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目的腹壁巨大切口疝患者术后改善焦虑、抑郁的效果研究,为临床进行有效的护理干预提供依据。方法选取2012年1月至2015年5月,广元市第一人民医院48例腹壁巨大切口疝患者进行试验观察,并随机分为试验组与对照组。对照组使用常规护理模式,试验组使用优质护理模式进行护理干预,比较两组患者在护理干预前后的心理变化,使用焦虑自评量表(SAS)以及抑郁自评量表(SDS)进行调查,比较两组患者在护理干预前后的SAS评分以及SDS评分和对护理满意率的变化。结果两组患者在护理干预前的SAS评分分别为(52.6±5.6)和(53.4±5.8)分,护理干预后的SAS评分分别为(40.5±3.5)和(47.2±5.1)分,试验组在SDS评分变化以及护理满意率等方面显著优于对照组,差异具有统计学意义(P<0.05)。结论为腹壁巨大切口疝患者提供优质护理服务干预能够显著改善患者的术后焦虑抑郁情况,提高患者的预后以及生活质量,能够达到提高医院服务质量的效果。
The purpose of abdominal incision patients with huge incisional hernia after anxiety and depression to improve the effect of research for clinical effective nursing intervention to provide the basis. Methods From January 2012 to May 2015, 48 patients with huge incisional hernia of abdominal wall in Guangyuan First People’s Hospital were randomly divided into experimental group and control group. The control group used routine nursing mode, and the experimental group used high-quality nursing mode for nursing intervention. The psychological changes of the two groups before and after nursing intervention were compared. The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) The SAS scores and SDS scores before and after nursing intervention were compared between the two groups in terms of satisfaction with nursing. Results SAS scores of the two groups were (52.6 ± 5.6) and (53.4 ± 5.8) before nursing intervention, and SAS scores after nursing intervention were (40.5 ± 3.5) and (47.2 ± 5.1) SDS score changes and nursing satisfaction rate was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Interventions to provide quality nursing care for patients with huge incisional hernia of the abdominal wall can significantly improve postoperative anxiety and depression, improve patient prognosis and quality of life, and improve the quality of hospital services.