手术室定量化护理对子宫内膜癌根治术患者康复及应激的影响

目的探讨手术室定量化护理子宫内膜癌根治术患者康复及应激的影响。方法选取2018年3月至2020年1月间复旦大学附属妇产科医院收治的78例行子宫内膜癌根治术患者,采用随机数表法分为观察组(38例)和对照组(40例)。对照组患者采用手术室常规护理,观察组患者在对照组基础上采用手术室定量化护理,比较两组患者心理应激状态、术后康复效果和护理满意度。结果术后,两组患者焦虑和抑郁评分均低于术前,且观察组均低于对照组,差异均有统计学意义(均P <0.05)。观察组患者术后首次排气时间、首次排便时间、首次下床时间及总住院时间均较对照组短,差异均有统计学意义(均P <0.05)。观察组患者手术室定量化护理总满意度为94.7%,高于对照组的75.0%,差异有统计学意义(P <0.05)。结论手术室定量化护理可改善子宫内膜癌根治术患者心理应激,促进患者术后康复,患者护理满意度较高。

Effects of quantitative nursing in operating room on rehabilitation and stress in patients undergoing radical resection for endometrial cancer

Objective To explore the effects of quantitative nursing in the operating room on rehabilitation and stress of patients undergoing radical resection for endometrial cancer. Methods A total of 78 patients undergoing radical resection for endometrial cancer admitted to Obstetrics and Gynecology Hospital Affiliated to Fudan University from March 2018 to January 2020 were selected and randomly divided into an observation group( 38 patients) and a control group( 40 patients). The observation group adopted quantitative nursing in the operating room besides conventional nursing and the control group received conventional nursing in the operating room. Psychological stress state,postoperative rehabilitation efficacy and patient satisfaction with nursing were compared between the two groups. Results Postoperative anxiety and depression scores were lower in both groups after the surgery compared with before the surgery and the observation group was lower than the control group( all P < 0. 05). Time to exhaust,time to defecation,time to out-ofbed activities and overall length of hospital stay were shorter in the observation group than in the control group( all P < 0. 05). The overall patient satisfaction with quantitative nursing in the operating room was94. 7% in observation group which was higher than 75. 0% of the control group( P < 0. 05). Conclusion Quantitative nursing in the operating room can improve psychological stress and promote recovery after surgery in patients undergoing radical resection for endometrial cancer with high patient satisfaction.