摘要
目的:分析腹腔镜结直肠癌根治术患者实施基于叙事护理模式的术前访视对其不良情绪和应激反应的影响。方法:选取2019年8月-2021年12月湖南省中医药大学第二附属医院收治的70例腹腔镜结直肠癌根治术患者为研究对象,按照随机数字表法分为对照组和试验组,各35例。对照组实施传统优质护理,试验组在对照组的基础上联合基于叙事护理模式的术前访视。对比两组患者焦虑、抑郁情绪和应激反应情况。结果:干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);干预后,试验组患者SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者皮质醇(COI)、去甲肾上腺素(NE)、肾上腺素(E)水平比较,差异无统计学意义(P>0.05);干预后,试验组患者COI、NE、E水平均低于对照组,差异有统计学意义(P<0.05)。结论:对腹腔镜结直肠癌根治术患者实施基于叙事护理模式的术前访视,能有效改善患者焦虑、抑郁情绪,减轻手术应激反应。
Objective: To analyze the influence of preoperative visit based on narrative nursing model on negative emotions and stress response of patients undergoing laparoscopic radical resection of colorectal cancer. Methods: A total of 70 patients with laparoscopic radical resection of colorectal cancer in the Second Affiliated Hospital of Hunan University of Chinese Medicine from August 2019 to December 2021 were selected as the study subjects. They were divided into control group and experimental group according to random number table method, with 35 cases in each group. The control group implemented traditional high-quality nursing, and the experimental group implemented preoperative visits based on narrative nursing model on the basis of the control group. The anxiety, depression and stress response of the two groups were compared. Results: Before the intervention, there was no significant difference in the scores of the Self-rating Anxiety Scale(SAS) and the Self-rating Depression Scale(SDS) between the two groups(P>0.05). After the intervention, the SAS and SDS scores in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). Before the intervention, there was no significant difference in the levels of cortisol(COI), norepinephrine(NE) and epinephrine(E) between the two groups(P>0.05). After the intervention, the COI,NE and E levels in the experimental group were lower than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: The preoperative visit based on narrative nursing model in patients undergoing laparoscopic radical resection of colorectal cancer can effectively improve the anxiety and depression of patients and alleviate the surgical stress response.
作者
廖秋玲
Liao Qiu-ling(Operation Room,The Second Affiliated Hospital of Hunan University of Chinese Medicine,Changsha 410000,Hunan Province,China)
出处
《中国社区医师》
2022年第36期114-116,共3页
Chinese Community Doctors
关键词
腹腔镜结直肠癌根治术
叙事护理模式
术前访视
应激反应
Laparoscopic radical resection of colorectal cancer
Narrative nursing model
Preoperative visit
Stress response
