系统心理干预对腹腔镜胆囊切除术患者生理和心理影响的临床观察  

Effect of Psychological Intervention on Anxiety and Depression in Patients Undergoing Laparoscopic Cholecystectomy

作　　者：王利[1] 王晓燕[1] 

机构地区：[1]宝鸡市中心医院,陕西宝鸡721008

出　　处：《辽宁医学院学报》2014年第6期80-81,共2页Journal of Liaoning Medical University (LNMU) Bimonthly

摘　　要：目的探讨系统心理干预对腹腔镜胆囊切除术患者生理和心理的影响。方法选取104例腹腔镜胆囊切除术患者随机分为观察组和对照组,各52例。对照组予常规健康教育,观察组在此基础上实施心理干预,观察两组患者手术时间、术后排气时间及术后住院时间,并于干预前后采用采用国际通用的Zung焦虑自评量表SAS和抑郁自评量表SDS对患者心理状态进行评价。结果观察组患者手术时间、术后排气时间及术后住院时间,明显优于对照组,差异具有统计学意义(P<0.05),干预后观察组患者的评分显著低于对照组,差异有统计学意义(P<0.05)。结论及时有效的干预措施可减轻腹腔镜胆囊切除术患者焦虑、抑郁的情绪,提高对手术的应对能力。Objective To study the clinical effect of psychological intervention on anxiety and depression in patients undergoing laparoscopic cholecystectomy. Methods The clinical data of 104 old patients undergoing laparoscopic cholecystect were randomly di-vided into the control group and the observation group, with 52 cases in each group. The patients of the control group were given rou-tine care, whereas the observation group was given additional psychological intervention. Operation time, postoperative exhaust time and postoperative hospital stay of two groups were observed. Before and after the intervention, the psychological state of patients was e-valuated by using the Zung Self-rating Anxiety Scale （ SAS） and the Self Rating Depression Scale （ SDS） . Results The operation time, postoperative exhaust time and postoperative hospital stay of observation group were significantly better than those of the control group, with significant difference （P〈0. 05）. The scores of intervention patients in the observation group were significantly lower than those of the control group, and the difference was statistically significant （P〈0. 05）. Conclusion Timely and effective intervention measures can reduce anxiety and depression of patients undergoing laparoscopic cholecystectomy, and improve the ability to deal with the operation.

关 键 词：心理干预 腹腔镜胆囊切除术 焦虑 抑郁 

分 类 号：R473.6[医药卫生—护理学]