摘要
目的:分析集束化保温联合支持性心理护理干预对宫腔镜手术患者的影响。方法:选取2019年3月至2020年12月收治的116例宫腔镜手术患者分为观察组和对照组。对照组给予常规护理,观察组给予集束化保温联合支持性心理护理干预,比较两组患者干预前后应激反应指标、围手术期指标、干预前后心理状态及疼痛程度变化、术后并发症发生情况。结果:干预前两组患者空腹血糖、肾上腺素、去甲肾上腺素指标水平无显著差异(P>0.05),干预后观察组患者空腹血糖、肾上腺素及去甲肾上腺素指标水平均显著优于对照组(P<0.05)。干预后观察组下床活动时间、术后排气时间、排便时间、住院时间较对照组患者均显著缩短(P<0.05)。干预前两组患者HAMA、HAMD、VAS评分无显著性差异(P>0.05),干预后观察组患者HAMA、HAMD、VAS评分显著低于对照组(P<0.05)。观察组患者术后并发症发生率为3.45%,较对照组的12.07%显著下降(P<0.05)。结论:集束化保温联合支持性心理护理干预应用于宫腔镜手术患者可以降低患者的应激反应,加速术后恢复,改善患者焦虑、抑郁负性心理情绪,降低术后并发症发生率,值得推广。
Objective:To explore and analyze the effect of cluster heat preservation combined with supportive psychological nursing intervention on patients undergoing hysteroscopic surgery.Methods:116 patients undergoing hysteroscopic surgery from March 2019 to December 2020 were chosen and divided into the experimental group and the control group group.The control group were given routine nursing care,while the experimental group were given cluster heat preservation combined with supportive psychological nursing intervention,with the stress response indicators before and after the intervention,perioperative indicators,changes in the psychological state and pain degree before and after the intervention,and postoperative complications compared.Results:Before the intervention,there was no significant difference in fasting blood glucose,epinephrine,and norepinephrine index levels between the two groups(P>0.05).After the intervention,the index levels of fasting blood glucose,epinephrine and norepinephrine of the experimental group decreased more significantly(P<0.05).The patients’time to get out of bed,postoperative exhaust time,defecation time,hospitalization time in the experimental group were significantly shorter than those of the control group(P<0.05).There was no significant difference in HAMA,HAMD,and VAS scores of the two groups before the intervention(P>0.05).After the intervention,the scores of HAMA,HAMD,and VAS in the experimental group decreased more significantly than those in the control group(P<0.05).The postoperative complication rate of the experimental group was 3.45%,significantly lower than that of the control group(12.07%)(P<0.05).Conclusion:The application of cluster heat preservation combined with supportive psychological nursing intervention in patients undergoing hysteroscopic surgery can reduce the patient's stress response,accelerate postoperative recovery,improve patients'anxiety,depression and negative psychological mood,and reduce the incidence of postoperative complications,worthy of promotion.
作者
邓芳华
刘芳
胡红艳
DENG Fanghua;LIU Fang;HU Hongyan(Zhongxin Huizhou Hospital,Huizhou 516006,China)
出处
《包头医学院学报》
CAS
2021年第5期97-100,共4页
Journal of Baotou Medical College
关键词
集束化保温
支持性心理护理
宫腔镜
Cluster heat preservation
Supportive psychological care
Hysteroscopy
Effect
