手术患者术前心理干预及临床效果评价  

Preoperative psychological intervention and evaluation for patients in operation room

作　　者：余友霞[1] 刘丹丹[1] 周文正[1] 李政亮[1] 何阳[1] 周敏[1] 

机构地区：[1]重庆市妇幼保健院,400013

出　　处：《检验医学与临床》2015年第12期1762-1763,1765,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨妇科患者术前心理状况及心理干预的效果。方法对该院104例术前患者随机分为干预组和对照组,各52例,采用医学应对方式问卷(MCMQ)和焦虑自评量表(SAS)进行调查分析。结果干预组患者"面对"、"屈服"量表分值高于对照组,差异有统计学意义(P<0.05);对照组患者的"避免"量表分略高于干预组,但差异无统计学意义(P=0.087);对照组患者"焦虑"总分高于干预组,且干预组和对照组焦虑等级构成比差异有统计学意义(P<0.01);手术患者的"应对策略"与"焦虑情况"呈负相关,"避免与屈服"都与"焦虑"正相关。结论通过心理干预可帮助妇科患者改善应对方式,有效消除或缓解患者术前焦虑状况。Objective To analyze the psychological state and preoperative coping style of patients,and study the effect of psychological intervention.Methods 104 preoperative patients were investigated by using the Medical Coping Modes Questionnaire（MCMQ）and Self-Rating Anxiety Scale（SAS）.The descriptive analysis was used for the coping styles and the status of anxiety,and the correlation analysis was used to ascertain the relativity of the two.Results The ＂face＂ and ＂surrender＂ scale points in the intervention group are higher than the control group,P0.001,while the ＂avoidance＂ scale point in the control group is slightly higher than the intervention group,P=0.087;A total score of the anxiety for the control group was higher than the intervention group,and anxiety levels between the intervention group and control group were significantly different（P〈0.01）;A high degree of positive correlation between ＂face＂ and anxiety,and ＂avoidance＂ and ＂surrender＂ show a high degree of negative correlation with anxiety,P0.001.Conclusion Through psychological intervention can help patients improve coping,effective to eliminate or alleviate preoperative anxiety.

关 键 词：手术 术前 心理干预 效果评价 

分 类 号：R472.3[医药卫生—护理学]