内科胸腔镜围术期患者负性心理状态分析及护理对策  

Research on the negative psychological state in perioperative period patients with medical thoracoscopy and nursing strategy

作　　者：陈建明[1] 唐良春[1] 吕莹莹[1] 黎月秋[1] 谢小冰[1] 彭勃[1] 

机构地区：[1]广东医学院附属医院呼吸内科,湛江524001

出　　处：《国际护理学杂志》2013年第12期2698-2700,共3页international journal of nursing

摘　　要：目的对内科胸腔镜围术期患者负性心理进行分析，寻求相应的护理对策。方法根据患者的心理状态给予相应的心理、社会支持等护理对策，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、社会支持评定量表（SSRS）比较干预前后的疗效。结果干预前内科胸腔镜围术期患者组的焦虑、抑郁评分均高于对照组（P〈0．05），其社会支持评分低于对照组（P〈0．05）。经护理干预后，焦虑、抑郁及社会支持评分较干预前有所改善（P〈0．05）。结论内科胸腔镜围术期患者存在较为明显的负性心理，社会支持水平较低。正确分析患者的心理状态，给予相应的护理干预，可提高患者的护理效果。Objective To study the correlation between the negative mood and social support in patients with medical thoracosco- py, to seek corresponding nursing strategy. Methods According to the patients＇psychological state, they were treated with psychological and social supports. Self- rating anxiety scale （SAS） and self-rating depression scale （SDS）, social support rating scale （SSRS） were used to assess the effect of before and after intervention. Results Before intervention the scores of anxiety and depression were all higher than those of control group （P 〈 0. 05 ）, the score of the social support was lower than that of the control group （ P 〈 0. 05 ） . After nursing intervention, all the scores of the patients＇anxiety, depression and social support were significantly improved （P 〈 0.05） . Conclusions The pa- tients with medical thoracoscopy have obvious negative mood, the level of social supports is low. It can improve the patients＇ nursing effects correctly analyzing the patients＇psychological state and offering nursing intervention.

关 键 词：胸腔镜 焦虑 抑郁 社会支持 护理 

分 类 号：R473.6[医药卫生—护理学]