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目的探究强化心理护理应用于无痛人流受术者对其焦虑情绪及满意度的影响,并为这类特殊群体的优质护理积累经验。方法选取2013年2月—2015年3月无锡市妇幼保健院收治的86例无痛人流受术者,利用随机数字表法进行分组,分别设研究组和对照组,每组各43例。其中对照组开展传统护理措施,研究组则在对照组基础上实施强化心理护理,分别为术前情感疏导、个体化健康宣教、放松训练、术中情感关怀及术后心理关怀。2组受术者于术前2 h接受SAS量表测评,并记录其术中疼痛程度及护理满意度。结果研究组术前轻度焦虑14例,中度焦虑23例,重度焦虑6例,对照组轻度焦虑7例,中度焦虑21例,重度焦虑15例,研究组焦虑程度轻于对照组差异有统计学意义(P<0.05)。研究组Ⅰ级疼痛21例,Ⅱ级疼痛8例,Ⅲ级疼痛14例,对照组Ⅰ级疼痛13例,Ⅱ级疼痛9例,Ⅲ级疼痛21例,研究组疼痛程度轻于对照组,差异有统计学意义(P<0.05)。研究组在术前告知、术中关怀、需求应对、服务态度、术后关怀及健康教育方面的满意度均高于对照组,差异有统计学意义(P<0.05)。结论强化心理护理干预应用于无痛人流受术者,能有效减轻其焦虑情绪,且能提高机体满意度,取得较为满意的临床成效。
Objective To explore the effect of intensive psychological nursing on pain-relieving patients with anxiety and satisfaction, and to accumulate experience for the quality nursing of these special groups. Methods Eighty-six cases of painless abortion treated in Wuxi Maternal and Child Health Care Hospital from February 2013 to March 2015 were selected and divided into study group and control group by random number table method, with 43 cases in each group. The control group carried out the traditional nursing measures, and the research group implemented intensive psychological nursing on the basis of the control group, including preoperative emotional counseling, individualized health education, relaxation training, intraoperative emotional care and postoperative psychological care. Two groups of patients underwent SAS measurement 2 h before surgery and their intraoperative pain and nursing satisfaction were recorded. Results The preoperative mild anxiety in study group 14 cases, 23 cases of moderate anxiety, severe anxiety in 6 cases, the control group of mild anxiety in 7 cases, moderate anxiety in 21 cases, severe anxiety in 15 cases, the study group was less anxious than the control group There was statistical significance (P <0.05). In the study group, there were 21 cases of grade Ⅰ pain, 8 cases of grade Ⅱ pain, 14 cases of grade Ⅲ pain, 13 cases of grade Ⅰ pain, 9 cases of grade Ⅱ pain and 21 cases of grade Ⅲ pain in control group. The pain degree of study group was lower than that of control group, There was statistical significance (P <0.05). The satisfaction of the study group in preoperative notification, intraoperative care, demand response, service attitude, postoperative care and health education were all higher than those in the control group (P <0.05). Conclusion Intensive psychological nursing interventions applied to painless patients, can effectively reduce their anxiety, and can improve the body satisfaction, and achieved more satisfactory clinical results.