摘要
目的探讨中医护理时实施同理心(Empathy)护理干预对食管癌术后患者心理及疲劳综合征的影响。方法将206例食管癌术后患者随机均分为常规护理组、综合护理组,常规护理组采用常规治疗及护理,综合护理组在此基础上实施同理心护理干预,检测治疗前后静脉血神经递质5-羟色胺(5-HT)及儿茶酚胺(CAS),白介素-6(IL-6)、动静脉血氧饱和度(Sp O2);监测患者心率(HR)、收缩压(AP)、舒张压(VDP)及肌电图(EMG)等临床监测指标;采用VAS及BPOMS量表评定不同护理方法对围术期患者疲劳及心境状态,术后并发症等指标,评价中医护理时实施同理心护理干预对食管癌术后患者心理及疲劳综合征的影响。结果与常规护理组比较,综合护理组5-HT、CAS、IL-6、EMG明显降低,肛门排气及术后住院时间缩短,VAS及BPOMS量表中疲劳程度、心境情感等评分及术后并发症明显低于常规护理组(P<0.05),HR、AP、VDP无统计学意义。结论食管癌术后中医护理时实施同理心护理干预可建立良好的护患关系,降低患者紧张绝望等不良心理造成的神经递质5-HT、CAS及炎症因子IL-6分泌过多,减轻疲劳综合征临床症状,减少术后并发症。
Objective To probe the impact of empathetic nursing intervention on patients＇ psychology and postoperative fatigue syndrome when they are in TCM treatments. Methods The 206 cases of patients with esophageal cancer were randomly divided into usual care group,integrated care group. The usual care group received treatment and nursing as normal,while integrated care group carried out empathethic nursing intervention on basis above. Tested the detection before and after treatment of venous blood neurotransmitter-serotonin（ 5-HT） and catecholamine（ CAS）,interleukin-6（ IL-6）,arteriovenous oxygen saturation（ Sp O2）; in the same time monitoring heart rate（ HR）,arterial and venous blood pressure（ AP）. Similarly used different methods of nursing for patients such as VAS rating scale and BPOMS to test perioperative fatigue and mood states,and other indicators of postoperative complications,whereby evaluationg in nursing（ VDP）,electromyography（ EMG） and other clinical monitoring indicators,so as to find out effects of postoperative patients with mental fatigue syndrome and heart care intervention. Results Compared with usual care group,5-HT,CAS,IL-6,EMG of comprehensive nursing group decreased,Flatus and postoperative and hospital-stay is shortened VAS scale and BPOMS the degree of fatigue,mood and emotional score and postoperative complications was significantly lower than the usual care group（ P〈0. 05）,HR,AP,VDP was not statistically significant（ P〉0. 05）.Conclusion Postoperative embodiment with empathy in nursing care intervention can estaplish a good nurse-patient relationship,reduce the neurotransmitter 5-HT which reduced patients ＇stress and other adverse psychological despair caused and secretion of CAS and excessive inflammatory cytokines IL-6,reducing fatigue syndrome symptoms,prompting patients to actively cooperate with treatment. So as to reduce postoperative complications.
出处
《长春中医药大学学报》
2016年第5期988-991,共4页
Journal of Changchun University of Chinese Medicine
基金
湖北省自然科学基金项目(2011CDC051)
