摘要
目的 探讨基于人文关怀的手术室护理干预对输尿管结石患者负性情绪及应激反应的影响。方法选取2022年1—12月收治的90例输尿管结石患者作为研究对象,按组间基本资料匹配原则将其分为对照组和观察组,各45例。对照组接受常规护理,观察组接受基于人文关怀的手术室护理干预。比较两组患者负性情绪、应激反应、术后恢复指标、自我管理能力、生活质量、并发症发生率及护理满意度。结果术前两组患者负性情绪、应激指标比较差异无统计学意义(P>0.05);术后12 h时,观察组患者负性情绪评分低于对照组,舒张压(DBP)、收缩压(SBP)、肾上腺素(E)、心率(HR)低于对照组,差异有统计学意义(P<0.05)。观察组患者首次下床活动时间、引流管拔除时间、肛门首次排气时间等术后恢复指标均优于对照组,差异有统计学意义(P<0.05)。术前两组SF-36评分比较差异无统计学意义(P>0.05);术后7 d时,观察组患者SF-36评分高于对照组,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,护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论 输尿管结石患者在接受经输尿管镜碎石取石术治疗时,辅以基于人文关怀的手术室护理干预,能让其保持良好心态,稳定机体应激反应指标,提升其自我管理能力,并对术后恢复速度、控制并发症发生率、保持良好护患关系等有积极意义。
Objective To explore the effects of humanistic care-based operating theatre nursing intervention on negative emotions and stress reactions in patients with ureteral stones.Methods 90 cases of ureteral stone patients admitted from January to December 2022 were selected as the study subjects,they were divided into a control group and an observation group of 45 cases each according to the principle of matching the basic information between the groups.The control group received conventional nursing care,and the observation group received operating theatre nursing intervention based on humanistic care.Negative emotions,stress reaction,postoperative recovery indicators,self-management ability,quality of life,complication rate and nursing satisfaction were compared between the two groups.Results There was no statistically signifi cant difference in the comparison of negative emotions and stress indicators between the two groups before the operation(P>0.05).12 h after the operation,the negative emotion scores of patients in the observation group were lower than those of the control group,and the diastolic blood pressure(DBP),systolic blood pressure(SBP),epinephrine(E),heart rate(HR)were lower than those of the control group,the difference was statistically signifi cant(P<0.05).Postoperative recovery indicators such as the time of fi rst time out of bed activity,drain removal time,and the time of fi rst anal evacuation of patients in the observation group were better than those in the control group,and the difference was statistically signifi cant(P<0.05).There was no statistically signifi cant difference between the SF-36 scores of the two groups before the operation(P>0.05),at 7 d after the operation,the SF-36 scores of the patients in the observation group were higher than those of the control group,and the difference was statistically signifi cant(P<0.05).The complication rate of patients in the observation group was lower than that of the control group,and the nursing satisfaction score was higher than that of the co
作者
李婷婷
邓晶
曾俊
LI Tingting;DENG Jing;ZENG Jun(Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China)
出处
《护理实践与研究》
2023年第19期2873-2879,共7页
Nursing Practice and Research
基金
2021年“药技护专项基金”(编号:F016.02004.21003.047)。
关键词
输尿管结石
人文关怀
手术室
并发症
应激反应
Ureteral stone
Humanistic care
Operating theatre
Complication
Stress reaction
