首页|基于量化评估策略的手术室护理对妇科恶性肿瘤手术患者急性压力性损伤的影响

基于量化评估策略的手术室护理对妇科恶性肿瘤手术患者急性压力性损伤的影响

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目的 探讨基于量化评估策略的手术室护理在妇科恶性肿瘤手术患者中的应用,并分析该护理模式对患者急性压力损伤的影响。方法 纳入 2021 年 1 月至 2023 年 2 月在安阳市肿瘤医院行手术治疗的 120 例妇科恶性肿瘤患者,按抽签法分为对照组与研究组,各 60 例。对照组、研究组分别给予常规护理、基于量化评估策略的手术室护理,对比两组急性压力性损伤发生情况、术后恢复情况及干预前后负性心理、应对方式、自护能力、应激反应,并对比两组患者满意度。结果 研究组急性压力性损伤发生率(1。67%)低于对照组(13。33%),差异有统计学意义(P<0。05)。研究组术后首次排气时间、排便时间、下床时间及住院时间短于对照组,差异有统计学意义(P<0。05)。研究组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,癌症应对问卷量表(CCMQ),自我护理能力量表(ESCA)评分高于对照组,白细胞介素-6(IL-6)、C反应蛋白(CRP)、一氧化氮(NO)及内皮素(ET)水平低于对照组,差异有统计学意义(P<0。05)。患者满意率相比,研究组(98。33%)高于对照组(83。33%),差异有统计学意义(P<0。05)。结论 基于量化评估策略的手术室护理的开展可有效减少妇科恶性肿瘤手术患者急性压力性损伤的发生率,缓解负性情绪和应激反应,增强压力应对能力、自护能力,促进术后恢复,且患者认可度较高。
Impact of Operating Room Care Based on Quantitative Assessment Strategies on Acute Stress Injuries in Patients Undergoing Surgery for Gynecologic Malignancies
Objective To explore the application of operating room nursing based on quantitative evaluation strategy in gynecological malignant tumor surgery patients,and analyze the effect of this nursing model on patients with acute stress injury.Methods A total of 120 patients with gynecological malignant tumors who underwent surgical treatment in Anyang Cancer Hospital from January 2021 to February 2023 were selected and divided into control group and the research group according to the lottery method,with 60 cases in each group.The control group and the research group were given routine nursing and operating room nursing based on quantitative evaluation strategy,respectively.The occurrence of acute stress injury,postoperative recovery,negative psychology,coping style,self-care ability and stress response before and after intervention were compared between the two groups,and the satisfaction of patients was compared between the two groups.Results The incidence of acute pressure injury in the study group(1.67%)was lower than that in the control group(13.33%),and the difference was statistically significant(P<0.05).The first postoperative exhaust time,defecation time,getting out of bed time and hospitalization time of the study group were shorter than those of the control group,with statistically significant differences(P<0.05).After intervention,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the study group were lower than those of the control group,the cancer coping mastery questionnaire(CCMQ)and the exercise of self-care agency scale(ESCA)scores were higher than those of the control group,and serum interleukin-6(IL-6),C-reactive protein(CRP),nitric oxide(NO)and endothelin(ET)levels were higher than those of the control group,with statistically significant differences(P<0.05).Compared with the control group(83.33%),the satisfaction rate of patients in the study group(98.33%)was higher,and the difference was statistically significant(P<0.05).Conclusion The operation room nursing based on quantitative evaluation strategy can effectively reduce the occurrence of acute stress injury in gynecological malignant tumor surgery patients,reduce negative psychological and stress reactions,enhance coping ability and self-care ability,and promote postoperative recovery,and the patients have a high degree of recognition.

gynecological malignant tumoroperating room nursingquantitative evaluation strategyacute stress injurynegative psychology

姜曙娟、赵锐瑾、刘军晓、张丽、李晶

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安阳市肿瘤医院 手术部,河南 安阳 455000

河南省安阳市肿瘤医院 护理部,河南 安阳 455000

河南省肿瘤医院 手术部,河南 郑州 450000

妇科恶性肿瘤 手术室护理 量化评估策略 急性压力性损伤 负性心理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(3)
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