术前患者的心理状况及其心理干预  

Preoperative patient mental status mental intervention

作　　者：钟均霞[1] 郭琼[1] 

机构地区：[1]绵阳市第三人民医院,四川绵阳621000

出　　处：《新医学导刊》2008年第7期31-32,共2页New Medical Science

摘　　要：目的探讨术前患者的心理状况及心理干预对其心理状况的影响。方法121例择期手术患者按入院先后顺序随机进入研究组和对照组，研究组在手术前一天接受心理干预，对照组不接受心理干预而自然进入手术。在手术前一天和手术前一小时分别接受自制一般情况调查问卷、焦虑自评量表（SAS）、抑郁自评量表（SDS）、症状自评量表（SCL-90）的评定。结果研究组在手术前一小时的焦虑、抑郁总分均显著低于对照组（p均〈0.01）；焦虑、抑郁情绪与手术患者的年龄、受教育程度、种族、疾病严重程度、手术的大小和是否愿意接受心理干预有不同程度的相关性。结论术前患者存在明显的焦虑、抑郁情绪，心理干预有助于缓解术前患者存在的焦虑、抑郁情绪，保障手术的顺利进行。Objective Discuss mental status of Preoperative patient and influence by mental intervention. Method Divide 121 patients of selective operation hospital admission into investigated group and control group randomly, investigated group accept mental intervention in the first preoperative day, control group has no intervention in operation o In the first preoperative day and the first preoperative hour, accept evaluation of investigation questionnaire .self - rating anxious scale（SAS） .self - rating depressive scale（SDS） .symptom checklist（ SCL - 90） . Result In the first preoperative hour, the anxious .depressive score of investigated group is significantly lower than control group （P 〈 0.01 ） ;anxious. depressive emotion related to patient age.education level.race.sickness degree.operative magnitude and whether be willing to accept mental intervention. Conclusion Preoperative patient exist evident anxious, depressive emotion, mental intervention is helpful to relieve patient anxious .depressive emotion, and safeguard operation to proceed smoothly.

关 键 词：心理状况 术前 心理干预 

分 类 号：R473.6[医药卫生—护理学]