Department of Clean Operation, Harbin Medical University Cancer Hospital, Harbin 150081, China.
Department of Nursing, Harbin Medical University Cancer Hospital, Harbin 150081, China.
Comput Math Methods Med. 2022 Aug 30;2022:6735100. doi: 10.1155/2022/6735100. eCollection 2022.
To investigate the effects of quantitative nursing and psychological interventions on stress response, mental health, and prognosis in endometrial cancer patients having laparoscopic surgery.
The random number table approach was used to identify and split 98 patients with endometrial cancer undergoing laparoscopic surgery at our hospital's Obstetrics and Gynecology Hospital ( = 49) into observation and control groups ( = 49) from May 2020 to February 2022. Both groups received standard care in the operating room, while those in the observation group received quantitative and psychological interventions in the operating room. Both groups were compared for perioperative markers, stress indicators, coping strategies, and pain levels.
In terms of age, TNM stage, or pathology, there was no statistically significant difference between the two groups ( > 0.05). Both the observation and control groups experienced statistically significant ( < 0.05) reductions in the perioperative markers of operation time, intraoperative blood loss, and overall hospital stay. Both groups' SAS and SDS scores were lower than they had been prior to surgery, but the observation group had lower scores than the control group, and these differences were statistically significant ( < 0.05). Postsurgery, the observation group's cortisol and adrenaline levels were lower than those of the control group, and both groups' levels were higher than before surgery, with statistical significance ( < 0.05) in both groups. Neither coping style nor pain level differed significantly between the two groups before surgery ( > 0.05). Postoperatively, while yield item scores were lower and faces scores were higher than the control group, the observation group's avoidance item score was lower than the control group. All with statistical significance. There were substantial differences in NRS SCORE between observers and controls.
After laparoscopic surgery to remove endometrial cancer, patients may benefit from the combination of quantitative nursing and psychological intervention in the operating room to alleviate postoperative anxiety and sadness and reduce stress reaction.
探讨量化护理和心理干预对腹腔镜手术子宫内膜癌患者应激反应、心理健康和预后的影响。
采用随机数字表法，将 2020 年 5 月至 2022 年 2 月在我院妇产科医院行腹腔镜手术的 98 例子宫内膜癌患者（n=49）分为观察组（n=49）和对照组（n=49）。两组患者均在手术室接受标准护理，观察组患者在手术室接受量化护理和心理干预。比较两组患者围手术期指标、应激指标、应对策略和疼痛程度。
两组患者年龄、TNM 分期或病理比较，差异无统计学意义（>0.05）。观察组和对照组的手术时间、术中出血量和总住院时间均较术前显著降低（<0.05）。两组患者的 SAS 和 SDS 评分均低于术前，但观察组低于对照组，差异有统计学意义（<0.05）。术后观察组患者的皮质醇和肾上腺素水平低于对照组，两组患者的皮质醇和肾上腺素水平均高于术前，差异有统计学意义（<0.05）。两组患者术前应对方式和疼痛程度比较，差异无统计学意义（>0.05）。术后观察组屈服项目评分较低，面对项目评分较高，回避项目评分低于对照组，差异均有统计学意义（<0.05）。观察组和对照组的 NRS 评分差异有统计学意义。
腹腔镜手术切除子宫内膜癌后，患者可能受益于量化护理和心理干预的联合应用，以减轻术后焦虑和抑郁，减轻应激反应。
