基于梧桐模式的手术室护理对腹部手术患者焦虑和抑郁的影响:单中心回顾性研究

IF 0.9 4区 医学 Q3 SURGERY Annali italiani di chirurgia Pub Date : 2024-01-01
Weijian Chen, Jinchuan Xi, Shentao Wang, Yu Cao
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引用次数: 0

摘要

背景介绍焦虑、抑郁情绪的存在不利于患者的康复,因此在手术室应用合理有效的护理方法安抚患者的负面情绪尤为重要。本研究旨在探讨运用梧桐模式进行手术室护理对腹部手术患者焦虑、抑郁水平的影响。 研究方法研究对象包括 2021 年 4 月至 2023 年 4 月期间在我院接受腹部手术的 167 名患者。这些人被选为研究对象。根据不同的围手术期管理方案,将患者分为对照组(包括85名接受常规围手术期管理的患者)和研究组(包括82名接受 "梧桐模式 "手术室护理的患者)。研究人员收集了所有参与者的综合基线数据以及匹兹堡睡眠质量指数(PSQI)、贝克抑郁量表(BDI)、焦虑自评量表(SAS)、一般自我效能量表-6(GSE-6)和短表-36健康调查(SF-36)的得分。对两组患者的睡眠状况、抑郁水平、焦虑水平、自我效能和生活质量进行了比较分析。 结果显示干预后,两组患者的 PSQI 分数以及 BDI 和 SAS 分数与干预前相比均显著降低(P < 0.001)。值得注意的是,与对照组相比,研究组在干预后的 PSQI 分数、BDI 分数和 SAS 分数都明显降低(p < 0.001)。此外,与干预前相比,两组患者的 GSE-6 评分在干预后都有大幅提高(P < 0.001)。干预后,研究组的 GSE-6 评分和 SF-36 评分明显高于对照组(p < 0.001)。 结论基于 "梧桐模式 "的手术室护理对腹部手术患者有明显的影响,具有明显的临床应用价值。该研究结果为患者围手术期护理方案的制定和选择提供了有价值的启示,为医护人员提供了重要的参考依据。
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Effect of Operating Room Care Based on Wutong Mode on Anxiety and Depression of Patients Undergoing Abdominal Surgery: A Single-Center Retrospective Study.

Background: The existence of anxiety and depression is not conducive to the rehabilitation of patients, so it is particularly important to apply reasonable and effective nursing methods in operating room to calm the negative emotions of patients. This study aimed to investigate the impact of operating room care utilizing the Wutong mode on the anxiety and depression levels of patients undergoing abdominal surgery.  Methods: The study included 167 patients who underwent abdominal surgery at our hospital from April 2021 to April 2023. These individuals were selected as the research subjects. Based on distinct perioperative management programs, the patients were categorized into the control group (comprising 85 patients receiving conventional perioperative management) and the study group (consisting of 82 patients undergoing operating room care based on the Wutong mode). Comprehensive baseline data, as well as scores from the Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), Self-Rating Anxiety Scale (SAS), General Self-Efficacy Scale-6 (GSE-6), and Short-Form-36 Health Survey (SF-36), were collected from all participants. A comparative analysis was performed on sleep status, depression levels, anxiety levels, self-efficacy, and quality of life between the two groups.  Results: Following the intervention, the PSQI scores, as well as BDI and SAS scores of patients in both groups, were significantly reduced compared to pre-intervention levels (p < 0.001). Notably, the study group exhibited markedly lower PSQI scores, BDI scores, and SAS scores compared to the control group post-intervention (p < 0.001). Additionally, the GSE-6 scores of patients in both groups showed a substantial increase after the intervention compared to pre-intervention levels (p < 0.001). The study group demonstrated significantly higher GSE-6 scores and SF-36 scores than the control group after the intervention (p < 0.001).  Conclusion: The Wutong mode-based operating room care has a pronounced impact on patients undergoing abdominal surgery, demonstrating clear clinical application value. This finding offers valuable insights for the development and selection of perioperative nursing plans for patients, providing a significant reference point for healthcare practitioners.

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来源期刊
CiteScore
0.90
自引率
12.50%
发文量
116
审稿时长
>12 weeks
期刊介绍: Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.
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