心理护理干预对宫外孕患者术后焦虑状态的影响  

Effect on psychological nursing intervention for postoperative anxiety state of patients with ectopic pregnancy

作　　者：谢月霞[1] 李玉春[1] 严惠玲[1] 

机构地区：[1]广东省惠州市中心人民医院,广东惠州516008

出　　处：《中国医药导报》2013年第19期151-153,共3页China Medical Herald

基　　金：广东省惠州市科技计划(医疗卫生)项目(编号2011Y036)

摘　　要：目的探讨心理护理干预对宫外孕患者术后焦虑状态的影响。方法选取2011年10月～2012年6月入住广东省惠州市中心人民医院的宫外孕并行输卵管切除术患者307例,将其分为对照组(153例)和观察组(154例)。采用自制问卷和Zung焦虑自评量表(SAS)对患者术后第1天焦虑状态及其相关焦虑情绪进行调查,给予对照组常规护理,给予观察组心理护理干预,术后护理第7天再进行复查,对两组护理效果进行分析。结果对照组和观察组两组护理前SAS评分[(55.62±11.13)、(55.41±12.02)分]及焦虑相关情绪比较,差异无统计学意义(P>0.05),护理后比较,差异有统计学意义(P<0.05)。观察组给予心理护理干预前后SAS评分[(54.23±12.03)、(43.75±11.25)分]及焦虑相关情绪比较,差异有统计学意义(P<0.05),对照组术后常规护理前后SAS评分[(55.62±11.13)、(54.23±12.03)分]及焦虑相关情绪比较,差异无统计学意义(P>0.05)。对照组与观察组患者对护理服务的满意度(48.37%、98.05%)比较,差异有统计学意义(χ2=4.70,P=0.001)。结论心理护理干预可有效改善宫外孕患者术后焦虑状态及其相关的不良情绪,在临床护理干预中应重视患者的心理护理,以提高患者的生活质量。Objective To explore the effect on psychological nursing intervention for postoperative anxiety state of patients with ectopic pregnancy. Methods 307 ectopic pregnancy patients with parallel salpingectomy surgery in Central People＇s Hospital of Huizhou City in Guangdong Province from October 2011 to June 2012 were divided into control group （n = 153） and observation group （n = 154）, homemade questionnaire and Zung self-rating anxiety scale （SAS） were used to investigate the anxiety state and its related factor of the patients after the first day of surgery, then the control group was given the routine care and observation group was given the psychological nursing intervention, at the seventh day of postoperative nursing, the patients were given review. The nursing effect was observed and compared. Results Before nursing, SAS score and anxiety related emotions in the observation group compared with the control group [（55.62±11.13）, （55.41 ±12.02） points], the difference was not statistically significant （P 〉 0.05）, after nursing, the differences were statistically significant （P 〈 0.05） in the two groups. Before and after psychological nursing intervention, SAS score [（54.23_±12.03）, （43.75_±11.25）] and anxiety related emotions in the observation group, the differences were statistically significant （P 〈 0.05）, but the difference of SAS score [（55.62_±11.13）, （54.23_±12.03）] and anxiety related emotions were not statistically significant （P 〉 0.05） in tbe control group. Satisfaction degree of nursing service in the control group and observation group （48.37%, 98.05%） were compared, there was a significant difference （χ^2=4.70, P = 0.001）. Conclusion Psychological nursing intervention can effectively improve postoperative anxiety state and its related negative emotions of the ectopic pregnancy, we should pay attention to the psychological care of patients in clinical nursing interventions, and to improve the quality of life of patients.

关 键 词：心理护理干预 宫外孕 焦虑 情绪 ZUNG焦虑自评量表 

分 类 号：R714.22[医药卫生—妇产科学] R473.72[医药卫生—临床医学]