摘要
目的探讨人文关怀在子宫肌瘤患者介入治疗手术室护理中的应用及对患者不良情绪的影响。方法选取2016年1月至2018年6月间上海复旦大学附属妇产科医院收治的122例子宫肌瘤介入治疗患者,根据护理方法不同分组,采用常规护理的61例患者纳入对照组,采用人文关怀的61例患者纳入研究组。比较两组患者抑郁自评表(SDS)评分、焦虑自评量表(SAS)评分、白细胞介素-6(IL-6)、血清皮质醇、护理满意度、住院时间、下床活动时间和肛门排气时间。结果护理前,两组患者的SDS和SAS评分比较,差异无统计学意义(P>0.05)。护理后,研究组患者的SDS和SAS评分均低于对照组患者,差异均有统计学意义(均P<0.05)。护理前,两组患者的IL-6和血清皮质醇比较,差异无统计学意义(P>0.05)。护理后,研究组患者IL-6和血清皮质醇均低于对照组患者,差异均有统计学意义(均P<0.05)。研究组患者的护理满意度为96.7%,高于对照组患者的68.9%,差异有统计学意义(P<0.05)。研究组患者住院时间、下床活动时间和肛门排气时间均少于对照组患者,差异均有统计学意义(均P<0.05)。结论在子宫肌瘤患者介入治疗手术室护理中,人文关怀的护理效果理想,可改善患者不良情绪,提高护理满意度,临床可推广应用。
Objective To explore the application of humanistic care operation room nursing in patients with uterine fibroids undergoing interventional therapy.Methods A total of 122 patients with uterine fibroids undergoing interventional therapy at Obstetrics and Gynecology Hospital Affiliated to Fudan University from January 2016 to February June 2018 were selected and randomly divided into two a study group and a control group with 61 patients in each group.The study group received humanistic care and the control group received routine nursing.Comparison of Self-rating depression scale(SDS),Self-rating anxiety scale(SAS)scores,interleukin-6(IL-6)IL-6,serum cortisol,and patients’nursing satisfaction nursing,length of hospital stay,time to out-of-bed activity and time to anal exhaust were compared.Results There was no significant difference in SDS and SAS scores between the two groups before nursing(P>0.05).After nursing,SDS and SAS scores were lower in the study group than in the control group(all P<0.05).Before nursing,there was no significant difference in Il-6 and serum cortisol between the two groups(P>0.05).After nursing,Il-6 and serum cortisol levels were lower in the study group than in the control group(all P<0.05).Patient satisfaction with nursing was 96.7%in the study group which was higher than 68.9%of the control group(P<0.05).The length of hospital stay,time to out-of-bed activity and time to anal exhaust were shorter in the study group than in the control group(all P<0.05).Conclusion The efficacy of humanistic care nursing is ideal.It improves patients’bad mood and patient satisfaction.It is worthy of clinical popularization.
作者
张彩霞
张铭
ZHANG Cai-xia;ZHANG Ming(Operating Room,Obstetrics and Gynecology Hospital Affiliated to Fudan University,Shanghai 200090,China)
出处
《中国肿瘤临床与康复》
2020年第1期107-110,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
人文关怀
子宫肌瘤
介入治疗
手术室护理
不良情绪
Humanistic care
Uterine fibroids
Interventional therapy
Operating room nursing
Bad moods
