腰椎间盘突出症患者术前晚间的心理护理  

Psychological Nursing in the Preoperative Evening for Patients with Lumbar Disc Herniation

作　　者：闫硕[1] 韩冰[1] 李迎春[1] 

机构地区：[1]北京积水潭医院脊柱外科,北京100035

出　　处：《解放军护理杂志》2015年第15期37-38,47,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨腰椎间盘突出症(lumbar disc herniation,LDH)患者术前晚间心理护理的方法与效果。方法便利抽样法选择2013年1月至2014年1月,北京积水潭医院脊柱外科收治的LDH患者126例,按入院先后将其分为对照组65例和观察组61例,对照组患者给予常规心理护理,观察组患者在对照组的基础上,术前晚间加强心理护理,采用Zung氏焦虑自评量表(self-rating anxiety scale,SAS)评价并比较两组患者心理护理实施前后的焦虑状况。结果心理护理实施前,两组患者的SAS评分差异无统计学意义(P>0.05),实施后,两组患者的SAS评分较实施前均有所降低(均P<0.05),观察组患者的SAS评分低于对照组,差异有统计学意义(P<0.05)。结论术前晚间给予LDH患者心理护理,有利于缓解患者的焦虑情绪,使其以更加积极的态度面对手术,从而促进手术的顺利开展。Objective To discuss the method and effect of preoperative psychological nursing in the evening before surgery for patients with lumbar disc herniation.Methods By convenience sampling,126 cases of patients were selected and divided into control group （n =65） and observation group （n =61）.The patients in control group received conventional psychological nursing and observation group was applied with the enhanced psychological nursing.The anxiety level before and after intervention were compared between two groups by using Zung self-rating anxiety scale （SAS）.Results There was no statistical significance of SAS score showed between two groups before the psychological nursing （P〉0.05）.The SAS score after intervention of two groups were lower than before intervention （all P〈0.05）.The SAS score in observation group was lower than which in control group（P〈0.05）.Conclusion Preoperative psychological nursing in the night before surgery can ease the anxiety and help patients with positive attitude towards surger y, and promote the successful surgery.

关 键 词：腰椎间盘突出症 心理护理 焦虑 

分 类 号：R681.53[医药卫生—骨科学]