摘要
目的探讨纽曼护理干预对胃肠肿瘤手术患者围术期应激反应的影响。方法选取2014年6月至2015年4月间重庆市肿瘤医院收治的82例胃肠肿瘤患者,采用随机数字表法将患者分为观察组和对照组,每组41例。观察组在常规护理的基础上给予纽曼护理干预,对照组给予常规护理干预措施。评价比较两组患者围术期不同时间点的心理应激和生理应激状况。结果入院时两组患者焦虑评分差异无统计学意义(P>0.05),术前1 d、术后第3天和出院时,观察组患者的焦虑自评量表(SAS)评分均低于对照组患者,差异有统计学意义(P<0.05)。入院时两组患者的心率、收缩压和舒张压差异均无统计学意义(均P>0.05),术前1 h、返回病房时和术后3 h,观察组患者的心率、收缩压和舒张压均低于对照组患者,差异有统计学意义(P<0.05)。结论纽曼护理干预能够有效地降低胃肠肿瘤手术患者围术期的应激反应表现,值得临床推广应用。
Objective To explore the effect of Newman care intervention on perioperative stress response in patients undergoing gastrointestinal cancer surgery. Methods Eighty-two patients with gastrointestinal cancer treated at Chongqing Cancer Hospital from June 2014 to April 2015 were selected as the research objects. They were randomly divided into an observation group and a control group with 41 patients in each group. The observation group was given Newman nursing intervention on the basis of routine nursing intervention and the control group were given routine nursing intervention. Psychological and physiological stress response were evaluated and compared between the two groups during the perioperative period. Results There was no significant difference in anxiety scores between the two groups on admission（ P 〉 0. 05）. At preoperative 1 d,postoperative 3 d and on discharge,self-rating anxiety scale score was lower in the observation group than in the control group（ P 〈 0. 05）. On admission,there was no statistically significant difference in heart rate,systolic and diastolic blood pressure（ P 〉 0. 05）. At preoperative 1 h,time to ward return and preoperative 3 h,heart rate,systolic and diastolic blood pressure were lower in the observation group than in the control group（ P 〈 0. 05）.Conclusion Newman care intervention caneffectively reduce the perioperative stress response. Accordingly,it is worthy to be promoted in clinical practice.
出处
《中国肿瘤临床与康复》
2016年第12期1493-1496,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
护理
胃肠肿瘤
应激反应
焦虑
Newman care
Gastrointestinal neoplasms
Stress response
Anxiety
