手术室护士主导的术前等待区心理疏导方案对患者应激反应的影响 |
| 周雪梅 |
| 河池市第一人民医院，广西河池，546300 |
| 摘要：目的 探究在手术治疗的围术期护理期间，实施由手术室护士主导的术前等待区心理疏导方案对于减轻患者手术应激反应所产生的实际护理价值。方法 选取 2023 年 4 月—2024 年 5 月我院 80 例日间择期手术患者为研究对象，按照就诊单双号为观察组与对照组，各 40 例。对照组采用常规术前围术期的护理，观察组在常规护理基础上实施手术室护士主导的术前等待区心理疏导方案。比较两组患者的应激反应（心率、血压）、负面情绪（SAS、SDS 评分）、应对方式（MCMQ 评分）及护理满意度。结果 护理后，观察组术后 12h 心率、舒张压、收缩压均显著低于对照组（P<0.05）；观察组 SAS、SDS评分均低于对照组（P<0.05）；观察组 MCMQ 量表中“面对”评分高于对照组，“屈服”“回避”评分低于对照组（P<0.05）；观察组护理满意度（90.35±1.06 分）显著高于对照组（78.03±1.32 分）（P<0.05）。结论 手术室护士主导的术前等待区心理疏导方案可有效减轻患者手术应激反应，改善负面情绪，优化应对方式，提高护理满意度，值得临床推广应用。 |
| 关健词：手术室护士；术前等待区；心理疏导；应激反应；围术期护理 |
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| The impact of preoperative waiting area psychological counseling program led by operating room nurses on patients' stress response |
| Xuemei Zhou |
| The First People's Hospital of Hechi City, Hechi，Guangxi 546300, China |
| Abstract: Objective To explore the practical nursing value of implementing a preoperative waiting area psychological counseling program led by operating room nurses during the perioperative nursing period of surgical treatment in reducing patients' surgical stress reactions. Methods 80 patients who underwent elective surgery during the daytime in our hospital from April 2023 to May 2024 were selected as the research subjects. According to the double number of their medical records, they were divided into an observation group and a control group, with 40 patients in each group. The control group received routine preoperative and perioperative care, while the observation group implemented a preoperative waiting area psychological counseling program led by operating room nurses on the basis of routine care. Compare the stress response (heart rate, blood pressure), negative emotions (SAS, SDS scores), coping strategies (MCMQ scores), and nursing satisfaction between two groups of patients. Results After nursing, the heart rate, diastolic blood pressure, and systolic blood pressure of the observation group were significantly lower than those of the control group at 12 hours after surgery (P<0.05); The SAS and SDS scores of the observation group were lower than those of the control group (P<0.05); In the MCMQ scale of the observation group, the "face" score was higher than that of the control group, and the "yield" and "avoidance" scores were lower than those of the control group (P<0.05); The nursing satisfaction of the observation group (90.35 ± 1.06 points) was significantly higher than that of the control group (78.03 ± 1.32 points) (P<0.05). Conclusion The preoperative waiting area psychological counseling program led by operating room nurses can effectively alleviate patients' surgical stress reactions, improve negative emotions, optimize coping strategies, and increase nursing satisfaction. It is worthy of clinical promotion and application. |
| Keywords：Operating room nurse; Preoperative waiting area; Psychological counseling; Stress response; Perioperative nursing |
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