腰椎后路减压手术并发脑脊液漏病人的心理行为干预研究  

Study on psychological and behavioral intervention for patients complicating with leakage of cerebrospinal fluid after accepting lumbar vertebra posterior approach decompression surgery

作　　者：蔡新良[1] 石金海[1] 黄晓琼[1] 施海红[1] 李锦丽[1] 

机构地区：[1]广东省深圳市第八人民医院

出　　处：《全科护理》2010年第15期1317-1319,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨心理行为护理对腰椎后路减压手术并发脑脊液漏预后的影响。[方法]选择40例腰椎后路减压手术并发脑脊液漏病人,随机分为两组,对照组20例给予常规护理,观察组20例在常规护理的基础上给予心理行为干预。观察干预前后两组病人主要躯体症状、情绪状态及生活质量评分。[结果]干预后干预组脑脊液漏持续时间、住院时间、再次手术率以及SAS/SDS评分明显低于对照组(P<0.05);生活质量评分明显高于对照组(P<0.05)。[结论]心理行为干预能明显提高腰椎后路减压手术并发脑脊液漏病人的临床疗效及生活质量,改善病人的情绪状态。Objective：To probe into the influence of psychological and behavioral intervention for patients complicating with leakage of cerebrospinal fluid after accepting lumbar vertebra posterior approach decompression.Methods：A total of 40 patients complicating with leakage of cerebrospinal fluid after accepting lumbar vertebra posterior approach decompression were randomly divided into control group （n=20） and test group （n=20）.Patients of control group were given routine nursing care.Patients of test group were given psychological and behavioral intervention based on the routine nursing.Then the main somatizations,emotional state and the score of quality of life of patients before and after intervention were observed.Results：After intervention,the duration of leakage of cerebrospinal fluid,length of hospitalization,the rate of reoperation and SAS/SDS score of test group patients were markedly lower than that of control group cases （P0.05）.However,scores of quality of life of test group cases were remarkably higher than that of control group cases （P0.05）.Conclusion：Psychological and behavioral intervention can markedly improve the clinical effect and living quality of patients complicating with leakage of cerebrospinal fluid after accepting lumbar vertebra posterior approach decompression.It can also improve the emotional state of patients.

关 键 词：心理行为干预 腰椎后路减压术 脑脊液漏 生活质量 情绪状态 

分 类 号：R687.3[医药卫生—骨科学]