心理干预对腹股沟疝修补术患者术前负性心理影响分析  

Analysis of Influence of psychological intervention before inguinal hernia repair in patients with negative psychology

作　　者：张永梅[1] 刘宝贤[1] 邓智雯[1] 

机构地区：[1]陕西中医药大学附属医院普外科,陕西省咸阳市712000

出　　处：《中华疝和腹壁外科杂志（电子版）》2017年第3期232-234,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的分析探讨心理干预对腹股沟疝修补术患者术前负性心理的影响,进一步为临床治疗护理腹股沟疝修补术患者提供一定的参考依据。方法选取2013年1月至2015年12月陕西中医药大学附属医院普外科收治的行腹股沟疝修补术患者95例,根据护理方式将其分为实验组和对照组。对照组患者术前采取常规护理方式,实验组患者术前在对照组常规护理的基础上进行以认知疗法为主的心理护理干预,并应用焦虑量表评分(SAS)及抑郁量表评分(SDS)比较2组患者护理前后的心理状态。结果 2组患者护理后(手术前)焦虑量表评分及抑郁量表评分均明显低于护理前(入院时),差异有统计学意义(P<0.05);且实验组患者情绪改善程度明显优于对照组,2组差异有统计学意义(P<0.05);进一步分析实验组临床相关资料,发现其心理干预的效果女性改善程度明显优于男性,两者比较差异有统计学意义(P<0.05)。结论对腹股沟疝修补术患者术前应用有效心理干预可缓解患者抑郁情绪,且对女性患者改善更为明显,对患者术后康复具有重要的临床意义,值得进一步推广和使用。Objective To investigate the influence of psychological intervention before inguinal hernia repair in patients with negative psychological analysis, to further provide some reference for clinical treatment and care in patients undergoing inguinal hernia repair. Methods 95 patients admitted for inguinal hernia repair between January 2013 and December 2015 were selected for this study. Based on nursing manner, the patients were divided into experimental group and control group. The patients in the control group received routine preoperative care, while extra psychological intervention were given to patients in the experimental group. Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） were applied to compare psychological state before and after nursing care. Results SAS and SDS scores were significantly lower after nursing treatment （before surgery ） than before nursing treatment （on admission ）. The improvement of emotional degree in the experimental group was better than that in the control group. After further analysis of the clinical data of experimental group, it found that the women had better improved effect of psychological intervention than men. Conclusion The effective psychological intervention for patients before inguinal hernia repair can relieve depression, especially in female patients. It has important clinical implications for postoperative rehabilitation of patients, it is worthy of further promotion and use.

关 键 词：疝 腹股沟 疝修补术 心理干预 

分 类 号：R473.6[医药卫生—护理学]