积极性暗示心理护理干预在显微外科手术患者中的应用效果评价  

Evaluation of the application effect of positivity suggestive psychological nursing intervention in patients with microsurgery

作　　者：许波[1] 王璟珂[1] 周亚丽[1] Xu Bo;Wang Jingke;Zhou Yali(Hospital of Henan University of Science and Technology,Luoyang 471003,Henan,China)

机构地区：[1]河南科技大学第一附属医院,河南洛阳471003

出　　处：《临床心身疾病杂志》2019年第2期166-168,共3页Journal of Clinical Psychosomatic Diseases

基　　金：洛阳市科技计划发展项目(编号2016020258).

摘　　要：目的探讨积极性暗示心理护理干预在显微外科手术患者中的应用效果.方法将120例显微外科手术患者按随机数字表法分为观察组和对照组,每组60例,均予以常规护理干预,观察组在此基础上予以积极性暗示心理护理干预.于入院时及术前采用焦虑自评量表评定焦虑状况,抑郁自评量表评定抑郁状况,恐惧视觉模拟评分评定恐惧程度;于术前术后检测生理指标(心率、呼吸、收缩压、舒张压)变化;出院时采用自制护理满意度调查表评定护理满意度.结果观察组术前焦虑自评量表、抑郁自评量表、恐惧视觉模拟评分均显著低于入院时(P<0.01),且显著低于对照组(P<0.01);对照组术前焦虑自评量表评分与入院时比较差异无统计学意义(P>0.05),抑郁自评量表评分显著低于入院时(P<0.05),恐惧视觉模拟评分显著高于入院时(P<0.01).术前术后观察组心率、呼吸、收缩压、舒张压各项生理指标水平均低于对照组(P<0.01),出院时护理满意度显著高于对照组(P<0.01).结论积极性暗示心理护理干预应用于显微外科手术患者效果显著,有利于改善患者的焦虑、抑郁、恐惧等不良情绪,调节生理心理应激反应,提高护理满意度.Objective To investigate the application effect of positivity suggestive psychological nursing intervention in patients with microsurgery.Methods 120 patients with microsurgical operation were ran-domly divided into the observation group and the control group,60 cases in each group.The two groups were all given routine nursing intervention,and the observation group was given positivity suggestive psychological nursing intervention on this basis.The SAS was used to assess anxiety,SDS was used to assess depression,and VAS was used to assess the degree of fear at admission and before surgery.The changes in physiological indicators(HR,RR,SBP,DBP)before and after surgery were detected.The nursing satisfaction of the two groups at discharge was evaluated by self-care satisfaction satisfaction questionnaire.Results SAS,SDS,VAS of the observation group were significantly lower than those at admission(P<0.01)and of the control group(P<0.01);in the control group,the difference of SAS score before operation and at admission had no statistic significance(P>0.05),SDS score of the control group before operation was lower than that at admission(P<0.05),VAS score of the control group before operation was higher than that at admission(P<0.01).Before and after operation,HR,RR,SBP,DBP index levels of the observation group were all lower than those of the control group(P<0.01).Nursing satisfaction score of the observation group was higher than that of the control group(P<0.01).Conclusion Positivity suggestive psychological nursing intervention is effective in patients with microsurgery,it is beneficial to improve the patients anxiety,depression,fear and other negative emotions,regulate physiological and psychological stress response,and improve nursing satisfaction.

关 键 词：显微外科 积极性暗示 心理护理 手术 不良情绪 生理心理应激反应 护理满意度 

分 类 号：R473.6[医药卫生—护理学]