术前心理状态对患者腹腔镜胆囊切除术后康复效果的影响  

Influence of Preoperative Psychological State on the Rehabilitation of Patients Undergoing Laparoscopic Cholecystectomy

作　　者：刘文娟 徐弋婷 LIU Wenjuan;XU Yiting(General Surgery Department,Central Hospital of Gansu Province/Maternal and Child Health Care Hospital of Gansu Province,Lanzhou 730000,China)

机构地区：[1]甘肃省中心医院/甘肃省妇幼保健院普外一科,甘肃兰州730000

出　　处：《河南医学研究》2023年第10期1806-1809,共4页Henan Medical Research

摘　　要：目的评估拟进行腹腔镜胆囊切除术患者术前的心理精神状态,并探究其对术后康复效果的影响。方法选取2021年1月至2022年7月在甘肃省中心医院普外科住院并且接受腹腔镜胆囊切除术治疗的164例患者,术前应用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估心理状态,术后记录术后切口疼痛程度、肛门排气时间、肠鸣音恢复时间、下床时间、住院时间及并发症发生情况。结果根据SAS及SDS评分,所有纳入病例可分为对照组(110例)、负性情绪组(54例)。相比对照组,负性情绪组术后切口重度疼痛、肛门排气时间、肠鸣音恢复时间、下床时间及住院时间差异均具有统计学意义(P<0.05);腹腔镜胆囊切除术治疗后发生术后总并发症率为31.48%,相比于对照组,负性情绪组在并发症发生率方面差异具有统计学意义(P<0.05)。结论术前伴有焦虑或抑郁可延缓腹腔镜胆囊切除术患者恢复且增加患者并发症的发生,因此对腹腔镜胆囊切除术患者实行术前心理护理是十分有必要的。Objective To evaluate the preoperative psychological and mental state of patients undergoing laparoscopic cholecystectomy,and to explore its influence with postoperative rehabilitation.Methods From January 2021 to July 2022,a total of 164 patients who were hospitalized in the General Surgery Department of Central Hospital of Gansu Province and received laparoscopic cholecystectomy were selected.The self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)were used before surgery to evaluate the psychological state.Postoperative incision pain degree,anal exhaust time,bowel sound recovery time,time to get out of bed,length of hospital stay and complications were recorded after operation.Results According to SAS and SDS scores,all the included cases were divided into control group(110 cases)and negative emotion group(54 cases).Compared with the control group,the postoperative severe incision pain,anal exhaust time,bowel sound recovery time,time to get out of bed and hospitalization time in the negative emotion group were statistical different(P<0.05).The total postoperative complication rate after laparoscopic cholecystectomy was 31.48%.Compared with the control group,the negative emotion group had a statistically significant difference in the complication rate(P<0.05).Conclusion Postoperative anxiety or depression can delay the postoperative recovery of patients undergoing laparoscopic cholecystectomy and increase the incidence of complications.Therefore,it is necessary to implement preoperative psychological care for patients undergoing laparoscopic cholecystectomy.

关 键 词：腹腔镜胆囊切除术 焦虑 抑郁 并发症 

分 类 号：R437.6[医药卫生—临床医学]