个性化心理护理在高位复杂性肛瘘围手术期患者中的应用及效果
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摘要
目的探讨个性化心理护理对高位复杂性肛瘘患者围手术期焦虑、抑郁、疼痛及术后恢复的影响。方法将2011年5月-2012年3月收治的57例高位复杂性肛瘘患者按隐匿数字随机法分为观察组(28例)和对照组(29例)。对照组采用传统心理护理方式干预,观察组采用个性化心理护理方式干预,并对比两组患者围手术期焦虑、抑郁、疼痛、住院时间、住院费用、创面愈合时间、生活质量等相关指标。结果观察组手术当日及术后第7天焦虑、抑郁、疼痛评分均明显低于对照组,差异有统计学意义(P<0.05);观察组住院时间、住院费用明显少于对照组,差异有统计学意义(P<0.05);两组术后创面愈合时间差异无统计学意义(P>0.05);两组患者治疗后生活质量评分较治疗前均明显提高(P<0.05),但组间比较差异无统计学意义(P>0.05)。结论个性化心理护理可缓解高位复杂性肛瘘手术患者围手术期焦虑、抑郁等不良心理反应,减轻疼痛,有助于患者术后恢复。
Objective To explore the influence of individualized psychological nursing in perioperative patients with high complex anal fistula on their perioperative anxiety, depression, pain, and recovery. Methods Fifty-seven perioperative patients with high anal fistula treated between May 2011 and March 2012 were randomly divided into observation group(n=28) and control group(n=29). Patients in the control group were treated with traditional way of psychological nursing intervention, while patients in the observation group were given individualized psychological nursing intervention. Then, we compared the two groups of patients in terms of their perioperative anxiety, depression, and pain as well as the length of hospital stay, hospital expenses, wound healing time, and patients' quality of life. Results On the day of surgery and on day 7 after surgery, anxiety, depression and pain scores of the observation group were significantly lower than those of the control group(P < 0.05). Length of hospital stay and hospitalization expenses of the observation group were significantly shorter or less than the control group(P < 0.05). There was no statistically significant difference between the two groups in postoperative wound healing time(P>0.05). The quality of life score for both the two groups of patients after treatment was significantly higher than that before treatment(P < 0.05), but there was no statistically significant difference between the two groups(P > 0.05). Conclusion Individualized psychological nursing can relieve perioperative adverse psychological reactions such as anxiety, depression and pain, and promote postoperative recovery for patients with high complex anal fistula.
Objective To explore the influence of individualized psychological nursing in perioperative patients with high complex anal fistula on their perioperative anxiety, depression, pain, and recovery. Methods Fifty-seven perioperative patients with high anal fistula treated between May 2011 and March 2012 were randomly divided into observation group(n=28) and control group(n=29). Patients in the control group were treated with traditional way of psychological nursing intervention, while patients in the observation group were given individualized psychological nursing intervention. Then, we compared the two groups of patients in terms of their perioperative anxiety, depression, and pain as well as the length of hospital stay, hospital expenses, wound healing time, and patients' quality of life. Results On the day of surgery and on day 7 after surgery, anxiety, depression and pain scores of the observation group were significantly lower than those of the control group(P < 0.05). Length of hospital stay and hospitalization expenses of the observation group were significantly shorter or less than the control group(P < 0.05). There was no statistically significant difference between the two groups in postoperative wound healing time(P>0.05). The quality of life score for both the two groups of patients after treatment was significantly higher than that before treatment(P < 0.05), but there was no statistically significant difference between the two groups(P > 0.05). Conclusion Individualized psychological nursing can relieve perioperative adverse psychological reactions such as anxiety, depression and pain, and promote postoperative recovery for patients with high complex anal fistula.
引文
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2 蔡敬泽,吴贤,傅林平.亚甲蓝切缘封闭在环状混合痔手术中的运用[J].中国肛肠病杂志,2011,31(12):43-45.
3 李昆鹰.中药熏洗在痔切除术后的临床运用[J].中国肛肠病杂志,2010,30(3):49-50.
4 刘木子,王桂梅,刘桂峰.音乐疗法配合直肠癌围手术期的护理[J].中国医药指南,2014,12(23):354-355.
5 吴文源.焦虑自评表[J].中国心理卫生杂志,1999(增刊):235-238.
6 舒良.自评抑郁量表[J].中国心理卫生杂志,1999(增刊):194-196.
7 袁睆,肖水源.疼痛评估工具的临床应用[J].中国心理卫生杂志,2013,27(5):331-334.
8 Costantino M,Filippelli A.Kneeosteoarthritis and SPA therapy:assessment of joint function and quality of life[J].Clin Ter,2001,162(2):51-57.
9 谭群英,张金恩.心理干预在肛裂患者围手术期的应用效果[J].中国肛肠病杂志,2014,33(2):64-66.
10 王平,李晓娟.心理护理干预在肛门病患者围手术期的应用效果[J].中国肛肠病杂志,2014,34(2):70-72.
11 詹雪,王君慧.术前疼痛教育对食管癌根治术后疼痛控制影响的研究[J].中国实用护理杂志,2009,25(12):38-39.
12 马俊华.普外科患者术后疼痛的临床护理干预[J].中国保健营养(下旬刊),2014(6):3404.
13 张宇玲,刘秀伟.普外科患者术后疼痛的护理干预效果[J].中外医学研究,2014,12(5):118-120.