手部肌腱松解术后患者的心理状况调查及护理对策  

Investigation in psychological status and nursing care of patients with hand tenolysis

作　　者：刘桔慧[1] 傅爱风[1] 陈捷[1] 钟丽萍[1] 欧运娇[1] 

机构地区：[1]南方医科大学附属深圳市宝安人民医院骨Ⅱ科,518101

出　　处：《中国实用护理杂志（下旬版）》2009年第8期1-2,共2页Chinese Journal of Practical Nursing

基　　金：深圳市宝安区科技计划项目（2008231）

摘　　要：目的了解手部肌腱松解术后患者的心理健康状况，并探讨针对性的护理方法。方法选取47例手部肌腱松解术患者，采用自行设计的调查表和症状自评量表（SCL一90）调查患者的心理健康状况及影响心理状况的相关因素，并实施相应的心理护理，选取中国常模SCL-90评定结果与其进行比较，进行t检验。结果术后第1天调查对象与中国常模量表评分相比差异显著，经过相应的心理护理后症状得到缓解，术后第7天调查对象与中国常模量表评分相比差异无统计学意义。结论手部肌腱松解术后患者有明显的心理障碍，有针对性地实施心理护理在肌腱松解术后进行康复训练和手部功能恢复过程中起重要作用。Objective To explore the psychological status of patients after hand tenolysis and the pertinent nursing countermeasures. Methods 47 patients after hand tenolysis were selected and investigated their psychological status and relevant influencing factors with self-designed questionnaire and symp- tom checklist-90（SCL-90）. Besides, corresponding psychological nursing were applied. The SCL-90 results of Chinese Norm were adopted to undergo comparison with them and t test was chosen. Results On the first day after operation, the score of the investigation objectives was significantly different compared with that of the Chinese norm. After pertinent mental nursing, their symptoms alleviated, and no significant dif- ference was seen between them. Conclusions There are obvious psychological obstacles in patients after hand tenolysis. The pertinent mental nursing has important effect on rehabilitation training and functional rehabilitation after hand tenolysis.

关 键 词：肌腱松解术 心理状况 护理 

分 类 号：R658.2[医药卫生—外科学] R192.6[医药卫生—临床医学]