陈莹
武汉市第一医院 湖北武汉 430400
[摘要]目的 分析以人文理念为基础的护理干预用于卵巢囊肿手术患者的临床价值。方法 取行手术治疗的卵巢囊肿患者50例行对比调查,随机分为两组,对照组常规护理,观察组以人文理念为基础的护理,对比组间干预效果。结果 组间患者手术时间与术中出血量对比无明显差异,观察组患者平均排气时间与住院时间均小于对照组,组间对比有差异性;组间患者干预前焦虑抑郁程度无明显差异,干预后观察组患者焦虑抑郁评分均小于对照组,组间对比有差异性。结论 针对行手术治疗的卵巢囊肿患者,采用以人文理念为基础的护理干预可有效改善患者心理状态,对于缩短住院时间也具有积极作用。
[关键词] 人文理念;护理干预;卵巢囊肿
卵巢囊肿可在遗传因素与内分泌因素及生活方式等影响下发生,在现代临床中多应用腹腔镜剥除术治疗[1]。在治疗及康复期间,基于对疾病的担忧以及术后疼痛可引发一系列生理及心理反应。为此,在护理工作中需做到以患者为中心,采用有效手段改善患者生活质量及心理状态。研究中以对比调查方式,分析了人文理念为基础的护理干预的应用效果。
1 资料与方法
1.1一般资料
取2019年9月~2020年9月期间行手术治疗的卵巢囊肿患者50例行对比调查,随机分为两组,对照组常规护理,观察组以人文理念为基础的护理。对照组25例年龄25~53岁,均值(39.25±2.48)岁;病程1~6年,均值(3.54±1.08)年。观察组25例年龄26~53岁,均值(38.67±2.56)岁;病程1~7年,均值(3.87±1.16)年。组间患者无基线资料差异性,可行对比调查。
1.2方法
对照组:常规护理,包括术前检查、术中配合、生命体征观察、术后注意事项指导等。
观察组:以人文理念为基础的护理干预,内容如下:
(1)术前评估患者既往史与健康状况及手术耐受性等,辅助患者做好生理与心理准备,可应用教学视频讲解手术过程,便于患者了解手术过程,缓解恐慌感;讲解以往成功病例,促使患者树立治愈信心,以平稳心态接受治疗。
(2)手术期间调节适合的手术室温度计湿度,规范手术体位,确保患者舒适安全。
(3)术后评估患者麻醉恢复情况与伤口及情绪反应;指导患者以正确方式锻炼膀胱功能;鼓励患者肢体功能运动,促进肠蠕动,加强应用支持,促进康复。
1.3观察指标
统计患者治疗相关指标与焦虑抑郁评分。
1.4统计学处理
用SPSS21.0统计软件完成调查数据处理,用(±s)描述计量资料,以t检验,计数资料采用率(%)表示,以卡方检验,P<0.05代表数据对比有差异性。
2 结果
2.1组间患者治疗相关情况
组间患者手术时间与术中出血量对比无明显差异,观察组患者平均排气时间与住院时间均小于对照组,组间对比有差异性(P<0.05)。见表1。
表1 组间患者治疗相关情况(±s)
![](data:image/png;base64,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)
1
2.2组间患者焦虑抑郁改善情况
组间患者干预前焦虑抑郁程度无明显差异,干预后观察组患者焦虑抑郁评分均小于对照组,组间对比有差异性(P<0.05)。见表2。
表2 组间患者焦虑抑郁改善情况[(±s),分]
![](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAd8AAACfCAYAAAC4L9OAAAAW8UlEQVR4nO2d3dWrqhZAU8jpwEJOBRRyO6Aenk4ZXwH2s+5DYoKEX10imjnHyNifUaNMF6wAZvsQAAAA6Mrj7BMAAAD4NUi+AAAAnSH5AgAAdIbkCwAA0JlNyffv708ejwcvXrx48eLF6/GQv7+/Psn318EBDuA8iD0YjS7JFwAAALZDz3cjOMABnAexB6PBsHMncIADOA9iD0aD5NsJHOAAzoPYg9FgzhcAAGBwhuv5Ph5tp5S67XvPZ9ZwpoPU+h7l9qH3AWdB7MFoXH7Y2U8YpaQabp9674rJt+XLxLKc+vcoaAAjOPO+ZsaJOGPERTeLv1+7/69D7BVIxNFsp2j7YsIgIw6buXTyrU0yte8dmYR6OCgl2dy+ue20oAEMcWIek9j5tWQe8nhEGq3ZyvR4yLRs2Lo/EHtZCnHkjDy89Uui/cQjcbiFy875xpLOyMn3KFqTb27YvTRqAMrMVqagkYr1GGZrxJjpu0Gr3B8gSymOZiuTn3xl6RG/tiEOuzBMzzeWJGqHnXPJx/9XkyMdhMs15YntG/tbE3ofIbPY6bHuVXzhxBj3/PdruK9mfxAh9vIU4iiSfJfRmGc8EodbuPSws0hdz6+0X/jeVZKvSLp3m1oXvl8zgqAFDWCc5zBdvPGa7fROuM485DFZ+Rp8zuwPT4i9Msk4Kibfwv4Q5dLJt3XON9XrvWrPV6Q9+dZsR/I9g1jv4dnbLd7sktwfFoi9WiJxVJl8k/tDlEvP+ZbmLGt7vlef8y0l0a1z33A0TmzQQjnj3cjiTHCT1athe7d4hf0BqijEUWnOlzjswlA935DaYefSjUlX7PnGlmtvuMptrwm9j5D1XaJLcn3mVicmdsfo6s7T3P7gQ+zlKMRR493OxGEdlx52Fon3/Px1qX1aljU4a+i9tE2Psi/QAIY4sda9hukeXoM2f97z53hfQ32f4efU/hBC7OVIx1Hd73yJwy1cNvnGhpW3JKLa/fZyxu98c+/n/NHzhbtB7MFoXHbON6R0M9WyTWz72OdchdK8bsxBzVDzlRwAANydYXq+VwMHOIDzIPZgNC477Hw1cIADOA9iD0aD5NsJHOAAzoPYg9G4zZwvAADAXaHnuxEc4ADOg9iD0WDYuRM4wAGcB7EHo0Hy7QQOcADnQezBaDDnC13J/R6bFy9evH7l1dx2bmlw+daJAxEctIArXfCpAx71YNi5EzjAQQu40gWfOuBRD5JvJ3CAgxZwpQs+dcCjHsz5AgAADA49343gAAct4EoXfOqARz0Ydu4EDq7vIHWH4pY7F0tc3VUNe+78bOVOPnvGYcidPMYYOSZJvhvBwbHPdW65pT+2rvanAOH7R1XSHvHS053GTy32cLTPu8ZhyJ08Xi0mmfOFoWmpQKkKGXvvqN/ujcQR7rZ89h0gDnUgJj/Q890IDvr15mq3Oav3UMMZ8XKku7Pd9vZ5lzgMuZPHsz0z7NwJHIyTfGPblXoPNes1GTX5xrbbOsTXs7c2YtKIbTdaHIbcxWNqm5FjkuS7ERyMkXxTFazUiKWWU/vvZcTku9VdzWcfzWhJ4ypxGHIXjzWffTTM+cJlqfnmmvvWW/Nv7li57Uenp7vUe3eBONSBmMxDz3cjOBij55varqbRa9l+LyP2fFPbtTR0LQ2qJqP12FLbjRaHIXfxGK67QkySfDeCg+sn3549jjsn3z3H3spdksbZPd+7eCytazn2Vki+ncDB2Mm39X2S77b3r9LQ7eUucRhyR49XiclrDZLDz7GnsrbMD5WWr0gPd2cN8fWGONSBmPxAz3cjOBin5xurWC3L4f5HVNRRe76t7mqTw2i9jL3cJQ5D7uDxqjFJ8t0IDnDQAq50wacOeNSD5NsJHOCgBVzpgk8d8KgHc74AAACDQ893IzjAQQu40gWfOuBRD4adO4EDHLSAK13wqQMe9SD5dgIHOGgBV7rgUwc86sGcLwAAwOBs7vn6r/A9lllmmWWWWf615RYYdt4IDnDQAq50wacOeNSD5NsJHOCgBVzpgk8d8KhHl+QLAAAA26HnuxEc4KAFXOmCTx3wqAfDzp3AAQ5awJUu+NQBj3r8RPLd+0xIDc52MAI4qAdXuuBTBzzqcbk539IzF3PPZiw9q7H0jEcAAIAz6NrzjSW/2uc2lpLlnudobqHnN0ZnPs4mO2fXG9fttJodzHZ6nudkZfaXC+edK39r2UsujzimyL54SR2vtizijDweRmKnepQ/EScmt50z7zjYwh6fYRw2nVfKpTOftq2yXLUus/Ukc21rOCIu6+p1Pj5a4nJ3TG64djEuM+xcm3z998Oknestbz1OLd2SrzOf4HsFySoY/fWdqXcwi52CwJ6tmKUC5BqQXPmzZZ/F2mBlyeXuY6bZHC+p4zWU5VlH4gnjEH+v6/1c5/+9Xt8/+ZaOW1ifdPls1P3yrpPADpe5epK7tpWox2VVvS7ERzIuj4jJ0rWrZ+jkm0uKuR5urKcc+6xw+yOHnc+aK3HGD45XY1H8xncMtQ6cecgjm7GcmIbewrOspbJHKmrys7SOmWZXsqg4XrYss5XpqxE80N9sZfKvpzOr6z9bI9b27/mW4rDqvKIunZjHJIuK2U7l5Bs5t3JMRepJ9HzqOTYuE/U6Gx+5zz4iJkvXrp7h53xLSTeVSEvrcsdK7XtFnPkEisgs8yzyHk7Z0ZgdxqtxsO+hqO+Gwpn6xuNT/lLZayqq71LjmNrUHy9blkTyPcrfbKd1kvMbvqVntHPYuZlSHNaeVyLZObM4jCUcnViM1pOdyXcbdXGZqtfZ+Mh+9jExmb92x9F92Lk1+cb2yyXkcPva5VbO6fk6Mclv7rHhvWOpcfAMeiPW7zl+xoneczB1DXGq/EvZvc8LX1+fn3PZcsyKjxCNeMkdr1CWYgOt6y/a0L2O7+zrczrP+ebjsOG8ki6XHtuyTjMWM/XklJ7v6gQicZmv17n4iH32PwfH5Pe128bQw87vg1YMP6e2T31ebog59t4Vk2+ph7hnyGQL9cl3dZdQtNcxJedq/F3T5W8d6qvtbbcdM41GvKSOVyxLRQOt6S/Zywjn57on30QctpxXyuXrM543G4W9L51YjNaT05Nvph4k6nW+55v77ANi8rlj5trVc7nk6y/nEm/0m09DEr16z3e2UzE51WyjSZWDsDFLVDRn8sm3VLbv9emKWuup/ZhptBq5WENWPIfK5KvmLzG/5t+V+nltSxzNPjNx2HReMZfBe18NvUIsfooxZvJNlSFarwv3BKQ/Wz8my9eunsvN+cbeq+np1h4rN198GZxZfbN8D5GtN+o6X1GPfzdh6oYIJybXgBTLv5S9YqivymXLMXsROV5tWYoNtLa/0t3O0n/OtyoOK84rmXzXN+08zP/0YnFVhnzi70+uHqTqdUV8vD/byL9HxmT02vWxOczdzqn3cvvmtr3LnK//m7nlNX0iRaadPYg9VDvwz/MV2OtypX+6kSz/hrJnXR50zIVN8ZI5Xros6ySz+g2j/xkH+gs/f5jf+UbiMH9elS5L66KnsiUW9x0zxrFx6a+rjI/GuFSJSQWPIhcZdn4ffEPirEmsqc/cOmQdg/+WDQct4EoXfOqARz0ulXyvDA5w0AKudMGnDnjUY/g5XwAAgF+Hnu9GcICDFnClCz51wKMeDDt3Agc4aAFXuuBTBzzqQfLtBA5w0AKudMGnDnjUgzlfAACAwaHnuxEc4KAFXOmCTx3wqEe3YWf/Fb7HMssss8wyy7+23AI9343gAAct4EoXfOqARz26JF8AAADYDj3fjeAABy3gShd86oBHPRh27gQOcNACrnTBpw541IPk2wkc4KAFXOmCTx3wqMfl53w1n7N7qWf2AgDAzzBczzf2uMDwEYC1jweMPYpQ43GCInxjFMFBC7jSBZ864FGPoYedWxNmuJz6W2O5lZ5B60zsQdHx9alnhB9Bq4P3g69fDyv3H4SdPW//YdfBA9hby15y+X3c+MO1w7KU2BMvuTKWyq8dO2f5C9njM3Xssovnw9mHcZmpF7UcFZciFdc4Ex8tLms9FtsbZzZ7FBk8+X4dPNOTDbfJ/V2z3WWTrzOfQHlVtlXg+Os7U+9gFjsFlXC2YpaKkqmES4P3LOPzcyZvv3TZZ7H2K1PlXQbbPmMxPK9IWSrYHC+5Mpau/a7YGctfyDafmWMX69FzXz8Oz3WZqRcNHBKXNdc4GR+5z97hsdje7I/LS8351vZ8Y8PO4frUPqnPuep8sDN+JXsFTM035xNx5iGPfJYQkwx6J+YxyVK82U6vspbKHqmokfPKeputTEElLZdFk1wZ2699W+zcwd+a9LErXM5WJj9GnfE+6wyXqXrRg3x5q69xJD6KMb/X43Orr/Zmtkas3dfzbaX7sHNuubRNa9JsGaZu5ay5Emc+FU5klnkWeQ+HdQwckUoHrwpm30M+3990nUn1epf1S9n8SlMqe01F9V2mz90Fy7mypNjaU0uXsf3at8XOWP5Cmn1mj112OdtpnVBWyfgEl5KqF22ox2XLNU4k31zM7/YokfZm6RXffdg51XuN/Z1aF+vF3nnO94MTk/xGGRkKO5gaB89Gy4j1e6ufcaL3HFo+6Jdvw6mKvJTd+7zw9fX5OZfvk181Dvmy5NkfL7nrW3Pta2JnXH8hm+43qDp23GU0+UbjsY9L/1hdv8R8n9jKV9M1Tjpcf/Y/ah7j7Y2zr79/MfnWvJ/bJrZdbKhac9j5jORb6iH2HXpqSb7eWcfmW2YrU2HOy7jlhon4N9vvsue/JZdcfs4rTB6FsiTQiJfc9S1d+/bYGctfyLbkW3fsmMt8z7e0v77LpQylelFCOy6brnEx+YYuFTy+j/tqb8I549GT715yybN2zrc1mWr3fHsz26nYq63ZpjthQCcaLWfSN0pkG3Dv/fXb6Ypa7SlsHCrLchS58966Lr3Nzfw1HDtavuycb2n/A1xW1oserMrQco0rk++nWAoe36f5bG/8O6U/r+0jCS0M0/MN12uQuklL4zhde77OrL5Jv4dJ1httnvfZSp0D/67M1A0RTkz22/H6xpLvRmYpe8VQX5VL/9ipO0xrb+54sj9eCjelZX7OUR874/oLafdZe+yUy8Ldzl/7H+yyql6U0Y/LhmtcTL5OzGTkX02P73OM32U9fM9XI/mGf9e81zJPfJc5X/+3actr+tQ4mTp/W/OpduCf56tWrssVnvu6Aq9+z7hsu6HsWZc1x0yUpYZN8ZIrY3LdpxzasXOmv5DdPr/mb/Muw+1WCeUsl6n3G1CPy3B9cH9HU3xUlKnWY7698c7prsm3NJ/bmjRLiTz22VrzvvzPMDhoAVe64FMHPOpxiTlfAACAX2a4/9v5KuAABy3gShd86oBHPYYedr4TOMBBC7jSBZ864FEPkm8ncICDFnClCz51wKMezPkCAAAMDj3fjeAABy3gShd86oBHPRh27gQOcNACrnTBpw541KNb8vVf4Xsss8wyyyyz/GvLLTDnCwAA0BmGnTeCAxy0gCtd8KkDHvXo0vPlguFABAct4EoXfOqARz1Ivp3AAQ5awJUu+NQBj3ow5wsAADA49Hw3ggMctIArXfCpAx71+PFh51mcc10eKD+ug37goB5c6YJPHfCoxw8n31lmN8s8W5l2PKS7ljEd9OV4B8+HYX89vPxrM+/B3JFr/36QtvegbGdiD98+jrPixS9nqlpkXTgTefj4LHYKno294yHkWzjFZ9TFGv+h7R/fJV+VcX4Ap7VjpQfXZ+p0NqYrrtFRMOcrTqw9Qz3o8mywnpXL/zvEiXlXtud2nwbs1eiFldyZz2e9KnmH72v98ctZs03o4t0ABo2Zs7LKEbMV0zlpdCflwsf34CeBrK/aOL8TiXr5JlOnczFdc40G4kY93yczw87dONTBbGXyK6cz6V6t/773jdqZeE84xJnjexz94+XT22op25eL2cpU7O0Z6Z17T6l/FS4+ODGJ5LLyVRnnR3GGx9kasTbd803X6YqYbrpGuvzwsLPIPPdJvCLjOujJkQ6+KmDYSOW2exhxr3/texgwXSGdmQ5PHmck33kWeQ9pVg4Lf7koNmazWNN3yFlk/OTrTGq7ta/aOD+K7h6XXn9m2DlZp2timuTbn9kaMcaI6dQQjOigN92Tb6xSOSOPh5cwXpX6PzvJwxixdpZ3LzDao3Bibn+PQO1wZsRFqTE7ach53OT7mb9NJQffV3WcH0Rvj86+nOTmfBN1er1tIqbvnnwBjqalR+DfgLHcoBEduopUynQP5V7MdioOP0ddFBqzM4acT6OlYZ+tTJF7CUJfZ/d8uxLeX5ApZ6xOh0Rj+sTk28pter69OcuBfzdl7ztMQ0aY813jxCzfmMPKHWnUZjt1u7nl7DpTKmtyfbYxO2fIWWTknu8HZ8LkG/H1Q3O+Xwm16uYor04HRGP27j3fsxuSEcDB0Q4a7wL96mk8h/+W5a8biZxZLb+Hww7i3HhJ3/zzXJ1xkWvMOv2sL8b4yde/Y9fb/ztbnHq387A/NRJJjh68PiAe0yTf+4ODDg5ele/77kYvseZ+XuDt7/cmVqMHnX5fecaNLVOyd/Hxl3Xh/9Yy4rfnyEFId59JFymXDb6ScX484yTfijqdjWkpxuvRMOcLAAAwOPR8N4IDHLSAK13wqQMe9WDYuRM4wEELuNIFnzrgUQ+SbydwgIMWcKULPnXAox7M+QIAAAwOPd+N4AAHLeBKF3zqgEc9GHbuBA5w0AKudMGnDnjUg+TbCRzgoAVc6YJPHfCoR7c537+/v/eLZZZZZpllln99uQV6vhvBAQ5awJUu+NQBj3qQfDuBAxy0gCtd8KkDHvUg+XYCBzhoAVe64FMHPOrRJfkCAADAduj5bgQHOGgBV7rgUwc86sGwcydwgIMWcKULPnXAox4k307gAActjOJqed7p1RnF59UZxeMd4vL2c77OPIKHf5/3QG84mucDtksPGfcfYh6Nha8Hd3vvn/DQ7TNIN251jrPb/YTHWk8S8TGLnYJ26x2PuXX355fj8oI932ewvhvZ2cp0QrCO8o3xTI514F/n4JqvNrNilkoXrWyvxi2MEWdeFb9P5TwrXvI9ikrHue06e1zo67PWk8R9OCurvLCK2cy6DhCXevzAsLMTsxIaLveB5Huwg/BLlTPyKA5xODFBkp2tEWsTPd/ZynTT5Fs1jFfruLRdR48LXX22xmLBx2yNpPJrbt0REJd63D/5rgTPz2HoE8adSb7HOpjt9F2RCiMczgQVbelFpIadb5h8W+bOah0Xt7t58m2OxayPWaxJ7ZtbdwzEpR4/Mec7Tcsc3yTGup+ZH/klohUrWZE+8z5+knX29fcAybc3NY1drePidjf2KNIai4X1uWHlzkPOZ0BcfrhYz/ecIeYY9HzH6/k+K9tr3seZ9fzPj/R8Q3KN3VV7GCLX7fmONOQsQlxqcu9h56p5vz6c5cC/s/fsuyLHm/N9jowYF7srPnLzxQ8k34VoY3fRuTWRq875jjXkLEJcanLj5DuLnabu3wxTnB20IzDE3c4rEiMjP9zzDVk3dgp3lYrcP/m2xmLKx2xlSu2YW3cgxKUe95zzfQ0nnvGTBjgR77qvf8P3nOM1LhgJSMVGLPm+f4rw4zFV4Ti73a94rPWU8THb9P9JkFv3k/xAXF6o5zsWOMBBC7jSBZ864FGPGw87jwUOcNACrnTBpw541IPk2wkc4KAFXOmCTx3wqMc953wBAABuBD3fjeAABy3gShd86oBHPRh27gQOcNACrnTBpw541IPk2wkc4KAFXOmCTx3wqAdzvgAAAIOzuef7/V/38eLFixcvXr/5oucLAAAwOCRfAACAzvwfUh6fB13Cl+gAAAAASUVORK5CYII=)
3 讨论
卵巢囊肿初期并无明显症状,在进一步发展下可出现蒂扭转或囊肿破裂,进而引发感染[2]。若出现以上情况则需及时采取手术治疗,以腹腔镜手术为主,具有创伤性较小及术后恢复快等优势。而在手术治疗后,若护理不当则可能增加并发症发生风险,或导致患者出现焦虑抑郁等不良情绪[3]。为此,护理工作中除对患者生理状态干预外,还需积极关注其心理状态变化情况。近年来,以人为本观念被引入到护理工作中,需做到以患者为中心,结合其病情与内心诉求提供护理服务。如本次调查结果所示,组间患者手术时间与术中出血量对比无明显差异,观察组患者平均排气时间与住院时间均小于对照组,组间对比有差异性。证实了采用以人文理念为基础的护理干预有助于缩短患者住院时间,为此,认为其具有一定经济性价值,可减轻患者经济压力。另外,组间患者干预前焦虑抑郁程度无明显差异,干预后观察组患者焦虑抑郁评分均小于对照组,组间对比有差异性。证实以人文理念为基础的护理干预在改善患者心理状态方面优势显著。其原因在于,护理工作中护理人员充分做到围绕患者提供护理服务,包括心理干预术后康复运动等,可促进患者身心康复。
综上所述,针对行手术治疗的卵巢囊肿患者,采用以人文理念为基础的护理干预可有效改善患者心理状态,对于缩短住院时间也具有积极作用。
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[3]赵燕凌,梁欢欢,薛妍,等.基于勒温场域理论促进人文关怀理念在急诊护理中的应用探索[J].护理研究,2019,33(23):138-140.