护患沟通与心理护理对胃肠手术后身心应激反应的影响。

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Nan Liu, Juan Tang, Fang Fang, Hai-Juan Yuan, Lei Huang, Xiao-Yue Tan
{"title":"护患沟通与心理护理对胃肠手术后身心应激反应的影响。","authors":"Nan Liu, Juan Tang, Fang Fang, Hai-Juan Yuan, Lei Huang, Xiao-Yue Tan","doi":"10.4240/wjgs.v17.i8.104784","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 0.05). The health promotion lifestyle profile scores of the observation group increased from 104.25 ± 6.77 to 133.61 ± 10.25 (<i>P</i> < 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%; <i>P</i> < 0.05). Nursing satisfaction in the observation group was 95.00%, significantly higher than that in the control group (80.00%; <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 8","pages":"104784"},"PeriodicalIF":1.7000,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427043/pdf/","citationCount":"0","resultStr":"{\"title\":\"Combined effects of nurse-patient communication and psychological nursing on physical and mental stress responses after gastrointestinal surgery.\",\"authors\":\"Nan Liu, Juan Tang, Fang Fang, Hai-Juan Yuan, Lei Huang, Xiao-Yue Tan\",\"doi\":\"10.4240/wjgs.v17.i8.104784\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The integration of patient-nurse communication language and focused psychological nursing can provide a reference for nursing interventions in patients undergoing gastrointestinal surgery.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 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 (<i>P</i> < 0.05). The health promotion lifestyle profile scores of the observation group increased from 104.25 ± 6.77 to 133.61 ± 10.25 (<i>P</i> < 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%; <i>P</i> < 0.05). Nursing satisfaction in the observation group was 95.00%, significantly higher than that in the control group (80.00%; <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":23759,\"journal\":{\"name\":\"World Journal of Gastrointestinal Surgery\",\"volume\":\"17 8\",\"pages\":\"104784\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-08-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427043/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Gastrointestinal Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4240/wjgs.v17.i8.104784\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Gastrointestinal Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4240/wjgs.v17.i8.104784","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

背景:护患沟通语言与重点心理护理相结合,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重点心理护理对胃肠手术患者心理生理应激反应、应对方式、健康行为及并发症的影响。方法:选取2021年10月~ 2024年8月苏北人民医院胃肠外科手术患者80例,随机分为两组,每组40例。对照组给予常规护理,观察组给予护患沟通语言结合重点心理护理。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、护理满意度。结果:护理后,观察组患者心理应激反应明显改善,康诺-戴维森弹性量表平均得分由23.22±1.08分提高至30.14±2.78分(P < 0.05)。术后苏醒时,观察组患者心率为78.36±2.98次/min,显著低于对照组的81.14±2.44次/min (P < 0.05);平均动脉血压为12.06±1.26 kPa,显著低于对照组的13.45±1.17 kPa (P < 0.05)。观察组应对方式量表得分从对抗组的17.25±1.40分提高到23.64±1.52分,逃避组的16.94±1.24分提高到12.11±1.02分,服从组的21.69±2.63分提高到15.32±1.41分(P < 0.05)。观察组健康促进生活方式评分由104.25±6.77分提高至133.61±10.25分(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:护患沟通语言与重点心理护理相结合,可缓解胃肠手术患者的心理和生理应激反应,改善患者的应对方式和健康行为,降低并发症发生风险,提高护理满意度,取得理想的临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combined effects of nurse-patient communication and psychological nursing on physical and mental stress responses after gastrointestinal surgery.

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 (P < 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 (P < 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 (P < 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 (P < 0.05). The health promotion lifestyle profile scores of the observation group increased from 104.25 ± 6.77 to 133.61 ± 10.25 (P < 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%; P < 0.05). Nursing satisfaction in the observation group was 95.00%, significantly higher than that in the control group (80.00%; P < 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.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
5.00%
发文量
111
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信