摘要
目的研究手术室预见性干预结合舒适性护理对前列腺增生手术患者压力性损伤及应激反应的影响。方法将2021年1月-2023年5月我院行前列腺增生手术的60例患者按照随机数字表法分为对照组和观察组,各组30例。对照组采用常规护理,观察组采用手术室预见性干预联合舒适性护理,比较两组术后压力性损伤发生情况、Kolcaba舒适度评分、应激反应指标[皮质醇(Cor)、前列腺素E_(2)(PGE_(2))、去甲肾上腺素(NE)]水平、并发症发生率。结果与对照组压力性损伤发生率的20.00%比较,观察组压力性损伤发生率更低,仅为6.67%(P<0.05);与干预前比较,两组干预后Kolcaba舒适度评分升高,且与对照组比较,观察组Kolcaba舒适度评分更高(P<0.05);与干预前比较,两组Cor、PGE_(2)、NE水平升高,且与对照组比较,观察组Cor、PGE_(2)、NE水平更低(P<0.05);与对照组并发症发生率的23.33%比较,观察组并发症发生率更低,仅为10.00%(P<0.05)。结论手术室预见性干预结合舒适性护理对前列腺增生手术患者压力性损伤及应激反应均具有积极的影响,可预防压力下损伤,降低并发症发生率,提高患者舒适度,减小手术应激反应,可实现相对较理想的护理效果。
Objective To study the effect of predictive intervention combined with comfort nursing in operating room on pressure injury and stress response in patients with benign prostatic hyperplasia.Methods A total of 60 patients who underwent benign prostatic hyperplasia surgery in our hospital from January 2021 to May 2023 were divided into control group and observation group according to the random number table method,with 30 patients in each group.The control group was treated with routine nursing,and the observation group was treated with predictive intervention combined with comfort nursing in the operating room.The incidence of postoperative pressure injury,Kolcaba comfort score,stress response index[cortisol(Cor),prostaglandin E_(2)(PGE_(2)),norepinephrine(NE)]level and complication rate were compared between the two groups.Results Compared with 20.00% of the incidence of pressure injury in the control group,the incidence of pressure injury in the observation group was lower,only 6.67%(P<0.05).Compared with before intervention,the Kolcaba comfort score of the two groups after intervention had increased,and compared with the control group,the Kolcaba comfort score of the observation group was higher(P<0.05).Compared with before intervention,the levels of Cor,PGE_(2) and NE in the two groups had increased,and compared with the control group,the levels of Cor,PGE_(2) and NE in the observation group were lower(P<0.05).Compared with 23.33% of the incidence of complications in the control group,the incidence of complications in the observation group was lower,only 10.00%(P<0.05).Conclusion Predictive intervention in operating room combined with comfort nursing has a positive effect on stress injury and stress response in patients undergoing benign prostatic hyperplasia surger.It can prevent pressure injury,reduce the incidence of complications,improve patient comfort,and reduce surgical stress response,which can achieve relatively ideal nursing effect.
作者
龚丽
GONG Li(Department of Urinary Surgery,Ji'an Central People's Hospital,Ji'an 343000,Jiangxi,China)
出处
《医学信息》
2025年第5期144-147,共4页
Journal of Medical Information
关键词
手术室预见性干预
舒适性护理
前列腺增生手术
压力性损伤
应激反应
Predictive intervention in operating room
Comfortable nursing
Benign prostatic hyperplasia surgery
Pressure injury
Stress response
