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优质护理联合心理干预对全身麻醉手术患者应激反应及术后负面情绪的影响

Effect of High-quality Nursing Care Combined with Psychological Intervention on Stress Response in Surgery and Postoperative Negative Emotions of Patients Undergoing General Anesthesia.

作者信息

Wu Guisheng, Shi Fu, Fu Guanghua

出版信息

Altern Ther Health Med. 2025 Jan;31(1):176-181.

PMID:38607192
Abstract

OBJECTIVE

This study investigated the effect of high-quality nursing care combined with psychological intervention on the stress response and postoperative negative emotions of patients undergoing general anesthesia for surgery.

METHODS

From January 2019 to January 2020, the researchers chose 90 patients who received general anesthesia at Liaocheng People's Hospital for this study. The patients were divided into control and study groups, each with 45 patients. There were no significant demographic differences between the 2 groups. The control group received standard care, while the study group received high-quality nursing care and psychological intervention. The researchers compared the clinical measures provided to both groups to assess their effectiveness.

RESULTS

After the intervention, the study group reported improved surgical stress indicators compared to the control group, with higher scores on the SF-36 health survey and higher satisfaction with nursing care. The study group had lower scores on anxiety and depression scales and showed better body temperature conditions during and after the operation.

DISCUSSION

The study found that comprehensive nursing care and psychological interventions effectively reduced postoperative stress indicators and improved social functioning, somatic health, role limitations, and cognitive abilities. Psychological support, including counseling, cognitive-behavioral techniques, relaxation strategies, and stress management, effectively decreased anxiety and depression levels. These interventions provided coping mechanisms and emotional support to enhance overall well-being. Effective interdisciplinary collaboration may have also contributed to the positive outcomes observed. However, the study's limitations include its specific population sample and observational design, which could introduce bias. Future studies should use randomized controlled trials with larger sample sizes for more reliable results.

CONCLUSION

High-quality nursing care combined with psychological interventions for patients undergoing general anesthesia successfully enhanced nursing satisfaction and alleviated patient stress and negative emotions. The method is worthy of promotion and application.

摘要

目的

本研究探讨优质护理联合心理干预对全身麻醉手术患者应激反应及术后负面情绪的影响。

方法

2019年1月至2020年1月,研究人员选取在聊城市人民医院接受全身麻醉的90例患者进行本研究。将患者分为对照组和研究组,每组45例。两组患者在人口统计学特征上无显著差异。对照组接受标准护理,而研究组接受优质护理和心理干预。研究人员比较了两组提供的临床措施以评估其有效性。

结果

干预后,研究组的手术应激指标相比对照组有所改善,在SF-36健康调查中得分更高,对护理的满意度也更高。研究组在焦虑和抑郁量表上得分更低,在手术期间及术后体温状况更好。

讨论

研究发现,综合护理和心理干预有效降低了术后应激指标,改善了社会功能、躯体健康、角色限制和认知能力。心理支持,包括咨询、认知行为技术、放松策略和压力管理,有效降低了焦虑和抑郁水平。这些干预提供了应对机制和情感支持,以提高整体幸福感。有效的跨学科合作可能也促成了观察到的积极结果。然而,该研究的局限性包括其特定的人群样本和观察性设计,这可能会引入偏差。未来的研究应采用更大样本量的随机对照试验以获得更可靠的结果。

结论

对全身麻醉患者实施优质护理联合心理干预成功提高了护理满意度,减轻了患者的应激和负面情绪。该方法值得推广应用。

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