Application of perioperative comprehensive nursing intervention in gynecological cancer patients and its influence on postoperative psychological status" />
Application of perioperative comprehensive nursing intervention in gynecological cancer patients and its influence on postoperative psychological status
WANG Xiao-na
Department of Gynecology First Ward,Fuxin Second People′s Hospital (Gynecology and Obstetrics Hospital of Fuxin City),Liaoning Province,Fuxin 123000,China
目的 评价肿瘤患者围术期采用护理干预对其术后心理状态的影响。方法 选取2019年3月~2020年2月辽宁省阜新市第二人民医院治疗的60例肿瘤患者作为研究对象,通过随机数字表法将其分为两组,每组各30例。予以对照组常规护理模式,予以研究组综合性护理干预措施,比较手术前后两组的心理状态、术后不同时间的疼痛程度及术后并发症发生情况。结果 入院时两组的抑郁自评量表(SDS)及焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05),术前及术后24 h 研究组的SDS评分及SAS评分低于对照组,差异有统计学意义(P<0.05)。术后12 及72 h 两组的视觉模拟量表(VAS)评分比较,差异无统计学意义(P>0.05),研究组术后24、48 h 的VAS评分低于对照组,差异均有统计学意义(P<0.05)。对照组术后的下肢静脉血栓等并发症总发生率为26.67%,研究组术后下肢静脉血栓等并发症总发生率为10.00%,差异有统计学意义(P<0.05)。结论 妇科肿瘤患者围术期采用综合性护理干预可改善其术后不良情绪,减轻其术后疼痛度并能减少术后相关并发症的发生。
Objective To evaluate the influence of perioperative nursing intervention on postoperative psychological state of cancer patients.Methods Sixty cancer patients who received treatment in Fuxin Second People′s Hospital,Liaoning Province from March 2019 to February 2020 were selected as research subjects.They were divided into two groups by random number table method,30 cases in each group.Patients in the control group received routine care,while in the study group,they were given comprehensive nursing intervention measures.The psychological status of patients before and after operation,the degree of pain at different times after operation,and the postoperative complications were compared between the two groups.Results There were no significant differences in the scores of the two groups on the self-rating depression scale (SDS) or the self-rating anxiety scale (SAS) at admission (P>0.05).The scores of SDS and SAS of the study group were at 24 h before operation and 24 h after operation both lower than those of the control group,with statistical differences (P<0.05).There was no statistical difference in visual analogue scale(VAS) score between the two groups at 12 and 72 h after operation (P>0.05).The VAS score of the study group was lower than that of the control group at 24 and 48 h after operation,with statistical difference (P<0.05).The total incidence of complications such as lower limb venous thrombosis in the control group was 26.67%,and 10.00% in the study group,with statistical difference after comparison (P<0.05).Conclusion The perioperative application of comprehensive nursing interventions for gynecological cancer patients can improve their postoperative negative mood,alleviate their postoperative pain and reduce postoperative complications.
王晓娜. 围术期综合性护理干预在妇科肿瘤患者中的应用及对其术后心理状况的影响[J]. 中国当代医药, 2021, 28(7): 220-223.
WANG Xiao-na.
Application of perioperative comprehensive nursing intervention in gynecological cancer patients and its influence on postoperative psychological status