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人文关怀对妇科门诊手术患者负面情绪、护理质量及患者满意度的影响

Influence of humanistic care on negative emotions, nursing quality, and patient satisfaction in outpatient gynecological surgery.

作者信息

Zhang Yunni, Xia Wei, Liu Tingting

机构信息

Department of Outpatient Nursing, The Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine Hangzhou 310000, Zhejiang, China.

出版信息

Am J Transl Res. 2024 Jul 15;16(7):3220-3230. doi: 10.62347/QCAG2084. eCollection 2024.

Abstract

OBJECTIVE

To explore the impact of humanistic care on negative emotions, nursing quality and patient satisfaction among women undergoing outpatient gynecological surgery.

METHODS

This retrospective study involved 108 patients who underwent outpatient gynecological surgery at the Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine between August 2022 and August 2023. The patients were divided into two groups: 51 patients received routine care (control group) and 57 received humanistic care (experimental group). Data collected included vital signs (heart rate [HR] and systolic/diastolic blood pressure [SBP/DBP]), pain levels (Visual Analogue Scale [VAS] scores at 12 and 24 hours postoperative), negative emotions (Self-rating Anxiety/Depression Scale [SAS/SDS]), comfort (Kolcaba's General Comfort Questionnaire [GCQ]), sexual functioning (Brief Index of Sexual Functioning for Women), nursing quality (errors, defects, and complaints) and patient satisfaction.

RESULTS

Intraoperative SBP, DBP, along with HR, were significantly lower in the experimental group compared to the control group (all P<0.05). Postoperative pain levels at both 12 and 24 hours were also significantly reduced in the experimental group (both P<0.01). Furthermore, the experimental group demonstrated significant reductions in SAS and SDS scores and higher GCQ scores across physical, psychospiritual, environmental, and sociocultural dimensions (all P<0.05). There were no significant differences between the groups in terms of sexual desire, activity, and satisfaction (all P>0.05). Nursing quality was significantly better (P=0.029) and patient satisfaction with nursing care was higher (P=0.015) in the experimental group.

CONCLUSIONS

Humanistic care significantly reduces negative emotions and enhances comfort, nursing quality, and patient satisfaction in women undergoing outpatient gynecological surgery. This approach does not affect sexual functioning indicators but offers substantial improvements in overall patient care and outcomes. Its high value for clinical promotion underscores its potential as a transformative approach in outpatient gynecological settings.

摘要

目的

探讨人文关怀对妇科门诊手术患者负面情绪、护理质量及患者满意度的影响。

方法

本回顾性研究纳入了2022年8月至2023年8月在浙江中医药大学附属第二医院接受妇科门诊手术的108例患者。将患者分为两组:51例接受常规护理(对照组),57例接受人文关怀(实验组)。收集的数据包括生命体征(心率[HR]和收缩压/舒张压[SBP/DBP])、疼痛程度(术后12小时和24小时的视觉模拟评分[VAS])、负面情绪(自评焦虑/抑郁量表[SAS/SDS])、舒适度(Kolcaba综合舒适度问卷[GCQ])、性功能(女性性功能简要指标)、护理质量(差错、缺陷和投诉)以及患者满意度。

结果

与对照组相比,实验组术中的SBP、DBP及HR显著更低(均P<0.05)。实验组术后12小时和24小时的疼痛程度也显著降低(均P<0.01)。此外,实验组的SAS和SDS评分显著降低,在身体、心理精神、环境和社会文化维度的GCQ评分更高(均P<0.05)。两组在性欲、性活动和性满意度方面无显著差异(均P>0.05)。实验组的护理质量显著更好(P=0.029),患者对护理的满意度更高(P=0.015)。

结论

人文关怀可显著降低妇科门诊手术患者的负面情绪,提高舒适度、护理质量及患者满意度。该方法不影响性功能指标,但能显著改善整体患者护理及结局。其在临床推广中的高价值凸显了其作为妇科门诊变革性方法的潜力。

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