心理干预对口腔手术患者术前焦虑和术后恢复的影响  

CLINICAL RESEARCH OF PSYCHOLOGICAL INTERVENTION ON PREOPERATIVE ANXIETY AND POSTOPERATIVE RECOVERY IN PATIENTS WITH ORAL OPERATION

作　　者：陈晖[1] 赵锦辉[2] 顾金良 杨坤[1] 杨绍清[4] 薄建柱[4] 张柳[1] 张强[1] 王晓波[1] 赵志宇[1] 张玉芹[1] 李雪琴[1] 

机构地区：[1]河北联合大学附属医院,河北省唐山市063000 [2]开滦总医院赵各庄医院 [3]滦县人民医院 [4]河北联合大学

出　　处：《中国煤炭工业医学杂志》2014年第12期2069-2073,共5页Chinese Journal of Coal Industry Medicine

基　　金：唐山市科技局科技攻关发展计划项目(编号12150222B-18)

摘　　要：目的探讨心理干预对口腔手术患者术前焦虑和术后恢复的影响。方法选取该院2012年1月—2013年12月口腔手术患者258例,采用随机数字表法分为二组,129例患者实施常规手术治疗为对照组,129例患者联合心理干预为观察组,比较二组患者的术前焦虑状况、治疗依从性、疼痛程度、生活质量、不良事件情况、术后恢复情况、满意度情况。结果治疗后,二组患者生活质量评分(心理功能、物质生活、躯体功能、社会功能、总体生活质量)均显著升高。观察组患者焦虑状况、治疗依从性、疼痛程度、术后恢复均明显好于对照组,观察组患者HAMA评分、VAS评分、不良事件发生率均明显低于对照组,观察组患者生活质量评分(心理功能、物质生活、躯体功能、社会功能、总体生活质量)、满意度均明显高于对照组,差异均有统计学意义(P<0.05)。结论心理干预可明显改善口腔手术患者的术前焦虑状况,显著提高患者的治疗依从性和配合度,有助于提高患者的生活质量,具有较高的安全性,更易为患者所接受,值得临床推广使用。Objective To investigate the influence of psychological intervention on preoperative anxiety and postoperative recovery in patients with oral operation.Methods Two hundred and fifty-eight patients with oral operation were selected in hospital from December 2012 to December 2013,who were randomly divided into two groups.129 patients were treated with routine operation as control group,while 129 patients combined with psychological intervention as observation group.Preoperative anxiety status,treatment compliance,degree of pain,quality of life,adverse events,postoperative recovery and satisfaction were compared between two groups.Results After treatment,quality of life score（psychological function,material life,physical function,social function,overall quality of life）increased significantly in two groups.Anxiety status,treatment compliance,degree of pain,postoperative recovery were significantly better in observation group than control group.HAMA score,VAS score,incidence of adverse events in observation group were significantly lower than control group.Quality of life score（psychological function,material life,physical function,social function,overall quality of life）and satisfaction in observation group were also significantly higher than control group,all the differences were statistically significant（P〈0.05）.Conclusion Psychological intervention can significantly improve anxiety status in patients with oral operation,which can significantly improve treatment compliance and cooperation degree.Psychological intervention is helpful to improve quality of life,which has higher security and more easily accepted by patients.That is worthy of clinical promotion.

关 键 词：心理干预 口腔手术 焦虑 术后恢复 

分 类 号：R473.78[医药卫生—护理学]