认知和心理干预对妇科门诊手术患者不良情绪和疼痛的影响  

Effect of cognitive and psychological intervention on adverse emotions and pain in patients undergoing gynecological outpatient surgery

作　　者：张正梅 李茹 邓亚岚 ZHANG Zhengmei;LI Ru;DENG Yalan(Gynecology and Obstetrics Clinic,Traditional Chinese Medicine Hospital of Kongtong District in Pingliang City,Gansu Province,Pingliang 744000,China;Department of Anesthesiology,Traditional Chinese Medicine Hospital of Kongtong District in Pingliang City,Gansu Province,Pingliang 744000,China)

机构地区：[1]甘肃省平凉市崆峒区中医医院妇产科门诊,甘肃平凉744000 [2]甘肃省平凉市崆峒区中医医院麻醉科,甘肃平凉744000

出　　处：《妇儿健康导刊》2023年第1期159-161,共3页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨妇科门诊手术患者应用认知和心理干预对情绪、疼痛的影响。方法选取2019年12月至2021年9月平凉市崆峒区中医医院收治的126例妇科门诊手术患者为研究对象,根据单双数法分为对照组与观察组,每组各63例。对照组采用妇科门诊常规护理,观察组采用认知和心理干预。比较两组干预前后的不良情绪评分[应用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估],术后30 min、1 h的疼痛程度评分。结果干预前两组的HAMD、HAMA评分比较,差异无统计学意义(P>0.05);干预后观察组的HAMD、HAMA评分低于对照组,差异均有统计学意义(P<0.05)。观察组术后30 min、1 h的疼痛程度评分低于对照组,差异均有统计学意义(P<0.05)。结论妇科门诊手术患者应用认知和心理干预,可有效调节患者不良情绪,减轻患者术后疼痛症状,应用价值显著,值得临床普及推广。Objective To explore the effect of cognitive and psychological intervention on emotion and pain in patients undergoing gynecological outpatient surgery.Methods A total of 126 gynecological outpatient surgery patients admitted to Traditional Chinese Medicine Hospital of Kongtong District in Pingliang City from December 2019 to September 2021 were selected as the research objects.According to the odd-even number method,they were divided into the control group and the observation group,63 cases in each group.The control group received gynecological outpatient routine nursing,while the observation group received cognitive and psychological intervention.The scores of adverse emotions before and after intervention(assessed by Hamilton depression scale[HAMD]and Hamilton anxiety scale[HAMA])and the scores of pain degree at 30 min and 1 h after operation were compared between the two groups.Results Before intervention,there were no statistical differences in HAMD and HAMA scores between the two groups(P>0.05).After intervention,HAMD and HAMA scores of the observation group were lower than those of the control group,differences were statistically significant(P<0.05).The scores of pain degree at 30 min and 1 h after operation of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The application of cognitive and psychological intervention in patients with gynecological outpatient surgery can effectively regulate patients’adverse emotions,reduce patients’postoperative pain symptoms,the application value is significant,worthy of clinical popula rization.

关 键 词：妇科门诊手术 常规护理 认知和心理干预 不良情绪 疼痛程度 

分 类 号：R473.71[医药卫生—护理学]