心理护理对妇科肿瘤患者围术期心理状况及生理应激的影响  

Influence of psychological nursing on peri-operative psychological status and physiological stress in patients with gynecological tumors

作　　者：谢晓琴[1] 

机构地区：[1]四川省成都市第三人民医院妇产科,四川成都610031

出　　处：《实用临床医药杂志》2016年第6期92-94,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11524375)

摘　　要：目的探讨心理护理对妇科肿瘤患者围术期心理状况及生理应激的影响。方法选择接受手术治疗的妇科肿瘤患者93例,随机分为干预组47例和对照组46例。对照组给予妇科手术前后常规护理,干预组在此基础上开展心理护理。观察2组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分和心率、血压的变化。结果入院时、术前1 d、术后干预组SAS和SDS评分呈递减趋势(P<0.01);对照组在术后SAS和SDS评分降低(P<0.01);术前1 d和术后,干预组SAS和SDS评分均低于对照组(P<0.01);干预组术前5 min心率、血压明显低于对照组(P<0.01)。结论心理护理能够改善患者围术期心理状况,降低生理应激反应。Objective To explore the influence of psychological nursing on peri-operative psychological status and physiological stress in patients with gynecological tumors. Methods A total of 93 patients with gynecological tumors undergoing surgical treatment were randomly divided into interventional group（ 47 cases） and control group（ 46 cases）. Control group was treated with routine nursing before and after gynecological surgery,and interventional group was added psychological nursing.Self-rating Anxiety scale（ SAS） and Self-rating Depression Scale（ SDS） as well as changes of heart rate and blood pressure were observed between two groups. Results SAS and SDS scores decreased markedly in interventional group during hospitalization,1 d before surgery and after surgery（ P〈0. 01）,and decreased prominently in control group after surgery（ P〈0. 01）,which were notably lower in interventional group than those in control group at 1 d before surgery and after surgery（ P〈0. 01）. In addition,interventional group was significantly lower in heart rate and blood pressure than control group at 5 min before surgery（ P〈0. 01）. Conclusion Psychological nursing can improve patients＇ peri-operative psychological status and reduce their physiological stress.

关 键 词：妇科肿瘤 围术期 生理应激 心理护理 

分 类 号：R473.71[医药卫生—护理学]