黄莉斌

摘要目的：探讨手术室护理对胃癌手术应激反应和满意度的影响。方法：选取2017年1月至2019年4月莆田市第一医院收治的胃癌手术患者60例作为研究对象，随机分为对照组和观察组，每组30例。对照组进行常规护理，观察组进行手术室护理。比较2组患者的睡眠质量[匹兹堡睡眠质量指数量表（PSQI）]、应激状况（生理应激及心理应激）和满意度。结果：观察组手术前晚观察组的PSQI评分、术中心率、舒张压、收缩压及麻醉前SAS、SDS评分显著低于对照组，护理满意度显著高于对照组，差异有统计学意义（P<005）。结论：手术室护理可有效减轻胃癌手术的术中应激反应，改善睡眠质量，提升满意度。

关键词胃癌;手术;手术室护理;应激反应;满意度

Analysis on the Influence of Operating Room Nursing for Stress Response and Satisfaction of Patients with Gastric Cancer

HUANG Libin

（First Hospital of Putian City in Fujian Province，Putian 351100，China）

AbstractObjective：To investigate the influence of operating room nursing for stress response and satisfaction of patients with gastric cancerMethods：A total of 60 patients with gastric cancer surgery in First Hospital of Putian City from January 2017 to April 2019 were divided into routine group and intervention group with 30 cases in each group according to the computer random grouping methodThe routine group were with routine nursing，and the intervention group were with operating room nursingThen the sleep quality [Pittsburgh sleep quality index（PSQI scale）]，stress status（physiological stress and psychological stress）and satisfaction of two groups were comparedResults：The PSQI score，heart rate，diastolic blood pressure and systolic blood pressure during the surgery，and preanesthesia SAS and SDS scores of intervention group were significantly lower than those of routine group，the nursing satisfaction was significantly higher than that of routine group，there were statistically significant differences（P<005）.Conclusion：The operating room nursing can effectively improve the reduce intraoperative stress response，improve sleep quality and improve satisfaction of patients with gastric cancer surgery.

KeywordsGastric cancer;Surgery;Operating room nursing;Stress response; Satisfaction

中圖分类号：R47373;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.005

胃癌是我国较为高发的恶性肿瘤疾病之一，致死率较高[1]。手术治疗是目前临床治疗胃癌的常用方式，但胃癌患者实施手术治疗时常存在明显的生理应激和心理应激，而应激反应的出现会直接影响患者的治疗依从性及体征稳定性，严重时甚至会影响手术过程，影响手术效果及预后[2]。因此在胃癌患者手术期间需实施有效的护理，积极控制患者应激状况，保证手术效果及安全性。本研究探究手术室护理干预在胃癌手术患者中的应用效果，现报道如下。

1资料与方法

11一般资料选取2017年1月至2019年4月莆田市第一医院收治的胃癌手术患者60例作为研究对象，随机分为对照组和观察组，每组30例。对照组中男18例，女12例，年龄25～79岁，平均年龄（4866±761）岁，胃体下段5例、胃角11例、胃窦14例，胃次全切除手术12例、胃全切手术18例。观察组中男19例，女11例，年龄22～79岁，平均年龄（4874±795）岁，胃体下段4例、胃角10例、胃窦16例，胃次全切除手术10例、胃全切手术20例。……