整体护理干预对腹部手术患者术后心理状态及胃肠功能的影响  

Influence of holistic nursing intervention on psychological state and gastrointestinal function of patients after abdominal operation

作　　者：刘莎[1] 向家梅[1] 

机构地区：[1]第三军医大学新桥医院普外科,重庆400037

出　　处：《中国实用护理杂志（下旬版）》2009年第3期26-27,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨整体护理干预对择期手术术后患者的心理状态及胃肠功能的影响。方法随机将48例在硬膜外阻滞麻醉下行腹部手术的患者分为干预组和对照组各24例。2组患者术后分别给予常规护理和整体护理干预，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）评定2组患者干预前后心理状况，以及2组患者术后胃肠道功能恢复情况。进行t检验。结果干预组手术后第5天的SAS、SDS评分显著低于对照组；干预组术后肠鸣音恢复时间和肛门排气、排便时间均显著短于对照组。结论对腹部手术患者进行整体护理干预有助于消除患者术后的焦虑和抑郁心理，有利于胃肠道功能的恢复。Objective To investigate influence of holistic nursing intervention on psychological state and gastrointestinal function of patients after abdominal operation. Methods 48 patients undergoing abdominal surgery with epidural anesthesia were divided into the intervention group and the control group. Holistic nursing intervention and routine nursing were given to the two groups respectively. Self- rating anxiety scale （SAS） and self- rating depression scale （SDS） were used to evaluate the psychological state of all patients and gastrointestinal tract function were also measured. The result underwent t test. Results SAS and SDS scores were lower on the fifth （lay after operation and the time of borborygmus recovery, anal exsuffiation and defeca- tion was shorter in the intervention group when compared with those of the control group. Conclusions Holistic nursing to patients after abdominal surgery can eliminate anxiety and depression and improve recovery of gas tmintestinal tract function.

关 键 词：手术 心理 护理 肠道蠕动 

分 类 号：R735[医药卫生—肿瘤] R454.1[医药卫生—临床医学]