护患沟通与心理护理对胃肠外科手术后身心应激反应的联合作用
Combined effects of nurse-patient communication and psychological nursing on physical and mental stress responses after gastrointestinal surgery.
作者信息
Liu Nan, Tang Juan, Fang Fang, Yuan Hai-Juan, Huang Lei, Tan Xiao-Yue
机构信息
Department of Gastrointestinal Surgery, Northern Jiangsu People's Hospital, Yangzhou 225001, Jiangsu Province, China.
出版信息
World J Gastrointest Surg. 2025 Aug 27;17(8):104784. doi: 10.4240/wjgs.v17.i8.104784.
BACKGROUND
The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.
AIM
To analyze the impact of patient-nurse communicative language combined with focused psychological nursing on psychological and physiological stress responses, coping styles, health behaviors, and complications in patients undergoing gastrointestinal surgery.
METHODS
Eighty patients who underwent gastrointestinal surgery at Northern Jiangsu People's Hospital between October 2021 and August 2024 were selected and randomly divided into two groups, with 40 patients in each group. The control group received routine nursing care, while the observation group was provided with patient-nurse communicative language combined with focused psychological nursing care. Psychological stress responses, physiological stress responses, coping styles, health behaviors, incidence of complications, and nursing satisfaction were compared between the two groups.
RESULTS
After nursing, the observation group showed a significant improvement in psychological stress responses, with the average score on the Connor-Davidson Resilience Scale increasing from 23.22 ± 1.08 to 30.14 ± 2.78 ( < 0.05). On postoperative awakening, the heart rate of the observation group was 78.36 ± 2.98 times/min, significantly lower than the control group's 81.14 ± 2.44 times/min ( < 0.05), and the mean arterial blood pressure was 12.06 ± 1.26 kPa, compared to the control group's 13.45 ± 1.17 kPa ( < 0.05). The coping style scale scores of the observation group improved from 17.25 ± 1.40 to 23.64 ± 1.52 for confrontation, 16.94 ± 1.24 to 12.11 ± 1.02 for avoidance, and 21.69 ± 2.63 to 15.32 ± 1.41 for submission ( < 0.05). The health promotion lifestyle profile scores of the observation group increased from 104.25 ± 6.77 to 133.61 ± 10.25 ( < 0.05). The incidence of complications, such as wound infection and abdominal distension, in the observation group was 2.50%, significantly lower than that in the control group (20.00%; < 0.05). Nursing satisfaction in the observation group was 95.00%, significantly higher than that in the control group (80.00%; < 0.05).
CONCLUSION
The integration of patient-nurse communicative language and focused psychological nursing can alleviate psychological and physiological stress responses in patients undergoing gastrointestinal surgery, improve their coping styles and health behaviors, reduce the risk of complications, and enhance nursing satisfaction, yielding ideal clinical outcomes.
背景
护患沟通语言与针对性心理护理的整合可为胃肠手术患者的护理干预提供参考。
目的
分析护患沟通语言结合针对性心理护理对胃肠手术患者心理和生理应激反应、应对方式、健康行为及并发症的影响。
方法
选取2021年10月至2024年8月在苏北人民医院接受胃肠手术的80例患者，随机分为两组，每组40例。对照组接受常规护理，观察组给予护患沟通语言结合针对性心理护理。比较两组患者的心理应激反应、生理应激反应、应对方式、健康行为、并发症发生率及护理满意度。
结果
护理后，观察组心理应激反应显著改善，Connor-Davidson韧性量表平均得分从23.22±1.08提高至30.14±2.78（P<0.05）。术后苏醒时，观察组心率为78.36±2.98次/分，显著低于对照组的81.14±2.44次/分（P<0.05），平均动脉血压为12.06±1.26kPa，低于对照组的13.45±1.17kPa（P<0.05）。观察组应对方式量表得分中，面对维度从17.25±1.40提高至23.64±1.52，回避维度从16.94±1.24降至12.11±1.02，屈服维度从21.69±2.63降至15.32±1.41（P<0.05）。观察组健康促进生活方式量表得分从104.25±6.77提高至133.61±10.25（P<0.05）。观察组伤口感染、腹胀等并发症发生率为2.50%，显著低于对照组（20.00%；P<0.05）。观察组护理满意度为95.00%，显著高于对照组（80.00%；P<0.05）。
结论
护患沟通语言与针对性心理护理的整合可减轻胃肠手术患者的心理和生理应激反应，改善其应对方式和健康行为，降低并发症风险，提高护理满意度，取得理想的临床效果。
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