心理干预对胸腔镜下先天性心脏病患者围术期心理状态的影响  

Impact of psychological intervention on the psychological status of the patients with congenital heart disease in the perioperative period of thoracoscopic surgery

作　　者：冯福云[1] 殷秋阳[1] 薛桂华[1] 

机构地区：[1]聊城市人民医院,山东聊城252000

出　　处：《齐鲁护理杂志（下旬刊）》2011年第2期17-19,共3页Journal of Qilu Nursing

摘　　要：目的:探讨心理干预对胸腔镜下先天性心脏病患者围术期心理状态的影响。方法:将60例胸腔镜下先天性心脏手术的患者随机分为观察组和对照组各30例,对照组给予常规护理治疗,观察组除常规护理、治疗外,围术期由责任护士和心理咨询师给予心理干预。结果:与国内常模比较,患者术前SCL-90各因子评分(除强迫、偏执、精神病性外)均显著升高(P<0.05);观察组抑郁、焦虑、躯体化、恐惧及其他五项因子与对照组比较差异有统计学意义(P<0.05)。结论:心理干预可有效降低患者的心理压力,避免心理因素对患者及家属造成的痛苦和损失。Objective： To explore the impact of psychological intervention on the psychological status of the patients with congenital heart disease in the perioperative period of thoracoscopic surgery. Methods ： 60 patients with thoracoscopic surgery due to congenital heart disease were randomly divided into observation and control groups /30 cases for each group）. The routine nursing care and treatment were given to the patients in the control group and additional psychological intervention was given to the patients hy the primary nurse and psychological consultants in the perioperative period in the observation group based on routine ones. Results ： The scores of each factor of SCL - 90 （ except compulsion, paranoid and psychotic factors） were significantly higher （P 〈0.05） ; the differences in the comparison of depression, anxiety, somatization, fear and the other five key factors were statistically significant （ P 〈 O. 05 ）. Conclusion ： The psychological intervention can effectively alleviate patient ＇s mental stress so as to avoid suffering and loss to the patients and their families caused by psychological factors.

关 键 词：心理干预 先天性心脏病 围术期 胸腔镜 心理状态 

分 类 号：R473.5[医药卫生—护理学]