心理护理干预对胸外科手术患者康复效果的影响  

Effect of Psychological Nursing Intervention on Rehabilitation of Patients Undergoing Thoracic Surgery

作　　者：张若宁 ZHANG Ruo-ning(Department of Cardiothoracic Surgery,Second Affiliated Hospital of Shenyang Medical College,Shenyang 110002,China)

机构地区：[1]沈阳医学院附属第二医院心胸外科,辽宁沈阳110002

出　　处：《中国医药指南》2020年第14期237-238,共2页Guide of China Medicine

摘　　要：目的探讨心理护理干预对胸外科手术患者康复效果的影响。方法选取2017年3月至2018年12月期间在我院施行胸外科手术的110例患者作为本次研究对象,按随机数表法将110例患者分为研究组(n=55)与对照组(n=55)。对照组患者采用常规护理,研究组患者在对照组患者基础上增加心理护理干预,比较两组手术前后心理状态(SCL-90评分)、睡眠质量(PSQI评分)及疼痛程度(VAS评分)的变化情况,同时对比两组患者术后首次下床时间、住院时间以及护理满意度。结果术后,研究组患者SCL-90评分、PSQI评分及VAS评分分别为(8.3±1.8)分、(6.7±3.0)分、(1.4±0.8)分,明显低于本组术前,且低于对照组术后(12.1±2.7)分、(8.3±2.8)分、(4.2±2.4)分,差异均具有统计学意义(P<0.05);研究组术后首次下床时间、住院时间分别为(5.3±1.6)d、(13.2±3.2)d,均低于对照组(6.4±1.5)d、(16.0±3.1)d,差异均具有统计学意义(P<0.05);研究组护理满意度为96.4%(53/55),高于对照组81.8%(45/54),差异具有统计学意义(P<0.05)。结论对胸外科手术患者开展心理护理干预可显著改善患者心理状态,缩短住院时间,减轻痛苦,改善睡眠质量,促进身体早日康复,且可有效提高临床护理满意度,值得进一步推广应用。Objective To explore the effect of psychological nursing intervention on rehabilitation of patients undergoing thoracic surgery.Methods 110 patients who underwent thoracic surgery in our hospital from March 2017 to December 2018 were selected as the study subjects.110 patients were divided into study group(n=55)and control group(n=55)according to random number table method.Patients in the control group received routine nursing care,while patients in the study group received additional psychological nursing intervention on the basis of the control group.The changes of mental state(SCL-90 score),sleep quality(PSQI score)and pain degree(VAS score)before and after operation were compared between the two groups.At the same time,the first time out of bed,hospitalization time and nursing satisfaction were compared between the two groups.Results After operation,the SCL-90 score,PSQI score and VAS score of the study group were(8.3±1.8),(6.7±3.0)and(1.4±0.8)respectively,which were significantly lower than those of the control group before operation,and were lower than those of the control group after operation(12.1±2.7),(8.3±2.8),(4.2±2.4).The differences were statistically significant(P<0.05).The first time out of bed and hospital stay in the study group were(5.3±1.6)d and(13.2±3.2)d,which were lower than those in the control group(6.4±1.5)d and(16.0±3.1)d.The differences were statistical(P<0.05);the nursing satisfaction of the study group was 96.4%(53/55),which was higher than the control group by 81.8%(45/54),and the difference was statistically significant(P<0.05).Conclusion Psychological nursing intervention for patients undergoing thoracic surgery can significantly improve their psychological state,shorten hospitalization time,alleviate pain,improve sleep quality,promote early recovery of the body,and effectively improve clinical nursing satisfaction,which is worthy of further promotion and application.

关 键 词：心理护理干预 胸外科手术 康复效果 负性情绪 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]