多模块护理干预对子宫全切术患者负性情绪和手术配合度的影响

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

王思琴¹ 

关键词: 子宫全切术;    多模块护理干预;    负性情绪;    焦虑;    心理护理;    子宫肿瘤;    子宫出血;   

DOI  :  10.11997/nitcwm.201805011

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of multi-module nursing interventions on negative emotion and operative coordination in patients undergoing total hysterectomy. Methods 〓Totally 60 patients undergoing total hysterectomy were assigned to the observation group(n=30)and the control group(n=30)according to the admission sequence. Patients of two groups received routing care in perioperative period, and those in the observation group were given multi-module nursing interventions based on diathesis-stress, positive psychology and Roy's adaptation theory. A self-made questionnaire was used to investigate the mental status of patients. The visual analogue scale of anxiety(VASA), vital signs and operative coordination of patients were observed and compared between two groups. Results 〓At 3 days after surgery, patients of the observation group had lower scores in terms of worrying about emotional discord, postoperative complications, losing femininity, decreased libido and sexual incompatibility compared with those in the control group(P<0.05). The score of VASA was lower in the observation group than that of controls on the morning of the day and 5 minutes before operation(t=-2.985、-3.007,P<0.05). Patients in the observation group had a relatively lower heart rate and diastolic blood pressure at 5 minutes before operation compared with those in the control group(t=-3.671、-2.849,P<0.05). The degree of operative coordination was higher in the observation group than that of controls(Z=5.281,P<0.05). Conclusion 〓The multi-module nursing interventions are potentially effective to relieve the negative emotion, stabilize the vital signs and improve the operative coordination in patients undergoing total hysterectomy.

【 授权许可】

CC BY-NC