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牡丹江医学院附属红旗医院
纸质出版日期:2021,
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[1]狄艳梅,候隽杰,张玲玲,尹磊,战伟.心理护理干预对腹腔镜前列腺癌根治术患者手术应激反应和术后恢复的影响[J].保健医学研究与实践,2021,18(02):67-72.
Di Yanmei, Hou Junjie, Zhang Lingling, et al. Effect of psychological nursing intervention on surgical stress response and postoperative recovery in patients undergoing laparoscopic radical prostate cancer resection[J]. Health Medicine Research and Practice, 2021,18(2):67-72.
[1]狄艳梅,候隽杰,张玲玲,尹磊,战伟.心理护理干预对腹腔镜前列腺癌根治术患者手术应激反应和术后恢复的影响[J].保健医学研究与实践,2021,18(02):67-72. DOI:
Di Yanmei, Hou Junjie, Zhang Lingling, et al. Effect of psychological nursing intervention on surgical stress response and postoperative recovery in patients undergoing laparoscopic radical prostate cancer resection[J]. Health Medicine Research and Practice, 2021,18(2):67-72. DOI:
目的探讨心理护理干预对腹腔镜前列腺癌根治术患者手术应激反应和术后恢复的影响。方法选取2018年12月—2019年12月在牡丹江某医院择期行腹腔镜前列腺癌根治术的98例患者为研究对象。采用随机数字表法将患者分为观察组及对照组
每组49例。对照组患者给予常规护理干预
观察组患者在常规护理基础上采取心理护理干预。比较护理前及出院时2组患者视觉模拟量表(VAS)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分。比较2组患者护理前及护理24h时皮质醇(COR)、肾上腺素(AD)、去甲肾上腺素(NE)及C-反应蛋白(CRP)水平。结果出院时
观察组患者VAS、HAMA及HAMD评分分别为(2.13±0.20)分、(9.32±0.91)分及(8.99±1.05)分
低于对照组的(3.85±0.38)分、(14.04±1.48)分及(13.26±1.37)分
差异具有统计学意义(P<0.05)。观察组患者护理24h时COR、AD、NE及CRP水平分别为(120.41±15.67)ng/L、(131.40±16.96)ng/L、(384.02±49.70)ng/L及(0.49±0.06)mg/d L
均低于对照组的(134.83±16.82)ng/L、(156.83±20.07)ng/L、(548.34±70.05)ng/L及(0.83±0.10)mg/d L
差异均有统计学意义(P<0.05)。观察组患者术后首次排气时间、肠道功能恢复时间、首次排便时间、导尿管留置时间、引流管留置时间及住院时间分别为(33.25±4.25)h、(22.06±2.82)h、(55.51±7.10)h、(5.59±0.71)d、(6.40±0.82)d及(8.43±1.08)d
均短于对照组的(47.58±6.09)h、(29.69±3.80)h、(72.39±9.26)h、(7.42±0.95)d、(8.37±1.06)d及(12.51±1.60)d
差异均有统计学意义(P<0.05)。结论心理护理干预可降低腹腔镜前列腺癌根治术患者的手术应激反应
缓解患者的疼痛程度
改善焦虑、抑郁等不良情绪
促进患者术后恢复
并提高护理满意度
值得广泛应用和推广。
Objective To explore the effect of psychological nursing intervention on surgical stress response and postoperative recovery in patients undergoing laparoscopic radical prostate cancer surgery. Methods Ninety-eight patients who underwent laparoscopic radical prostate cancer surgery in a hospital in Mudanjiang from December 2018 to December 2019 were selected for the study. A random number table was used to divide the patients into an observation group and a control group
with 49 cases in each group. The patients in the control group were given conventional nursing interventions
while the patients in the observation group were given psychological nursing interventions in addition to conventional nursing. The visual analog scale(VAS)
Hamilton Anxiety Rating Scale(HAMA) and Hamilton Depression Rating Scale(HAMD) scores of the patients in the two groups were compared before care and at the time of discharge. The levels of cortisol(COR)
adrenaline(AD)
norepinephrine(NE) and C-reactive protein(CRP) before and at 24 h of care were compared between the 2 groups. Results At discharge
the VAS
HAMA and HAMD scores of patients in the observation group were(2.13±0.20)
(9.32±0.91) and(8.99±1.05)
respectively
which were lower than the control group’s(3.85±0.38)
(14.04±1.48) and(13.26±1.37)
with statistically significant differences(P<0.05). The levels of COR
AD
NE and CRP in the observation group at 24 h of care were(120.41±15.67)ng/L
(131.40±16.96)ng/L
(384.02±49.70)ng/L and(0.49±0.06)mg/d L
respectively
which were lower than the control group’s(134.83±16.82)ng/L
(156.83±20.07)ng/L
(548.34±70.05)ng/L and(0.83±0.10)mg/d L
with statistically significant differences(P<0.05). The time to first postoperative ventilation
time to recovery of bowel function
time to first defecation
time of catheter retention
time of drainage tube retention and hospital stay in the observation group were(33.25±4.25)h
(22.06±2.82)h
(55.51±7.10)h
(5.59±0.71)d
(6.40±0.82)d and(8.43±1.08)d
all shorter than the(47.58±6.09)h
(29.69±3.80)h
(72.39±9.26)h
(7.42±0.95)d
(8.37±1.06)d and(12.51±1.60)d in the control group
with statistically significant differences(P<0.05). Conclusion Psychological nursing interventions can reduce the surgical stress response of patients undergoing laparoscopic radical prostate cancer surgery
relieve their pain
relieve adverse emotions such as anxiety and depression
promote the patients’ postoperative recovery
and improve nursing satisfaction
and therefore
it is worthy of wide application and promotion.
心理护理前列腺癌根治术手术应激反应术后恢复人性化服务
Psychological careRadical prostate cancer surgerySurgical stress reactionPostoperative recoveryHumanized service
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