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目的探讨心理护理对心胸外科手术患者的影响。方法选取2016年1月—2017年7月的100例心胸外科手术患者,分为观察组(n=50)和对照组(n=50)。两组患者围术期均给予常规心胸外科手术护理,观察组患者在此基础上额外给予心理护理。结果两组患者护理前的焦虑、抑郁、强迫、恐惧、敌对、躯体化、人际关系、精神病性、偏执等SCL-90评分均相当,P>0.05。观察组患者护理后的焦虑、抑郁、强迫、恐惧、躯体化等SCL-90评分均低于对照组患者,P<0.05。观察组患者术前术后的血压、心率和呼吸频率等生理指标均无较大波动,比较差异不存在统计学意义,P>0.05;对照组患者术前术后血压、心率和呼吸频率等生理指标出现较大波动,比较差异存在统计学意义,P<0.05。两组患者术前的PSQI评分、VAS评分均相当,P>0.05。观察组患者术后的PSQI评分、VAS评分均低于对照组患者,P<0.05。结论对心胸外科手术患者实施心理护理干预,能够改善患者的不良心理情绪,从而促使患者围术期的各项生理指标保持在较为平稳的状态,提高患者的睡眠质量,并有效缓解患者的疼痛。
Objective To explore the impact of psychological nursing on patients undergoing cardiothoracic surgery. Methods A total of 100 patients undergoing cardiac surgery from January 2016 to July 2017 were divided into observation group (n = 50) and control group (n = 50). Both groups were given routine cardiothoracic surgery during the perioperative period, and the patients in the observation group were additionally given psychological care on this basis. Results The SCL-90 scores of anxiety, depression, coercion, fear, hostility, somatization, interpersonal relationship, psychosis and paranoid were equal before treatment in both groups (P> 0.05). SCL-90 scores of anxiety, depression, compulsion, fear and somatization in observation group were lower than those in control group (P <0.05). There was no significant fluctuation in the blood pressure, heart rate and respiratory rate in the observation group before and after operation, and the difference was not statistically significant (P> 0.05). Before the operation, blood pressure, heart rate and respiratory rate There were significant fluctuations in the indicators, the difference was statistically significant, P <0.05. Preoperative PSQI score, VAS score were equal in both groups, P> 0.05. PSQI score and VAS score in observation group were lower than those in control group (P <0.05). Conclusions Psychological nursing intervention in patients undergoing cardiothoracic surgery can improve the patients’ bad psychological mood, so as to promote the perioperative physiological indexes of patients to maintain a relatively steady state, improve the quality of sleep and relieve pain effectively.