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心理干预对子宫肌瘤切除患者术后护理效果的影响

Postoperative care effect of psychological intervention on myomectomy patients

  • 摘要: 目的 探讨心理干预对子宫肌瘤切除患者的术后护理影响,以提高医护人员的护理质量,促进患者早日康复。方法 选取南方医科大学深圳医院2016年3-8月进行腹腔镜子宫肌瘤切除术治疗的126例患者为研究对象,随机分为两组,对照组与干预组。对照组给予基础护理,干预组在基础护理的基础上进行心理干预。探讨两组患者在术后视觉模拟疼痛评分(VAS评分)、术后不适症状发生率、住院时间、症状自评量表-SCL90得分以及患者与家属满意度之间的差异。结果 干预组与对照组相比患者在术后VAS评分对照组为(6.7±1.6)、干预组为(4.5±1.2),以及术后症状发生率、住院时间比较均有显著性降低(P<0.05),在患者与家属满意度方面有显著性提高(P<0.05);SCL90得分情况显示,干预组能够显著降低(P<0.05)术后患者的焦虑、抑郁情绪,提高患者的睡眠质量。结论 子宫肌瘤切除患者的术后护理中增加心理干预护理,能够缓解患者的焦虑抑郁等不良情绪,提高术后医护质量,促进患者早日康复。

     

    Abstract: Objective To investigate the postoperative care influence of psychological intervention on myomectomy patients,in order to improve the quality of nursing and promote patients recovery early.Method 126 patients who were carried out laparoscopic myomectomy treatment in Shenzhen Hospital of Southern Medical University during March 2014 to April 2015 were selected and divided into two groups randomly.The control group was given primary care;the intervention group was given psychological intervention basing on the primary care.The indexes were compared between the two groups,such as VAS score after operating,postoperative complications,hospital stay,SCL-90 scores as well as patients satisfaction.Results Compared with control group,intervention group had lower level in VAS score,the incidence of postoperative symptoms and length of hospital stay (P<0.05),and the patients satisfaction were significantly increased (P<0.05).SCL90 scores showed that the intervention can significantly decrease (P<0.05) patients' anxiety and depression in postoperative and improve their sleep quality.Conclusion Psychological intervention on myomectomy patients with post-operative care can relieve their anxiety,depression and other negative emotions,improve postoperative care quality and promote patients recovery early.

     

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