同感心护理联合聚焦解决模式在子宫切除术患者中的应用

目的 研究同感心护理联合聚焦解决模式对子宫切除术患者睡眠及心理应激的影响。方法 选择2021年8月至2022年7月在浙江大学医学院附属第二医院临平院区妇科行子宫切除手术的100例患者为研究对象，按照入院顺序编号，采用随机信封法将其平均分为两组，其中A病区的对照组实行常规护理干预，B病区的试验组实施同感心护理联合聚焦解决模式，比较两组焦虑自评量表评分、抑郁自评量表评分、匹兹堡睡眠质量指数及一般自我效能感量表评分。结果 术后3d，试验组患者焦虑、抑郁评分均较对照组明显降低，差异有统计学意义（P<0.05）；试验组患者术后3d的匹兹堡睡眠质量指数各成分评分较治疗前与对照组显著降低，差异有统计学意义（P<0.05）；试验组患者术后3d的自我效能评分较对照组明显提高，差异有统计学意义（P<0.05）。结论 同感心护理联合聚焦解决模式应用于子宫切除术患者护理中，可明显降低患者心理应激反应，提高患者自我效能感与睡眠质量，有利于患者术后康复。

Application of empathetic nursing combined with solution-focused mode in hysterectomy patients

Objective To study the effect of empathetic nursing combined with solution-focused mode on sleep and psychological stress in patients with hysterectomy. Methods Totally 100 patients who underwent hysterectomy in the Gynecology Department of our hospital from August 2021 to July 2022 were selected. They were numbered according to the order of admission and divided into two groups by random envelope method. The control group was given routine nursing care intervention. The experimental group implemented the empathetic nursing combined with the solution-focused mode. The scores of Self-rating Anxiety Scale(SAS), Self-Rating Depression Scale(SDS), Pittsburgh Sleep Quality Index(PSQI) and General Self-Efficacy Scale(GSES) were compared between the two groups. Results On the 3rd day after operation, the SAS score and SDS score of the experimental group were significantly lower than those of the control group, the differences were statistically significant (P<0.05). The PSQI score of the experimental group 3 days after operation was significantly higher than that of the control group, the difference was statistically significant (P<0.05). The GSES score of the experimental group 3 days after operation was significantly higher than that of the control group, the difference was significantly different (P<0.05). Conclusion The application of empathetic nursing combined with solution-focused mode in the nursing of patients with hysterectomy can significantly reduce the psychological stress response of the patients, improve the self-efficacy and sleep quality of the patients, and is beneficial to postoperative rehabilitation of the patients.