Pang Xue, Li Yingying
Operating room, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Obstetrical Department, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Medicine (Baltimore). 2025 Jul 25;104(30):e43177. doi: 10.1097/MD.0000000000043177.
This study aims to evaluate the impact of evidence-based nursing interventions on negative emotions (such as anxiety and depression) and quality of life in obstetrics and gynecology surgical patients before, during, and after surgery. This is a retrospective cohort study, selecting 106 patients who underwent surgery in the obstetrics and gynecology operating room of our hospital from January 1, 2019, to December 31, 2023. Patients were divided into the evidence-based nursing group (n = 53) and the control group (n = 53) based on whether they received evidence-based nursing interventions. The evidence-based nursing group received interventions including psychological counseling, pain management, and postoperative rehabilitation guidance before, during, and after surgery, while the control group received routine nursing care. Data were collected and assessed preoperatively, 24 hours postoperatively, and 7 days postoperatively using the state-trait anxiety inventory (STAI), Hospital Anxiety and Depression Scale (HADS), visual analog scale (VAS), and European Quality of Life-5 Dimensions (EQ-5D). The results indicated that the evidence-based nursing group had significantly lower levels of anxiety and depression 24 hours and 7 days postoperatively compared to the control group (P < .05). Postoperative pain scores also showed that the evidence-based nursing group experienced significantly lower pain levels, especially 24 hours and 7 days postoperatively, with a statistically significant difference (P < .001). Additionally, the quality of life scores in the evidence-based nursing group were significantly higher than those in the control group 1 week postoperatively (P = .03), but no significant differences were found between the 2 groups at 1 month and 3 months postoperatively. Evidence-based nursing interventions can significantly reduce postoperative anxiety, depression, and pain levels in obstetrics and gynecology patients, particularly in the early postoperative period, and can effectively improve short-term postoperative quality of life. This intervention model provides strong support for improving postoperative patient emotions and quality of life.
本研究旨在评估循证护理干预对妇产科手术患者术前、术中和术后负面情绪（如焦虑和抑郁）及生活质量的影响。这是一项回顾性队列研究，选取了2019年1月1日至2023年12月31日在我院妇产科手术室接受手术的106例患者。根据患者是否接受循证护理干预，将其分为循证护理组（n = 53）和对照组（n = 53）。循证护理组在手术前、手术中和手术后接受包括心理咨询、疼痛管理和术后康复指导在内的干预措施，而对照组接受常规护理。术前、术后24小时和术后7天使用状态-特质焦虑量表（STAI）、医院焦虑抑郁量表（HADS）、视觉模拟量表（VAS）和欧洲生活质量五维度量表（EQ-5D）收集和评估数据。结果表明，与对照组相比，循证护理组术后24小时和7天的焦虑和抑郁水平显著降低（P < 0.05）。术后疼痛评分也显示，循证护理组的疼痛水平显著较低，尤其是术后24小时和7天，差异有统计学意义（P < 0.001）。此外，循证护理组术后1周的生活质量评分显著高于对照组（P = 0.03），但术后1个月和3个月两组之间无显著差异。循证护理干预可显著降低妇产科患者术后的焦虑、抑郁和疼痛水平，尤其是在术后早期，并可有效改善术后短期生活质量。这种干预模式为改善术后患者情绪和生活质量提供了有力支持。
