综合护理下的焦点解决短期心理治疗对鼻窦炎患者内镜术后不良情绪及术后恢复的影响
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摘要
目的:观察综合护理模式下的焦点解决短期心理治疗对鼻窦炎患者内镜术后不良情绪及术后恢复的影响。方法:选取120例鼻内镜下性鼻窦炎手术治疗的患者作为研究对象,以随机数字表法分为对照组和观察组,每组各60例。对照组患者给予综合护理,观察组患者在综合护理基础上给予焦点解决短期心理治疗,两组患者住院时间均为7～10 d。干预结束后观察患者术后心理状态(SDS、SAS评分)、生活质量评价(SF-36评分)、术后疼痛程度(VAS评分)、术后并发症发生情况、康复效果及护理满意度等。结果:经护理干预后,观察组患者的SDS、SAS评分均低于对照组(t_1=5.703,t_2=11.792,P_1=0.001,P_2=0.001,P<0.05),SF-36各维度及总分评分均高于对照组(t=0.219,P=0.001,P<0.05);观察组患者VAS评分(t=17.884,P=0.001)及术后并发症发生率(χ~2=8.775,P=0.003)均低于对照组患者(P<0.05);两组患者术后总康复率差异无统计学意义(χ~2=1.256,P>0.05),但观察组护理满意度评分明显高于对照组(χ~2=6.903,P<0.05)。结论:综合护理干预可有效减轻鼻窦炎鼻内镜术后患者疼痛程度,减少术后并发症发生,焦点解决短期心理治疗可改善患者不良情绪,提升患者生活质量及护理满意度,适合护理推广。
Objective:To observe the effect of short-term psychotherapy on the adverse emotions and postoperative recovery of patients with sinusitis after endoscopic surgery.Methods:120 patients with endoscopic sinusitis were selected as the study subjects,and randomly divided into the control group and the observation group,60 cases in each group.The control group was given comprehensive nursing.The patients in the observation group were given focus on short-term psychological treatment on the basis of comprehensive nursing.The hospitalization time of both groups was 7-10 d.After the intervention,the postoperative mental state(SDS,SAS score) and life,quality evaluation(SF-36 score),postoperative pain(VAS score),postoperative complications,rehabilitation effects and nursing satisfaction were observed.Results:After the nursing intervention,the SDS and SAS scores of the observation group were lower than the control group(t_1=5.703,t_2=11.792,P_1=0.000,P_2=0.001,P<0.05),the scores of SF-36 were higher than the control group(t=0.219,P=0.001,P<0.05).The VAS score of the observation group(t=17.884,P=0.000) and the postoperative complication rate(χ~2=8.775,P=0.003) was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total postoperative recovery rate between the two groups(χ~2=1.256,P>0.05),but the observation group satisfaction satisfaction score was significantly higher than the control group(χ~2=6.903,P<0.05).Conclusion:Comprehensive nursing intervention can effectively alleviate the pain degree of patients with sinusitis after endoscopic surgery and reduce postoperative complications.Focusing on short-term psychological treatment can improve patients' bad mood,improve patients' quality of life and nursing satisfaction,and is suitable for nursing promotion.
Objective:To observe the effect of short-term psychotherapy on the adverse emotions and postoperative recovery of patients with sinusitis after endoscopic surgery.Methods:120 patients with endoscopic sinusitis were selected as the study subjects,and randomly divided into the control group and the observation group,60 cases in each group.The control group was given comprehensive nursing.The patients in the observation group were given focus on short-term psychological treatment on the basis of comprehensive nursing.The hospitalization time of both groups was 7-10 d.After the intervention,the postoperative mental state(SDS,SAS score) and life,quality evaluation(SF-36 score),postoperative pain(VAS score),postoperative complications,rehabilitation effects and nursing satisfaction were observed.Results:After the nursing intervention,the SDS and SAS scores of the observation group were lower than the control group(t_1=5.703,t_2=11.792,P_1=0.000,P_2=0.001,P<0.05),the scores of SF-36 were higher than the control group(t=0.219,P=0.001,P<0.05).The VAS score of the observation group(t=17.884,P=0.000) and the postoperative complication rate(χ~2=8.775,P=0.003) was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the total postoperative recovery rate between the two groups(χ~2=1.256,P>0.05),but the observation group satisfaction satisfaction score was significantly higher than the control group(χ~2=6.903,P<0.05).Conclusion:Comprehensive nursing intervention can effectively alleviate the pain degree of patients with sinusitis after endoscopic surgery and reduce postoperative complications.Focusing on short-term psychological treatment can improve patients' bad mood,improve patients' quality of life and nursing satisfaction,and is suitable for nursing promotion.
引文
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[11] 李春玲,李俊义.慢性鼻窦炎的细菌感染监测分析与护理干预[J].中华医院感染学杂志,2013,23(12):2902-2903.
[12] 芦艳,蒋维连,冯爱素.聚焦解决模式干预对青年乳腺癌患者术后焦虑抑郁情绪的影响[J].护理与康复,2015,14(2):175-177.
[13] 赵明明,李宁,颜雷雷,等.以聚焦解决模式为基础的心理干预策略用于骨折患者焦虑抑郁的效果[J].中华现代护理杂志,2013,19(27):3379-3380.
[14] 黄江彬.聚焦解决模式护理干预对直肠癌永久性结肠造口患者自我护理能力的影响[J].中华现代护理杂志,2013,19(9):1008-1010.
[2] 张楠,任婧娟,李谊.聚焦解决模式对腰椎间盘突出症患者疾病影响程度的干预效应[J],护理学杂志,2014,29(18):1-4.
[3] Maru Y,Gupta Y.Nasal Endoscopy Versus Other Diagnostic Tools in Sinonasal Diseases[J].Indian J Otolaryngol Head Neck Surg,2016,68(2):202-206.
[4] 黄芳,谢磊,徐喆.认知干预对慢性鼻窦炎手术患者心理健康及护理措施依从性的影响[J].重庆医学,2017,16(48):2303-2304.
[5] Duarte AF,Soler RDC,Zavarezzi F.Nasal endoscopy associated with paranasal sinus computerized tomography scan in the diagnosis of chronic nasal obstruction[J].Braz J Otorhinolaryngol,2005,71(3):361-363.
[6] 孙刚,薛莲,王努,等.心理评估及干预对提高慢性鼻-鼻窦炎患者鼻内镜手术生存质量的作用[J].重庆医学,2017,46(19):2701-2702.
[7] 张桐新.鼻内镜鼻窦手术中鼻腔鼻窦解剖变异与慢性鼻窦炎的关系[J].山西医药杂志,2018,47(19):2355-2357.
[8] Lohiya SS,Patel SV,Pawde AM,et al.Comparative Study of Diagnostic Nasal Endoscopy and CT Paranasal Sinuses in Diagnosing Chronic Rhinosinusitis[J].Indian J Otolaryngol Head Neck Surg,2016 ,68(2):224-229.
[9] 潘松林,贺红斌,官兵,等.慢性鼻-鼻窦炎伴哮喘患者鼻内镜手术综合治疗对肺通气功能的影响[J].临床耳鼻咽喉头颈外科杂志,2014,28(15):1118-1119.
[10] 樊兵.慢性鼻窦炎鼻息肉并发症的影响因素与护理干预对策研究[J].护理实践与研究,2018,15(18):1-3.
[11] 李春玲,李俊义.慢性鼻窦炎的细菌感染监测分析与护理干预[J].中华医院感染学杂志,2013,23(12):2902-2903.
[12] 芦艳,蒋维连,冯爱素.聚焦解决模式干预对青年乳腺癌患者术后焦虑抑郁情绪的影响[J].护理与康复,2015,14(2):175-177.
[13] 赵明明,李宁,颜雷雷,等.以聚焦解决模式为基础的心理干预策略用于骨折患者焦虑抑郁的效果[J].中华现代护理杂志,2013,19(27):3379-3380.
[14] 黄江彬.聚焦解决模式护理干预对直肠癌永久性结肠造口患者自我护理能力的影响[J].中华现代护理杂志,2013,19(9):1008-1010.