探析腹股沟疝手术患者采取鼓励性护理联合共情护理对改善生理及心理应激的效果。

抽取天长市中医院2019年11月至2020年12月收治的100例腹股沟疝手术患者作为研究对象，按照随机分组方法分为2组，每组50例。对照组腹股沟疝患者采取常规手术室护理措施进行干预，观察组在常规护理的基础上联合鼓励性护理及共情护理进行干预，对比2组患者焦虑（S-CAI）评分、脉搏氧饱和度（SPO₂）水平、平均动脉压（MAP）、心率（HR）以及护理满意率等指标。

2组腹股沟疝患者在进入手术室时S-CAI评分比较，差异无统计学意义[（68.55±10.15）分比（68.32±10.25）分，P>0.05]；接受不同手术室护理措施进行干预后，2组患者在麻醉开始时S-CAI评分均有所降低，但观察组患者的降低幅度明显大于对照组，差异均有统计学意义[（45.18±7.88）分比（55.32±8.25）分，P<0.05]。观察组MAP、HR等生理参数在麻醉开始时明显低于对照组（P<0.05），未对SPO₂产生明显不良影响（P>0.05）；观察组、对照组的护理满意率分别为96.00%、84.00%，观察组的护理满意率明显较高（P<0.05）。

腹股沟疝手术患者手术室护理中应用鼓励性护理、共情护理措施进行干预，能够明显改善焦虑情绪，改善术中生理及应激反应，提升手术室护理满意率，对保障患者整体手术治疗效果有着积极的作用。

To explore the effect of encouraging nursing combined with empathic nursing on improving physiological stress response and psychological stress response in patients with inguinal hernia surgery.

100 cases of inguinal hernia surgery patients in Tianchang Traditional Chinese Medicine Hospital from November 2019 to December 2020 were selected as subjects, the control group and the observation group were divided according to the principle of random grouping, 50 cases in each group. The control group received routine operating room nursing measures, while the observation group received encouraging nursing and empathic nursing on the basis of routine nursing. The anxiety (S-CAI) score, pulse oxygen saturation (SPO₂) level, mean arterial pressure (MAP), heart rate (HR) and nursing satisfaction rate of the two groups were compared.

The S-CAI score was similar between the control and observation group, without statistical significance [(68.55±10.15) points vs (68.32±10.25) points, P>0.05]. After receiving different intervention, the S-CAI scores decreased in the two groups. Compared with the control group, the S-CAI score of the observation group at the beginning of anesthesia decreased more significantly [(45.18±7.88) points vs (55.32±8.25) points, P<0.05]; the MAP, HR and other physiological parameters of the observation group at the beginning of anesthesia were significantly lower than those of the control group (P<0.05). There was no significant adverse effect on SPO₂ (P>0.05); the nursing satisfaction rates of the observation group and the control group were 96.00% and 84.00%, respectively; compared with the control group, the nursing satisfaction rate of the observation group was significantly higher (P<0.05).

The application of encouraging nursing and empathy nursing intervention in the operation room nursing of patients with inguinal hernia can significantly improve the anxiety response, improve the physiological stress reaction during the operation, improve the satisfaction rate of operation room nursing, and plays a positive role in ensuring the overall surgical treatment effect of patients.