CAJ | 학술논문

目的：探讨护理干预对子宫肌瘤患者围术期负性情绪及护理满意度的影响，降低围术期应激反应，提高护理质量。方法：选择符合标准的患者80例，随机分为观察组和对照组各40例，两组患者均给予常规护理，观察组加用护理干预，比较护理效果。结果：入院时，两组患者SAS和SDS量表评分相似，差异无统计学意义（ P＞0．05）；术后1d，两组患者SAS和SDS量表评分较入院时均下降，差异有统计学意义（P＜0．05），但是观察组患者下降幅度更大，差异有统计学意义（P＜0．05）。入院时，两组患者SP、DP和P相似，差异无统计学意义（ P＞0．05）；术前观察组患者SP、DP 和P 与入院时无明显变化（P＞0．05），而对照组较入院时升高（P＜0．05）。观察组患者满意度明显优于对照组，差异有统计学意义（ P＜0．05）。结论：护理干预能有效减轻子宫肌瘤患者围术期的焦虑及抑郁，降低机体应激反应，提高患者满意度，值得临床推广应用。
목적：탐토호리간예대자궁기류환자위술기부성정서급호리만의도적영향，강저위술기응격반응，제고호리질량。방법：선택부합표준적환자80례，수궤분위관찰조화대조조각40례，량조환자균급여상규호리，관찰조가용호리간예，비교호리효과。결과：입원시，량조환자SAS화SDS량표평분상사，차이무통계학의의（ P＞0．05）；술후1d，량조환자SAS화SDS량표평분교입원시균하강，차이유통계학의의（P＜0．05），단시관찰조환자하강폭도경대，차이유통계학의의（P＜0．05）。입원시，량조환자SP、DP화P상사，차이무통계학의의（ P＞0．05）；술전관찰조환자SP、DP 화P 여입원시무명현변화（P＞0．05），이대조조교입원시승고（P＜0．05）。관찰조환자만의도명현우우대조조，차이유통계학의의（ P＜0．05）。결론：호리간예능유효감경자궁기류환자위술기적초필급억욱，강저궤체응격반응，제고환자만의도，치득림상추엄응용。
Objective:To investigate the effects of nursing intervention on the degree of satisfaction with nurse and negative emotions in perioperative patients with uterine fibroids , to decrease perioperative stress re-action , and to elevate the quality of nurse .Method:80 eligible patients were selected and randomly divided into observation group and control group , with 40 patients in each group .The patients of both groups were given with usual care , but the patients of the observation group were given with nursing intervention addition-ally, and the nursing effects were compared .Result: The patients of the two groups had similar self-rating anxiety scale ( SAS) and self-rating depression scale ( SDS) scores on admission , and the differences were statistically insignificant ( P>0.05);the patients of both groups had decreased SAS and SDS scores at 1 day after the surgery, and the differences were statistically significant (P<0.05), but the decreasing extent in the patients of the observation group was greater , and the difference was statistically significant ( P<0.05) .The patients of the two groups had similar systolic pressure ( SP ) , diastolic pressure ( DP ) , and heart rate ( P ) on admission , and the differences were statistically insignificant ( P>0.05 ) .The SP , DP and P were changed insignificantly in the patients of the observation group ( P>0.05) but significantly increased in the patients of the control group ( P<0.05) before the surgery when compared with those on admission .The de-gree of satisfaction in the patients of the observation group was significantly better than that of the control group ( P<0.05) .Conclusion:Nursing intervention can effectively ease the depression and anxiety , lighten the stress reaction , and elevate the degree of satisfaction in perioperative patients with uterine fibroids , and consequently is worthy of clinical application .