心理护理对经蝶垂体瘤手术患者负性情绪及依从性的影响  

Influence on negative emotions and adherence of psychological nursing for the patients with pituitary adenoma after trans-sphenoid operation

作　　者：贾学仟[1] 赵旭[1] 陈庆博 余长江[2] 程玉[1] JIA Xueqiart ZHAO Xu CHEN Qingbo YU Changjiang CHENG Yu(The Second Ward, Department of Neurosurgery, the First Affiliated Hospital of Harbin Medical University, Hei- longjiang Province, Harbin 150001, China The First Ward, Department of Neurosurgery, the Fourth Affiliated Hos- pital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China)

机构地区：[1]哈尔滨医科大学附属第一医院神经外科二病房,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第四医院微创神经外科一病房,黑龙江哈尔滨150001

出　　处：《中国医药导报》2017年第16期163-165,169,共4页China Medical Herald

基　　金：黑龙江省自然科学基金项目(H201411)

摘　　要：目的探究与分析心理护理对经蝶垂体瘤手术患者负性情绪及依从性的影响。方法选取哈尔滨医科大学附属第一医院2014年10月~2016年10月收治的90例经蝶垂体瘤手术患者,采取随机数字表法分为常规护理组与心理护理组,每组各45例。对比两组负性情绪、依从性、护理满意度及不良反应。结果与护理前相比,两组护理后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均降低,心理护理组比常规护理组改善更加显著,差异有统计学意义(P<0.05)。与常规护理组相比,心理护理组治疗依从性好、护理满意度较高,差异有统计学意义(P<0.05)。两组意识障碍、脑脊液鼻漏、尿崩症、垂体功能降低总发生率相比,差异无统计学意义(P>0.05)。结论对经蝶垂体瘤手术患者实施常规护理的基础上加用心理护理能够明显缓解患者负性情绪、提高治疗的依从性及患者满意度,降低不良反应发生率。Objective To explore and analyze the influence about negative emotions and adherence of psychological nursing for the patients with pituitary adenoma after trans-sphenoid operation. Methods From October 2014 to October 2016, 90 cases with pituitary adenoma after trans-sphenoid operation treated in the First Affiliated Hospital of Harbin Medical University were selected. All the patients divided into routine nursing and psychological care group according to the random number table, with 45 cases in each group. The negative emotions, compliance and nursing satisfaction and adverse reactions of the two groups were compared. Results The SAS and SDS scores of two groups were decreased after nursing, and the effects of the psychological care group were better than those of the routine nursing group, with statistically significant difference （P 〈 0.05）. The treatment adherence, nursing satisfaction in the psychological nursing group were higher than those in the routine nursing group, with statistically significant difference （/9 〈 0.05）. The overall incidence of disturbance of consciousness, cerebrospinal fluid leak, diabetes insipidus and decreased pituitary function of two groups had no significant difference （P 〉 0.05）. Conclusion The application of psychological nursing based on the routine nursing for the patients with pituitary adenoma after trans-sphenoid operation can obviously alleviate patients＂ negative mood, improve the treatment compliance and patient satisfaction and reduce the incidence of adverse reactions.

关 键 词：心理护理 经蝶垂体瘤手术 负性情绪 依从性 

分 类 号：R47[医药卫生—护理学]