心理护理干预对普外科患者心理状况及自我效能的影响  

Influence of psychological nursing intervention on the psychological status of patients in the department of general surgery and self-efficacy

作　　者：王银萍[1] 杨艳颖 管金艳[1] 钟紫凤[2] 

机构地区：[1]浙江省台州恩泽医疗中心(集团)路桥医院护理部,浙江台州318050 [2]浙江大学医学院附属第一医院,浙江杭州31000

出　　处：《中国现代医生》2015年第7期153-156,共4页China Modern Doctor

基　　金：浙江省医药卫生平台骨干人才计划(2011KYB034)

摘　　要：目的探讨心理护理干预对普外科患者心理状况及自我效能的影响。方法选择2013年6月~2014年6月期间我院普外科住院择期手术患者120例作为观察对象,全部患者随机分为干预组和对照组,两组患者均予以常规治疗及护理,干预组着重实施心理干预,比较两组患者干预前后SAS评分、自我效能GSES评分及手术配合度。结果干预后干预组患者的SAS评分为（30.9±5.3）分,对照组为（39.4±7.6）分,两组干预后焦虑评分均较干预前显著降低,且干预后两组差异具有统计学意义（P〈0.05）。干预后干预组患者的自我效能GSES评分为（34.8±6.1）分,对照组为（29.5±5.1）分,两组患者的自我效能GSES评分均较干预前显著升高,且干预后两组患者的自我效能GSES评分比较差异具有统计学意义（P〈0.05）。干预组患者主动配合、顺利完成手术后配合度良好共30例,手术配合率达96.7%,对照组患者不配合医师,血压、心率波动较大,配合率达88.3%,两组手术配合度比较差异具有统计学意义（P〈0.05）。结论心理护理干预能显著缓解普外科患者的焦虑心理,提高患者的自我效能水平及手术配合度。Objective To investigate the impact of psychological nursing intervention on psychological status and selfefficacy. Methods Selected 120 cases from June 2013 to June 2014 in our hospital as the observation object,they were randomly divided into intervention group and control group, two groups were given conventional treatment and nursing,the intervention group focused on the implementation of psychological intervention, before and after intervention,the anxiety score SAS score, GSES score and self-efficacy and operation coordination were compared between the two groups. Results The anxiety SAS score of the intervention group were（30.9±5.3） points, the anxiety score SAS score of control group was（39.4±7.6） points, after intervention,the anxiety scores significantly decreased than before intervention, with statistical significance difference（P〈0.05）. The GSES patients＇ self-efficacy scores in intervention group after intervention of（34.8±6.1） points, the GSES self-efficacy scores in control group after the intervention was（29.5±5.1）points, two groups of patients＇ self-efficacy GSES scores significantly increased than those before intervention,with statistical significant difference（P〈 0.05）. The active cooperation, successfully completed surgery with good degrees 30 cases in the intervention group, operative matching rate of 96.7%, patients in the control group did not cooperate with the doctors, blood pressure and heart rate fluctuations, with the rate of 88.3%, surgery degree compared with statistically significant difference between two groups（P〈0.05）. Conclusion Psychological nursing intervention can alleviate the display department of general surgery patients psychological anxiety,improve the level of self-efficacy and surgery degree of patients.

关 键 词：心理护理干预 普外科 心理状况 自我效能 

分 类 号：R473.6[医药卫生—护理学]