心理护理程序用于乳腺肿块手术患者的临床体会  

Clinical Experience of Psychological Nursing Procedures Applied in Patients with Breast Masses after Surgery

作　　者：李玉梅[1] 刘刚[1] 

机构地区：[1]河南科技大学第一附属医院普外三

出　　处：《中国健康心理学杂志》2018年第1期25-28,共4页China Journal of Health Psychology

基　　金：国家自然科学基金面上项目(编号:81572794)

摘　　要：目的：总结心理护理程序在乳腺肿块手术患者中的应用体会。方法：选取90例乳腺肿块患者为研究对象,按随机数字表分为观察组与对照组,各45例。对照组采取乳房手术常规护理,观察组采取心理护理程序。比较两组干预前后心理状态（应用SCL-90量表进行评估）、依从情况、术后每日进食量、睡眠时间及住院时间。结果：观察组护理后的SCL-90量表各项评分均低于对照组（t=2.448,2.334,2.986,2.134,2.561,2.121,2.602,2.104,2.502;P〈0.05）。观察组术前依从率为95.55%（43/45）,高于对照组82.22%（37/45）（χ~2=4.050,P〈0.05）。观察组术后每日进食量为（78.18±27.95）kcal/kg,大于对照组（t=-2.293,P〈0.05）;每日睡眠时间为（7.51±1.40）h,长于对照组（t=-2.946,P〈0.01）;住院时间为（14.46±3.51）d,短于对照组（t=-3.630,P〈0.01）。结论：心理护理程序在乳腺肿块手术患者中的应用可针对性缓解患者不良情绪,改善患者心理状态,提高患者依从性,并加快术后恢复进度。Objective：To summarize the experience of psychological nursing procedures applied in patients with breast masses after surgery.Methods：Ninety patients with breast masses were selected as study subjects and were randomized into the observation group and the control group,45 cases in each group.Patients in control group received routine nursing while patients in the observation group received psychological nursing procedures.The psychological state（evaluated by SCL-90）before and after intervention,compliance,daily intake after surgery,sleep time and length of hospital stay were compared between the two groups.Results：The scores of the SCL-90 scale after psychological nursing in the observation group were lower than that of the control group（t=2.448,2.334,2.986,2.134,2.561,2.121,2.602,2.104,2.502,all P〈0.05）.The preoperative compliance rate of observation group[95.55%（43/45）]was higher than that of the control group[82.22%（37/45）]（χ~2=4.050,P〈0.05）.The postoperative daily food intake of observation group[（78.18±27.95）kcal/kg]was more than that of the control group（t=-2.293,P〈0.05）;The daily sleep time[（7.51±1.40）h]was longer than that of the control group（t=-2.946,P〈0.01）while the length of stay[（14.46±3.51）d]was shorter than that of the control group（t=3.630,P〈0.01）.Conclusion：The application of psychological nursing in patients with breast masses after surgery can alleviate negative emotion,improve the psychological status and compliance of patients,and accelerate the recovery progress after surgery.

关 键 词：乳腺肿块 手术 心理护理程序 依从性 

分 类 号：R395.5[哲学宗教—心理学]