基于风险评估策略下的护理干预对预防腹腔镜子宫肌瘤切除术中知晓并发术后应激障碍的影响.docVIP

精品论文 参考文献 基于风险评估策略下的护理干预对预防腹腔镜子宫肌瘤切除术中知晓并发术后应激障碍的影响 刘敏婕 　　暨南大学第二临床医学院深圳市人民医院 广东深圳 518020 　　【摘 要】目的：研究基于风险评估策略下的护理干预对预防腹腔镜子宫肌瘤切除术中知晓并发术后应激障碍的影响。方法：将2013年3月-2014年5月期间我院接受腹腔镜下子宫肌瘤切除术的120例患者纳入研究对象，采用随机数字表法分为观察组和对照组，观察组患者接受基于风险评估策略下的护理干预，对照组患者接受常规护理，比较两组患者的术中知晓并发术后应激障碍发生率、应激反应程度和负面情绪。结果：观察组患者的术中知晓并发术后应激障碍的发生率明显低于对照组（5.00% VS 18.33%）；肾上腺素、去甲肾上腺素、血管紧张素Ⅱ水平以及HAMA评分、HAMD评分、SAS评分、SDS评分明显低于对照组（56.29plusmn;7.25 VS 104.52plusmn;12.73, 69.26plusmn;8.12 VS 121.47plusmn;16.94, 24.28plusmn;3.62 VS 35.14plusmn;4.05, 42.39plusmn;6.49 VS 63.18plusmn;7.82, 40.78plusmn;6.85 VS 65.24plusmn;7.49，14.26plusmn;1.95 VS 23.53plusmn;2.85, 15.75plusmn;2.03 VS 25.73plusmn;2.91）。结论：基于风险评估策略下的护理干预有助于预防术中知晓并发术后应激障碍的发生、缓解应激反应和负面情绪，是腹腔镜下子宫肌瘤切除术理想的护理方法。 　　【关键词】腹腔镜子宫肌瘤切除术；风险评估策略；术中知晓；应激障碍 　　【中图分类号】R47 【文献标识码】B 【文章编号】1764-8999（2015）7-0531-02 　　Effects of nursing intervention based on the risk assessment strategies on intraoperative awareness complicated with stress disorder in laparoscopic myomectomy 　　【Abstract】Objective: To study the effect of nursing intervention based on the risk assessment strategies on intraoperative awareness complicated with stress disorder in laparoscopic myomectomy. Methods: 120 cases patients received laparoscopic myomectomy in our hospital from 2013.3-2014.5 were enrolled and randomly divided into observation group and control group. Observation group received nursing intervention based on the risk assessment strategies, control group received conventional nursing. Then intraoperative awareness complicated wit stress disorder, stress reaction degree and negative emotions were compared. Results: observation group intraoperative awareness complicated wit stress disorder incidence were significantly lower than those of control group（5.00% VS 18.33%）, epinephrine, norepinephrine, angiotensin II levels and HAMA score, HAMD score, SAS score, SDS score were significantly lower than those of control group（56.29plusmn;7.25 VS 104.52plusmn;12.73, 69.26plusmn;8.12 VS 121.47plus