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}
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.