手术后患者状态-焦虑影响因素与护理干预  

Influential Factors on Post-operation State-anxiety of Patients and Nursing Intervention

作　　者：刘一梅[1] 余琦[2] 陈莉[3] 

机构地区：[1]解放军421医院心胸泌尿外科,广东广州510318 [2]解放军421医院护理部,广东广州510318 [3]解放军421医院医院办公室,广东广州510318

出　　处：《华南国防医学杂志》2012年第4期372-374,共3页Military Medical Journal of South China

摘　　要：目的探讨手术患者术后焦虑情绪发生情况及其影响因素,为心理干预提供依据。方法选择作者医院2010-09/2011-12月,心胸泌尿外科86例手术治疗患者,男73例、女13例;年龄41～94(62.4±4.4)岁。于术后第2天,采用状态-特质焦虑问卷(State-Trait Anxiety Inventory,STAI)和研究者设计的14项相关因素问卷,对患者进行测评,所得数据作多元回归分析,探讨患者术后状态-焦虑情绪与相关因素的关系,显著性水平α=0.05。结果手术患者术后状态-焦虑得分(52.89±13.00),高于全国常模(t=7.85,P<0.001)。逐步多元回归分析表明,正性情绪有3个因素进入回归方程,按作用大小依次为术后伤口疼痛、体位的舒适度、引流管刺激;负性情绪有2个因素被选入,即术后伤口疼痛、睡眠障碍。结论了解影响手术患者术后状态-焦虑情绪的相关因素,采取针对性的护理干预措施,调节和缓冲状态-焦虑情绪,使其达到最佳身心状态,促进临床治疗康复的进程,是护理工作的重要内容。Objective To study the incidence of post-operation anxiety of patients and the influential factors,and to supply reference for psychological intervention.Methods A total of 86 patients（73 male,13 female;41-94（62.4±4.35） years old） with urological surgical treatment between September 2010 and December 2011 were studied.Two days after surgery,State-Trait Anxiety Inventory（STAI） and the self-designed questionnaire including 14 related factors were utilized to evaluate the patients＇ status.Multiple regression analysis was performed to explore the relationship among the postoperative state-anxiety and related factors.Results The state-anxiety score of the patients was 52.89±13.00 and higher than the national norm（t=7.85,P〈0.001）.The multiple stepwise regression analysis indicated that three factors of positive emotion were included into the regression equation and were postoperative wound pain,posture comfort degree,and tube stimulation respectively according to the contributions.Two factors of negative emotions was included and were postoperative wound pain and sleep disirder respectively.Conclusion Understanding the influence factors for state-anxiety of post-surgery patients,adopting specific nursing intervention measures,adjusting the state-anxiety,enabling the patients to achieve the best state of mind,promoting the process of clinical rehabilitation,is the important content of the nursing work.

关 键 词：术后患者 状态-焦虑情绪 相关因素 护理干预 

分 类 号：R471[医药卫生—护理学]