护理干预对隆乳受术者围手术期心理状态及治疗依从性的影响  

Influence of nursing intervention on perioperative psychological status and treatment compliance of patients udergoing breast augmentation

作　　者：张华[1] 孙梅花[1] 陈华[1] 卜涛[1] 石兰萍[1] 宋晨[1] 

机构地区：[1]北京大学深圳医院整形外科,518036

出　　处：《中国实用护理杂志（中旬版）》2010年第4期72-74,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：2009年广东省深圳市科技计划项目（医疗卫生类）（200903073）

摘　　要：目的探讨护理干预对隆乳受术者围手术期心理状态及治疗依从性的影响。方法采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、自行设计的《隆乳受术者术前的心理活动调查表》对82例受术者进行调查，并将其随机分为干预组42例及对照组40例。对照组进行常规治疗护理，干预组在进行常规治疗护理的同时给予心理需求、保密性、相关专科知识讲解、并发症的预防等系统护理干预，比较2组围手术期心理状态及治疗依从性。结果术前1d干预组对手术相关问题的担心程度显著低于对照组。术前1d2组的SAS和SDS评分比较无显著差异，但出院前干预组患者的SAS及SDS评分较术前有显著改善且均显著优于同期对照组。结论隆乳受术者围手术期存在多种心理障碍，系统的护理干预能显著提高受术者的心理状态及治疗依从性，使其在围手术期处于一种最佳的身心状态，获得形体与心理美感的统一。Objective To investigate the influence of nursing intervention on perioperative psycho- logical status and treatment compliance of patients undergoing breast augmentation. Methods 82 pa- tients were investigated with self- rating anxiety scale （SAS）, self- rating depression scale （SDS）, self- de- signed mental activity questionnaire on patients with breast augmentation. And they were divided into the intervention group（42 patients） and the control group（40 patients） randomly. The control group was given routine treatment and nursing. The intervention group received systematic nursing intervention such as psy- chological needs, confidentiality, the relevant specialist knowledge and explanation and prevention of com- plications besides routine treatment and nursing care. The perioperative psychological status and treatment efficacy were compared between the two groups. Results The worrying degree about operation-related problems was lower in the intervention group compared with that of the control group, but SAS and SDS score showed no significant difference one day before operation between the two groups. SAS and SDS score of the intervention group were improved before discharge compared with those before operation and were al- so better than those of the control group. Conclusions Patients undergoing breast augmentation surgery subject to a variety of perioperative psychological barriers, systematic nursing intervention can significantly improve the psychological state and treatment compliance, make them to acquire the unification of perfect body shape and psychology with best physical and mental status during perioperative stage.

关 键 词：系统护理干预 隆乳术 心理状态 治疗依从性 

分 类 号：R473.74[医药卫生—护理学]