基于应激系统理论的护理干预在颅内肿瘤切除术患者中的应用效果

目的探讨基于应激系统理论的护理干预在颅内肿瘤切除术患者中的应用效果。方法选取2016年5月至2020年5月间郑州市第一人民医院收治的行颅内肿瘤切除术的60例患者为研究对象,采用随机数表法分为对照组和观察组,每组30例。对照组患者围术期给予常规护理,观察组患者在对照组的基础上给予基于应激系统理论的护理干预措施,比较两组患者的入睡时间、睡眠时间、觉醒次数、成人心理弹性量表(RSA)评分、皮质醇(Cor)、去甲肾上腺素(NE)和肾上腺素(E)水平及护理满意度。结果护理前,两组患者入睡时间、睡眠时间和觉醒次数比较,差异无统计学意义(P>0.05),护理后,两组患者入睡时间和觉醒次数均升高,睡眠时间均缩短,但观察组均优于对照组,差异均有统计学意义(均P <0.05);护理前,两组患者RSA评分比较,差异无统计学意义(P>0.05),护理后两组患者RSA评分均升高,且观察组高于对照组,差异均有统计学意义(均P <0.05)。护理前,两组患者Cor、NE和E水平比较,差异无统计学意义(P> 0.05),护理后,两组患者上述指标均升高,但观察组均低于对照组,差异均有统计学意义(均P <0.05)。观察组患者护理满意度为96.7%,高于对照组的73.3%,差异无统计学意义(P <0.05)。结论基于应激系统理论的护理干预可显著改善颅内肿瘤切除术患者的心理、生理应激反应和睡眠质量,患者的护理满意度较高,值得临床借鉴。

Efficacy of nursing based on systemic stress theories in patients undergoing resection for intracranial tumors

Objective To explore the efficacy of nursing based on systemic stress theories in patients undergoing resection for intracranial tumors. Methods Sixty patients who underwent resection for intracranial tumors at Zhengzhou First People’s Hospital from May 2016 to May 2020 were selected as the study subjects. They were divided into an observation group and a control group with 30 patients in each group using random number table method. Patients in the observation group were given nursing based on systemic stress theories apart from conventional nursing and patients in the control group were given routine nursing during perioperative period. Time to fall asleep,sleep time,number of awakenings,resilience scale for adults( RSA) score,levels of cortisol( Cor),norepinephrine( NE) and epinephrine( E) and patient satisfaction with nursing were compared between the two groups. Results Before nursing,there was no statistical difference in time to sleep,sleep time and the number of awakenings between the two groups( P >0. 05). After nursing,time to sleep and the number of awakenings were increased in the two groups,and the sleep time was shortened,but the observation group was significantly better than the control group( all P < 0. 05). There was no statistical difference in RSA score between the two groups before nursing( P >0. 05). After nursing,RSA was increased in both groups and the observation group was significantly higher than the control group( all P < 0. 05). There was no statistical difference in the levels of Cor,NE and E between two groups before nursing( P > 0. 05). After nursing,the above indices were increased in the two groups with the observation group lower than the control group( all P < 0. 05). The patient satisfaction with nursing was 96. 7% in the observation group which was significantly higher than 73. 3% of the control group( P <0. 05). Conclusion Nursing intervention based on systemic stress theories can significantly improve the psychological and physiological stress response and quality of sleep in patients undergoing resection for intracranial tumors. Patient satisfaction with nursing is high. It is worthy of clinical reference.