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目的探讨术前心理护理干预在改善早期食道癌切除术患者围手术期应激状态及护理满意度的疗效。方法分别将不同时间段内在我院实施食道癌切除术的45例和42例早期食道癌患者纳入实验组和对照组,对照组接受常规护理,实验组在此基础上术前3d实施心理干预,比较两组护理效果。结果实验组患者入手术室前30min、入手术室后30min的收缩压(SBP)、舒张压(DBP)、心率(HR)水平均显著低于对照组(P<0.05);实验组患者术前1d焦虑自评量表(SAS)评分、状态焦虑询问表(S-AI)评分均显著低于对照组(P<0.05);实验组患者住院时间及住院费用均显著低于对照组(P<0.05);实验组患者护理总满意度显著高于对照组(P<0.05)。结论术前心理护理干预能够改善早期食道癌患者围手术期生理和心理的应激状态,缩短恢复时间,提高护理满意度。
Objective To investigate the effect of preoperative psychological nursing intervention on improving perioperative stress status and nursing satisfaction in patients with early esophageal cancer resection. Methods 45 cases of esophageal cancer resection and 42 cases of early esophageal cancer in our hospital were included in the experimental group and the control group, the control group received routine nursing, the experimental group on the basis of this preoperative 3d implementation of psychological intervention, Compare the two groups of nursing effects. Results The SBP, DBP and HR of the patients in the experimental group were significantly lower than those in the control group (P <0.05) 30 minutes before operating room and 30 minutes after operating room. 1d anxiety self-rating scale (SAS) and state anxiety questionnaire (S-AI) were significantly lower than those in the control group (P <0.05). The hospitalization and hospitalization costs of the experimental group were significantly lower than those of the control group (P < 0.05). The total satisfaction of patients in experimental group was significantly higher than that of control group (P <0.05). Conclusion Preoperative psychological nursing intervention can improve perioperative physiological and psychological stress in patients with early esophageal cancer, shorten recovery time and improve nursing satisfaction.