基于应激系统理论的整合性护理在食管癌根治术患者中的应用OA
Application of integrative nursing based on the stress system theory in patients undergoing radical resection of esophageal cancer
目的 探究基于应激系统理论构建的整合性护理模式对食管癌根治术患者疼痛等的影响.方法 选取2023 年1 月至2025 年6 月在扬州大学附属泰州第二人民医院接受食管癌根治术的 116 例患者,按照随机数字表法分为对照组(实施常规护理,58 例)与观察组(在对照组的基础上实施基于应激系统理论构建的整合性护理模式,58 例).比较2 组的疼痛程度、应激反应等情况.结果 与干预前比较,2 组术后 3 d、7 d的视觉模拟评分法(VAS)评分均降低,且术后7 d低于术后3 d(P均<0.05);2 组干预后的斯坦福急性应激反应问卷(SASRQ)、匹兹堡睡眠质量指数(PSQI)、恐惧疾病进展简化量表(FoP-Q-SF)、综合性医院焦虑抑郁量表(HAD)评分均降低(P均<0.05).组间对比,观察组术后3 d、7 d的VAS评分均更低,观察组干预后的SASRQ、PSQI、FoP-Q-SF、HAD评分均更低(P均<0.05).观察组的手术并发症总发生率低于对照组(P<0.05).结论 基于应激系统理论构建的整合性护理模式能够显著减轻食管癌根治术后患者的疼痛情况,降低应激水平,同时还能改善其心理状态和睡眠质量,减少手术并发症发生情况.
Objective To explore the impact of integrative nursing model based on the stress system theory on pain and other outcomes of patients undergoing radical resection of esophageal cancer.Methods A total of 116 patients who underwent radical resection of esophageal cancer at the Affiliated Taizhou Second People's Hospital of Yangzhou University from January 2023 to June 2025 were selected.They were divided into a control group(receiving routine nursing,58 cases)and an observation group(receiving the integrative nursing model based on the stress system theory in addition to nursing given to the control group,58 cases)using a random number table.The pain levels,stress responses,and other conditions of the two groups were compared.Results Compared with pre-intervention levels,the Visual Analogue Scale(VAS)scores of both groups decreased at 3 and 7 days after operation,and the score at 7 days was lower than that at 3 days(P<0.05).The scores of the Stanford Acute Stress Reaction Questionnaire(SASRQ),Pittsburgh Sleep Quality Index(PSQI),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),and Hospital Anxiety and Depression Scale(HAD)after intervention in both groups were all decreased(P<0.05).When the groups were compared,the VAS scores of the observation group at 3 and 7 days after operation were lower,and the SASRQ,PSQI,FoP-Q-SF,and HAD scores of the observation group after intervention were also lower compared with the control group(P<0.05).The overall incidence of surgical complications in the observation group was lower than that in the control group(P<0.05).Conclusion The integrative nursing model based on the stress system theory can significantly relieve pain in patients undergoing radical resection of esophageal cancer,reduce their stress level,improve their psychological well-being and sleep quality,and lower the occurrence of surgical complications as well.
鲍小霞;陈璐;申静
扬州大学附属泰州第二人民医院,江苏 泰州,225500扬州大学附属泰州第二人民医院,江苏 泰州,225500扬州大学附属泰州第二人民医院,江苏 泰州,225500
医药卫生
食管癌根治术应激系统理论整合性护理模式心理应激反应
radical resection of esophageal cancerstress system theoryintegrative nursing modelpsychologystress response
《中西医结合护理（中英文）》 2026 (1)
29-32,4
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