术前综合健康教育对宫腔镜全麻患者术后恢复期身心应激及疾病获益感的影响

Influence of the preoperative comprehensive health education for patients with hysteroscopic surgery under the general anesthesia on their physical and mental stress and their benefit finding of disease during the postoperative recovery period

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摘要目的:探讨术前综合健康教育对宫腔镜全麻患者术后恢复期身心应激及疾病获益感的影响。方法:选取2020年1月-2024年4月在本院行宫腔镜全麻术的患者80例,采用“乱数表”法随机分为观察组和对照组各40例,对照组给予术前常规健康教育和护理,观察组给予术前综合健康教育和护理。比较干预前后两组斯坦福急性应激反应问卷(SASRQ)与疾病获益感量表(BFS)评分,记录并发症发生情况。结果:干预后,观察组SASRQ各维度对创伤事件的反复再体验(12.27±2.85分)、激惹症状(18.68±3.63分)、分离性症状(20.36±3.64分)、回避(11.76±2.59分)、社会功能损害(4.31±1.47分)及总分(50.26±12.15分)评分均低于对照组(15.19±2.28分、22.14±4.91分、24.26±3.74分、13.52±3.73分、6.16±1.59分、76.81±15.33分),BFS各维度及总评分(79.26±4.16分)均高于对照组(74.83±4.35分),恶心、呕吐、呼吸抑制总计发生率(2.5%)低于对照组(20.0%)(均P<0.05)。结论:术前综合健康教育可有效缓解宫腔镜全麻手术患者术前身心应激反应,提高患者疾病获益感,具推广应用价值。 Objective: To explore the influence of the preoperative comprehensive health education for patients with hysteroscopic surgery under the general anesthesia on their physical and mental stress and their benefit finding of disease during the postoperative recovery period. Methods: A total of 80 patients who wanted hysteroscopic surgery under general anesthesia in the hospital were selected and were randomly divided into observation group(n=40) and control group(n=40) by the random number table method from January 2020 to April 2024. The patients in the control group were given the preoperative routine health education and nursing, whereas the patients in the observation group were given the preoperative comprehensive health education and nursing. The scores of Stanford acute stress response questionnaire(SASRQ) and benefit finding scale(BFS) of the patients before and after intervention were compared between the two groups. The complications situations of the patients in the two groups were recorded. Results: After intervention, the scores of the repeated re-experience of traumatic events in each dimension of SASRQ(12.27±2.85 points), the irritability symptoms(18.68±3.63 points), the dissociative symptoms(20.36±3.64 points), the avoidance(11.76±2.59 points), the social function impairment(4.31±1.47 points) and the total score(50.26±12.15 points) of the patients in the observation group were significantly lower than those(15.19±2.28 points, 22.14±4.91 points, 24.26±3.74 points, 13.52±3.73 points, 6.16±1.59 and 76.81±15.33 points) of the patients in the control group. The total score of the each dimension of BFS(79.26±4.16 points) of the patients in the observation group was significantly higher than that(74.83±4.35 points) of the patients in the control group. The total incidence of nausea, vomiting and respiratory depression(2.5%) of the patients in the observation group was significantly lower than that(20.0%)of the patients in the control group(all P<0.05).Conclusion:The preoperative comprehensive health education for the patients with hysteroscopic surgery under the general anesthesia can effectively alleviate their preoperative physical and mental stress response and improve their benefit finding of disease,and which has the popularization and application value.

作者吕玉雯王逸群李雪 LV Yuwen;WANG Yiqun;LI Xue(Fuyang People's Hospital,Anhui Province,236000)

机构地区安徽省阜阳市人民医院

出处《中国计划生育学杂志》 2025年第2期331-335,共5页 Chinese Journal of Family Planning

关键词宫腔镜手术全身麻醉综合健康教育身心应激疾病获益感 Hysteroscopic surgery General anesthesia Comprehensive health education Physical and mental stress Benefit finding of disease

分类号 R473.71 [医药卫生—护理学]