺癌根治术患者采取手术室系统性护理干预对手术应激反应及负性情绪的影响。方法选择2016年3月—2017年3月在本院接受肺癌根治术治疗的36例患者作为对照组,选择2017年4月—2018年4月在本院接受肺癌根治术治疗的36例患者作为观察组;予以对照组患者采取常规护理,予以观察组患者采取手术室系统性护理干预,比较2组患者手术前、后负性情绪、手术应激反应以及术后并发症发生率。结果 2组患者术后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均较术前降低,且观察组低于对照组,差异有统计学意义(P<0.05);2组患者手术治疗后皮质醇(Cor)、超敏C-反应蛋白(hs-CRP)水平均高于术前,但观察组较对照组低,差异有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论手术室系统性护理干预肺癌根治术患者可缓解其负性情绪,降低手术应激反应,减少并发症发生,改善预后。

Objective To investigate the effect of systemic nursing intervention in operating room on the stress response and negative emotion in patients undergoing radical resection of lung cancer.Methods From March 2016 to March2017,36 patients who received the radical resection of lung cancer in the hospital were selected as a control group,and from April 2017 to April 2018,36 patients who received the radical resection of lung cancer in the hospital were selected as an observation group.The control group was given the routine nursing,and the observation group was given the systematic nursing intervention in the operating room.The negative emotion,stress reaction and postoperative complications were investigated and compared between the two groups before and after the operation.Results After the operation,the scores of SAS and SDSdecreased in both groups,and the scores in the observation group was lower than those in the control group(P<0.05).After the operation,the levels of cortisol(Cor)and hypersensitive C-reactive protein(hs-CRP)in both groups were higher than those before the treatment,but the levels in the observation group were lower than those in the control group(P<0.05).In addition,the incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion The systematic nursing intervention in operating room can relieve the negative emotion,reduce the stress reaction and complications,and improve the prognosis.