腹壁巨大切口疝患者术后改善焦虑、抑郁的效果研究  

Giant abdominal incisional hernia postoperative care to improve the quality of anxiety,depression effect

作　　者：刘薇[1] 

机构地区：[1]广元市第一人民医院外科,四川628017

出　　处：《中华疝和腹壁外科杂志（电子版）》2016年第4期293-295,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的腹壁巨大切口疝患者术后改善焦虑、抑郁的效果研究,为临床进行有效的护理干预提供依据。方法选取2012年1月至2015年5月,广元市第一人民医院48例腹壁巨大切口疝患者进行试验观察,并随机分为试验组与对照组。对照组使用常规护理模式,试验组使用优质护理模式进行护理干预,比较两组患者在护理干预前后的心理变化,使用焦虑自评量表(SAS)以及抑郁自评量表(SDS)进行调查,比较两组患者在护理干预前后的SAS评分以及SDS评分和对护理满意率的变化。结果两组患者在护理干预前的SAS评分分别为(52.6±5.6)和(53.4±5.8)分,护理干预后的SAS评分分别为(40.5±3.5)和(47.2±5.1)分,试验组在SDS评分变化以及护理满意率等方面显著优于对照组,差异具有统计学意义(P<0.05)。结论为腹壁巨大切口疝患者提供优质护理服务干预能够显著改善患者的术后焦虑抑郁情况,提高患者的预后以及生活质量,能够达到提高医院服务质量的效果。Objective Postoperative abdominal incision hernia great care to improve the quality of anxiety, depression and the effect of research, clinical care interventions effective basis. Methods From January 2012 to May 2015 48 cases of abdominal giant incisional hernia patients in our hospital were tested to observe, were randomly divided into experimental and control groups, the control group using conventional nursing model, the test group with high-quality care model nursing intervention, psychological changes were compared before and after nursing interventions, the use of self-rating anxiety scale （Self-Rating Anxiety Scale, SAS） and Self-Rating Depression Scale （Self-rating depression scale, SDS） to investigate, compare Two groups of patients before and after nursing interventions SAS and SDS scores and change scores for nursing satisfaction rate. Results The two groups of patients before nursing interventions SAS score was （52.6± 5.6） points and （53.4± 5.8） hours after the nursing interventions SAS score was （40.5 ± 3.5） points and （47.2± 5.1 ） points ; and Test Group care satisfaction scores change and other aspects of the SDS was significantly better than the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion Abdominal giant incisional hernia patients to provide quality care interventions can significantly improve patients of anxiety and depression cases, improve prognosis and quality of life of patients, it is possible to improve the quality of hospital service effectiveness.

关 键 词：疝 腹部 焦虑 抑郁 

分 类 号：R473.6[医药卫生—护理学]