心理护理干预在三叉神经痛微血管减压术患者中的临床应用  

Clinical application of psychological nursing intervention in patients with trigeminal neuralgia microvascular decompression

作　　者：王雪琪[1] 庄红霞[1] 

机构地区：[1]安徽省立医院南区神经外科,安徽合肥230036

出　　处：《安徽卫生职业技术学院学报》2017年第2期70-71,73,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨心理护理干预在三叉神经痛微血管减压术患者中的临床应用。方法:选择行微血管减压术治疗的原发性三叉神经痛患者60例,随机分为对照组30例和观察组30例,对照组给予常规护理,实验组在常规护理的基础上给予个体化心理护理,所有患者均于入院时和术后1周采用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)和SF-36中文版健康状况调查表评分,统计分析两组患者的评分差异。结果:两组入院时SAS、SDS和SF-36量表评分无统计学差异,术后1周两组的评分各自与入院时比较,SAS、SDS评分均低于入院时,SF-36评分高于入院时,差异有统计学意义(P<0.05)。结论:心理护理干预可以进一步改善三叉神经痛微血管减压术后患者的焦虑抑郁状态,提高自我健康状态认知,恢复生理社会功能。Objective：To explore the clinical application of psychological nursing intervention in patients with trigeminal neuralgia mierovaseular decompression.Method：60 eases of primary trigeminal neuralgia treated by microvascular decompression were performed,who were randomly divided into the control group of 30 eases and observation group of 30 eases. The control group received routine nursing care, On the basis of routine nursing, the experimental group was given individual psychological nursing.SAS, SDS and SF-36 scores were used in all patients at admission and one week after surgery. Statistical analysis were made into the two groups of patients with the score difference.Result：There was no significant difference in SAS, SDS and SF-36 scores between the two groups at admission. After one week, the scores of the two groups were compared with the time of admission.SDS and SAS scores were lower than those at admission,SF-36 score was higher than that on admission.The difference was statistically significant（P〈 0.05）.Conclusion：Psyehological nursing intervention can improve the anxiety and depression of patients with trigeminal neuralgia after mierovascular decompression, improve self health status, and restore physiological and social function.

关 键 词：心理护理 三叉神经痛 生命质量 

分 类 号：R473.74[医药卫生—护理学]