围术期痔疮患者焦虑的相关因素分析及护理对策  

Correlation factors analysis and nursing countermeasures of anxiety in patients with hemorrhoids

作　　者：张秀莉[1] 

机构地区：[1]辽宁省沈阳市肛肠医院,辽宁沈阳110002

出　　处：《实用临床医药杂志》2016年第2期99-101,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨围术期痔疮患者焦虑的相关因素及护理对策。方法选取本院收治的1120例痔疮手术患者作为研究对象,采取焦虑自评量表对其围术期焦虑状况进行评定,根据是否存在焦虑分为焦虑组与非焦虑组,探讨围术期痔疮患者焦虑的影响因素,并采取针对性护理措施,比较护理前后患者SAS评分变化情况。结果工作压力大、病程长、术前反复发作、对痔疮知识了解不全面、对手术恐惧、手术疼痛、术后出现并发症、担心手术效果欠佳是围术期痔疮患者出现焦虑的危险因素;针对护理干预后,焦虑组患者的SAS评分较护理前有显著下降(P<0.01)。结论围术期痔疮患者焦虑情绪与多种因素有关,针对引起焦虑的因素进行护理干预可有效缓解患者的焦虑情绪。Objective To explore the related factors and nursing measures of anxiety in patients with hemorrhoids. Methods A total of 1120 patients with hemorrhoid surgery in our hospital were recruited as the research objects,the perioperative anxiety status were evaluated by Self- rating Anxiety Scale. And the patients were divided into anxiety group and non anxiety group according to the presence or absence of anxiety,chi square test and t test were applied to explore the influence factors of anxiety in perioperative patients with hemorrhoids and corresponding nursing measures was taken for patients. Besides,changes of SAS score before and after nursing was evaluated. Results The risk factors of patients were high work stress,long course of disease,repeated attack before operation,incomplete of hemorrhoid knowledge,fear of operation,postoperative complications and worries about the operative efficacy were the risk factors for patients with hemorrhoids. The SAS score was significantly decreased after nursing intervention（ P〈0. 01）. Conclusion The anxiety of patients with hemorrhoids is related to many factors,and corresponding nursing interventions can effectively relieve the anxiety of patients.

关 键 词：痔疮 围术期 焦虑 影响因素 护理对策 

分 类 号：R473.5[医药卫生—护理学]