中医情志疗法对子宫切除术患者术前不良情绪及术后恢复影响的临床研究  

Effect of Traditional Chinese Medical Emotional Therapy on Negative Emotion of Patients Before and After Hysterectomy

作　　者：黄绮华[1] 王小云[1] 龚小珍[1] 

机构地区：[1]广东省中医院护理部,广东广州510120

出　　处：《广州中医药大学学报》2013年第5期644-646,653,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广州中医药大学围手术期专项基金资助项目(编号:2011KT1664)

摘　　要：【目的】探讨中医情志疗法干预子宫切除术患者的不良情绪的临床有效性。【方法】将100例患者随机分为试验组48例和对照组52例,对照组给予传统的护理方法,试验组在对照组的基础上给予中医情志疗法。评估2组患者的情绪状况和术后恢复情况。【结果】(1)干预后,2组患者术后的汉密顿焦虑量表、汉密顿抑郁量表评分均有显著改善,与干预前比较,差异有统计学意义(P<0.05),干预后组间比较差异有统计学意义(P<0.05)。(2)干预后,2组患者的皮肤电阻测定结果均有显著改善,与干预前比较差异有统计学意义(P<0.05),干预后组间比较差异有统计学意义(P<0.05)。(3)试验组患者术后的伤口疼痛评分显著优于对照组(P<0.05);2组术后排气时间及简明疲劳量表评分比较,差异无统计学意义(P﹥0.05)。【结论】子宫切除术患者焦虑、抑郁程度较重,中医情志疗法能够改善患者的情绪状况,促进术后的恢复。Objective To explore the therapeutic effect of traditional Chinese medical emotional therapy on negative emotion of hysterectomy patients. Methods One hundred qualified patients were randomly divided intoexperimental group （N=48） and control group （N=52）. The control group received routine nursing, and the experimental group received traditional Chinese medical emotional therapy on the basis of routine nursing. The emotional status and postoperative recovery were assessed in both groups. Results In the two group, the scores of Hamilton Anxiety Scale and Hamilton Depression Rating Scale were improved after intervention （P〈0.05 compared with those before intervention）, and the improvement in the experimental group was superior to that in the control group （P〈0.05）. The electric skin resistance was also improved in both groups after intervention （P〈 0.05 compared with that before intervention）, and the improvement in the experimental group was superior to that in the control group （P〈0.05）. The scores of postoperative wound pain were much improved in the experimental group （P〈0.05 compared with those in the control group） , but the time for gastrointestinal aerofluxus and the scores of simplified Fatigue Scale had no significant differences between the two groups （P〉 0.05）. Conclusion Hysterectomy patients have severe anxiety and depression, and traditional Chinese medical emotional therapy can improve the emotional status and promote postoperative recovery of the patients.

关 键 词：子宫切除术 不良情绪 术后恢复 中医情志疗法 

分 类 号：R248[医药卫生—中医临床基础]