阶段性心理干预对复杂性肾结石患者焦虑、疼痛负性情绪的改善效果
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摘要
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 on the effect of stage psychological intervention on anxiety and negative emotion of patients with complex renal calculi.Methods:We selected 86 patients with complex renal calculi treated in our department from August 2012 to August 2016.according to the digital table method,the patients were randomly divided into study group and control group,each group had 43 patients.All patients were treated with minimally invasive percutaneous nephrolithotomy combined with ureteroscopy,The control group was given routine nursing intervention,and the study group was given psychological intervention on this basis,We compared two groups of patients with anxiety,pain,negative mood improvement.Results:The SAS scores of the two groups were higher than those of the patients on the day before surgery,But there was no significant difference between the two groups(P>0.05);When the patient was discharged,the SAS scores of the two groups were decreased,the difference between the two groups was statistically significant(t=-2.637,P<0.05);The VAS scores of the two groups were significantly decreased,the scores of the study group were lower than those of the control group,the difference was statistically significant(t=-16.065,P<0.05);After operation,the analgesic use rate of the study group was 13.95%,which was significantly lower than that of the control group(χ~2=4.17,P<0.05).Conclusion:The effect of stage psychological intervention on anxiety and negative emotions of patients with complex renal calculi is obvious,and it can promote the recovery of operation,which is worthy of wide application.
Objective:To study on the effect of stage psychological intervention on anxiety and negative emotion of patients with complex renal calculi.Methods:We selected 86 patients with complex renal calculi treated in our department from August 2012 to August 2016.according to the digital table method,the patients were randomly divided into study group and control group,each group had 43 patients.All patients were treated with minimally invasive percutaneous nephrolithotomy combined with ureteroscopy,The control group was given routine nursing intervention,and the study group was given psychological intervention on this basis,We compared two groups of patients with anxiety,pain,negative mood improvement.Results:The SAS scores of the two groups were higher than those of the patients on the day before surgery,But there was no significant difference between the two groups(P>0.05);When the patient was discharged,the SAS scores of the two groups were decreased,the difference between the two groups was statistically significant(t=-2.637,P<0.05);The VAS scores of the two groups were significantly decreased,the scores of the study group were lower than those of the control group,the difference was statistically significant(t=-16.065,P<0.05);After operation,the analgesic use rate of the study group was 13.95%,which was significantly lower than that of the control group(χ~2=4.17,P<0.05).Conclusion:The effect of stage psychological intervention on anxiety and negative emotions of patients with complex renal calculi is obvious,and it can promote the recovery of operation,which is worthy of wide application.
引文
[1]李明林.微创经皮输尿管镜钬激光碎石术和开放性手术治疗老年复杂性肾结石术后疼痛和并发症比较[J].中国老年学,2015,35(7):1827-1829
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[6]郭海强,丁海龙,王玉梅.恶性肿瘤患者生存质量评价的研究现况[J].中国卫生统计,2010,27(1):104-105
[7]顾婷,李秀娟.肾结石饮食因素调查与护理干预[J].临床护理杂志,2016,15(5):61-62
[8]李小捷,赵海贤,张丽鹏,等.系统护理对经皮肾镜治疗输尿管结石患者疗效及焦虑状态的改善作用[J].国际精神病学杂志,2015,42(3):105-108
[9]张科明,王彤,周雄,等.胆囊炎患者腹腔镜术前焦虑抑郁的发生率及相关因素[J].中国健康心理学杂志,2014,22(11):1632-1634
[10]贾先荣,江景娟,殷叶华,等.音乐辅助治疗对抑郁症患者所伴发躯体疼痛症状的疗效[J].中国健康心理学杂志,2014,22(6):829-831
[11]苏喆,徐珂嘉,张光明,等.舒芬太尼联合右美托咪啶自控镇痛对股骨骨折老年病人术后的镇痛效果和谵妄的影响[J].中国健康心理学杂志,2015,23(5):680-683
[12]任开文.经皮肾镜碎石与开放手术治疗复杂性肾结石患者的疗效比较[J].医疗装备,2016,29(12):12-13
[13]那彦群.中国泌尿外科疾病诊断治疗指南手册:2014版[M].北京:人民卫生出版社,2014:145-145
[14]张端香,马锦兰.情志护理在不同体质病人中的临床应用[J].全科护理,2015,13(18):1767-1768
[15]张永芬,杨炳丽.心理干预对患者术后焦虑与疼痛的影响[J].中国健康心理学杂志,2011,19(2):174-175
[2]杨新彪.侧卧位微创经皮肾镜下钬激光联合气压弹道碎石治疗完全性鹿角形肾结石[J].广西医科大学学报,2013,30(5):754-755
[3]郭峰,高兴华,张龙洋.单通道微创经皮肾镜联合输尿管软镜治疗复杂性肾结石疗效观察[J].现代泌尿外科杂志,2015,20(7):472-474
[4]王凯,王广健.单通道微创经皮肾镜联合输尿管软镜同期、分期治疗复杂性肾结石的临床研究[J].中国医疗设备,2016,31(11):110-112
[5]卢媚媛,张春兴,甘海鹰.泌尿系结石患者术前焦虑相关因素的调查分析[J].现代临床护理,2012,11(6):6-8
[6]郭海强,丁海龙,王玉梅.恶性肿瘤患者生存质量评价的研究现况[J].中国卫生统计,2010,27(1):104-105
[7]顾婷,李秀娟.肾结石饮食因素调查与护理干预[J].临床护理杂志,2016,15(5):61-62
[8]李小捷,赵海贤,张丽鹏,等.系统护理对经皮肾镜治疗输尿管结石患者疗效及焦虑状态的改善作用[J].国际精神病学杂志,2015,42(3):105-108
[9]张科明,王彤,周雄,等.胆囊炎患者腹腔镜术前焦虑抑郁的发生率及相关因素[J].中国健康心理学杂志,2014,22(11):1632-1634
[10]贾先荣,江景娟,殷叶华,等.音乐辅助治疗对抑郁症患者所伴发躯体疼痛症状的疗效[J].中国健康心理学杂志,2014,22(6):829-831
[11]苏喆,徐珂嘉,张光明,等.舒芬太尼联合右美托咪啶自控镇痛对股骨骨折老年病人术后的镇痛效果和谵妄的影响[J].中国健康心理学杂志,2015,23(5):680-683
[12]任开文.经皮肾镜碎石与开放手术治疗复杂性肾结石患者的疗效比较[J].医疗装备,2016,29(12):12-13
[13]那彦群.中国泌尿外科疾病诊断治疗指南手册:2014版[M].北京:人民卫生出版社,2014:145-145
[14]张端香,马锦兰.情志护理在不同体质病人中的临床应用[J].全科护理,2015,13(18):1767-1768
[15]张永芬,杨炳丽.心理干预对患者术后焦虑与疼痛的影响[J].中国健康心理学杂志,2011,19(2):174-175