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目的:研究阶段性心理干预对复杂性肾结石患者负性情绪的改善效果。方法:选取2012年8月—2016年8月我科室诊治的复杂性肾结石患者86例,按照数字表法分为研究组和对照组各43例,所有患者行单通道微创经皮肾镜联合输尿管软镜治疗,对照组给予常规护理干预,研究组在此基础上给予阶段性心理干预,比较两组患者焦虑、疼痛负性情绪的改善情况。结果:手术前1d两组患者患者自评量表(SAS)评分较入院时升高,对照组评分高于研究组,但是组间比较差异无统计学意义(P>0.05);出院时两组患者SAS评分均下降,组间比较差异有统计学意义(t=-2.637,P<0.05);两组患者VAS评分均明显下降,研究组患者评分低于对照组,组间比较差异有统计学意义(t=-16.065,P<0.05),手术后研究组止痛药使用率为13.95%,明显低于对照组,组间比较差异有统计学意义(χ~2=4.17,P<0.05)。结论:阶段性心理干预对复杂性肾结石患者焦虑、疼痛负性情绪具有明显的改善效果,促进手术康复,值得广泛推广应用。
Objective: To study the effect of phased psychological intervention on the negative emotions of patients with complex renal calculi. Methods: Eighty-six patients with complicated renal calculi diagnosed and treated in our department from August 2012 to August 2016 were divided into study group (43 cases) and control group (43 cases) according to digital table method. All patients underwent single-channel minimally invasive percutaneous nephrolithotomy Combined with ureteroscopic treatment, the control group was given routine nursing intervention. On the basis of this, the research group was given phased psychological intervention to compare the improvement of anxiety and pain negative emotions in both groups. Results: The self-rating scale (SAS) of patients in both groups before operation was higher than that at admission, and the score of the control group was higher than that of the study group, but there was no significant difference between the two groups (P> 0.05) SAS score of patients decreased, the difference between the two groups was statistically significant (t = -2.637, P <0.05); VAS scores decreased significantly in both groups, the score of the study group was lower than that of the control group, the difference was statistically significant (T = -16.065, P <0.05). After the operation, the painkiller utilization rate in the study group was 13.95%, which was significantly lower than that in the control group. There was significant difference between the two groups (χ ~ 2 = 4.17, P <0.05). Conclusion: Staged psychological intervention can significantly improve the anxiety and pain-negative emotions of patients with complicated renal calculus, and promote the rehabilitation of surgery. It is worth to be widely applied.