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目的探讨术前针对性心理干预对肿瘤全麻手术患者心理状况及预后的影响。方法选择接受全麻手术治疗的肿瘤患者110例作为研究对象。根据随机数字法分为观察组及对照组,每组55例。对照组术前均给予常规性护理干预,观察组患者在对照组基础上进行术前针对性心理干预,对比两组护理前后的紧张焦虑情况、心率与血压情况以及精神症状自评量表SCL评分。结果两组护理后的状态焦虑量表(S-AI评分)及抑郁自评量表(SDS评分)较护理前均显著降低,且观察组护理后显著低于对照组(P<0.05)。两组护理后的心率、收缩压及舒张压较护理前均显著降低,且观察组护理后显著低于对照组(P<0.05)。护理后观察组精神症状自评量表(SCL-90评分)各项因子中,躯体化症状评分显著高于护理前,但仍低于对照组护理后的评分;观察组强迫、抑郁、焦虑、敌对、恐怖以及偏执的评分显著低于护理前及对照组护理后的评分(均P<0.05)。护理后对照组SCL-90各项因子中,躯体化症状、强迫以及敌对的评分显著高于护理前(均P<0.05)。结论术前针对性心理干预对肿瘤全麻手术患者的心理状况及预后均有积极的改善作用,值得临床推广。
Objective To investigate the effect of preoperative psychological intervention on the psychological status and prognosis of patients undergoing general anesthesia. Methods Totally 110 cancer patients undergoing general anesthesia were selected as study subjects. According to random number method divided into observation group and control group, 55 cases in each group. The patients in the control group were given routine nursing intervention before surgery. The patients in the observation group were preoperatively targeted psychological intervention on the basis of the control group. Tension and anxiety before and after care, heart rate and blood pressure and SCL score . Results The state anxiety scale (S-AI score) and depression self-rating scale (SDS score) after treatment in both groups were significantly lower than those before nursing, and the scores in the observation group were significantly lower than those in the control group (P <0.05). The heart rate, systolic blood pressure and diastolic blood pressure of the two groups after nursing were significantly lower than those before the nursing, and the scores in the observation group were significantly lower than those in the control group (P <0.05). After nursing, the scores of somatization symptom scores in SCL-90 scores in nursing group were significantly higher than those in control group, but still lower than those in control group. The scores of anxiety, depression, anxiety, The scores of hostility, horror and paranoid were significantly lower than those of the pre-care and control groups (all P <0.05). Among all the SCL-90 factors in the post-treatment control group, the scores of somatization, compulsion and hostility were significantly higher than those before nursing (all P <0.05). Conclusion Preoperative psychological intervention on patients with general anesthesia surgery patients with psychological status and prognosis have a positive effect, worthy of clinical promotion.