经泪前隐窝入路鼻内镜下上颌窦手术相关应激心理障碍的术前心理护理干预效果分析  

Analysis on the preoperative mental nursing effect on stress psychological barriers among patients undergone nasal endoscopic surgery via the approach of anterior tears fossae to maxillary sinus

作　　者：马迪将[1] 诸琦[1] 方李丽[1] 

机构地区：[1]浙江省余姚市人民医院耳鼻喉科,浙江315400

出　　处：《中国中西医结合耳鼻咽喉科杂志》2016年第5期367-368,352,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

基　　金：余姚市科技计划项目;编号2014Y04

摘　　要：目的 观察术前护理干预对经泪前隐窝入路鼻内镜上颌窦手术相关应激心理障碍的影响.方法 本院接受经泪前隐窝入路鼻内镜上颌窦手术患者36例纳入研究,采用随机数字表法分成观察组和对照组各18例.对照组术前进行常规健康教育,观察组则在此基础上再联合应用心理护理干预,以SAI评分和VAS评分对应急心理障碍程度进行评估,比较分析术前护理干预对患者术后激心理障碍的影响.结果 观察组患者术后SAI及VAS分值明显低于对照组（t=2.799~5.290,P〈0.0）;手术医生对患者术中配合状况的满意度明显高于对照组（χ2=4.909,P〈0.05）.结论 经泪前隐窝入路鼻内镜上颌窦手术患者都会存在不同程度的应激心理障碍,术前心理护理干预有助于缓解其焦虑状态,减轻疼痛程度,提高手术配合程度.Objective To explore the intervening effect of preoperative mental nursing on stress psychological barriers among patients undergone nasal endoscopic surgery via the approach of anterior tears fossae to maxillary sinus based on a clinical trial. Methods Included in this study were 36 cases undergone nasal endoscopic surgery via the approach of anterior lacrimal fossa to maxillary sinus carried out in our Hospital, with them randomly divided into observation group （OG） and control group （CG） with 18 cases in each. The cases in CG were given routine health education and those in OG given a combined procedure with mental nursing intervention and the routine health education, all performed preoperatively. Then, SAI scoring and VAS scoring procedures were utilized to assay the degrees of stress psychological barriers among these patients in a comparative way between the two groups for evaluating the intervening effect of preoperative mental nursing. Results It was found that the scores of SAI and VAS were significantly lower in OG than that of CG （t=2.799~2.799, P〈0.0）. Furthermore, the satisfactory degree from surgeons performing the operation was significantly higher in OG on the cooperation of patients during the surgical period than those in CG （χ2= 4.909, P〈0.05）. Conclusion Stress psychological barriers may occur postoperatively almost among all the patients received nasal endoscopic surgery via the approach of anterior tears fossae into the maxillary sinus at various degrees. Therefore, preoperative mental nursing intervention is helpful for patients to ease their anxiety status, relieve painful feeling, and elevate their cooperative level during the operation.

关 键 词：上颌窦手术 鼻内镜手术 应激心理障碍 心理护理 干预效果 

分 类 号：R473.76[医药卫生—护理学]