全程護理對外科術后患者應激反應的影響

黃建紅

【摘要】 目的：探討分析全程護理對外科術后患者應激反應的影響。方法：選取2015年1月-2017年1月本院收治外科手術患者100例作為研究對象，按入院順序不同將其分為對照組和觀察組，各50例，對照組接受常規護理措施進行干預，觀察組在對照組基礎上給予全程護理干預。觀察比較兩組干預效果，包括護理前后的心理狀態、應激反應、術后恢復情況及護理滿意度。結果：護理前，兩組漢密爾頓抑郁量表（HAMD）和漢密爾頓焦慮量表（HAMA）評分比較，差異均無統計學意義（P>0.05），護理后觀察組HAMD和HAMA評分均明顯低于對照組（P<0.05）；護理前兩組血壓和心率比較，差異均無統計學意義（P>0.05），護理后觀察組血壓和心率均低于對照組（P<0.05）；觀察組術后康復情況及護理滿意度均明顯優于對照組（P<0.05）。結論：在臨床外科手術患者的護理中，給予全程護理干預能夠降低患者術后應激反應，進而促進康復效果及護理滿意度的提高，具有較高的臨床應用價值，值得推廣。

【關鍵詞】 外科； 手術； 應激反應； 全程護理

Influence of Whole Course Nursing on Stress Response of Patients After Surgery/HUANG Jianhong.//Medical Innovation of China，2017，14（32）：090-093

【Abstract】 Objective：To explore the influence of whole course nursing on stress reaction of patients after surgery.Method：100 cases of surgical patients in our hospital from January 2015 to January 2017 were selected as research objects，according to the order of admission，they were divided into control group and observation group，50 cases in each group.The control group received routine nursing intervention，and observation group was given whole course nursing intervention on basis of control group.The intervention effect of two groups was observed and compared，included the psychological state，stress reaction before and after nursing，postoperative recovery and nursing satisfaction.Result：Before nursing，Hamilton Depression Scale（HAMD） and Hamilton Anxiety Scale（HAMA） score of two groups were compared，the differences were not statistically significant（P>0.05），after nursing，HAMD and HAMA scores of observation group were significantly lower than those of control group（P<0.05）.Before nursing，the blood pressure and heart rate of two groups were compared，the differences were not statistically significant（P>0.05），after nursing，the blood pressure and heart rate of observation group were significantly lower than those of control group（P<0.05）.The postoperative recovery and nursing satisfaction of observation group were obviously better than those of control group（P<0.05）.Conclusion：The clinical nursing in surgical patients，given the whole course nursing can reduce the postoperative stress response，and promote the rehabilitation effect and nursing satisfaction，and has high clinical application value，it is worth promoting.

【Key words】 Surgery； Operation； Stress reaction； Whole course nursing

First-authors address：The Second Peoples Hospital of Shangrao，Shangrao 334000，China

doi：10.3969/j.issn.1674-4985.2017.32.022

外科手術患者常因手術后的創傷出現生理和心理上的應激反應，這種應激反應會對患者康復的效率和速度造成影響，降低患者生活質量，如何在患者外科手術后保持較好的康復效果、降低應激反應一直是臨床關注的問題[1-3]。全程護理是一種護理人員參與患者的整個治療過程，并實施生理、心理等護理干預的一種護理模式，其能夠滿足患者生理及心理上的合理需求，有效解決整個治療期間可對療效造成影響的各種因素，進而保證治療效果，促進患者有效康復[4-6]。近年來研究顯示全程護理應用于外科手術患者的護理中能有效降低應激反應，促進患者更好的康復，不過相關研究較少，還需更多研究進行證實[7]。本研究探討分析全程護理對外科術后患者應激反應的影響，現報道如下。en……