心理护理对阴道紧缩术围手术期患者情绪、睡眠及术后早期康复的影响  

Effect of Psychological Nursing on Perioperative Negative Emotions,Sleep Quality and Early Recovery After Surgery During Vaginal Tightening Surgery

作　　者：杨艳秋 刘珂 YANG Yanqiu;LIU Ke(Department of Anesthesiology,the First Affiliated Hospital of Henan Univesity of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院麻醉科,河南郑州450000

出　　处：《河南医学研究》2023年第14期2653-2656,共4页Henan Medical Research

摘　　要：目的探讨心理护理对阴道紧缩术围手术期负面情绪、睡眠质量和术后早期康复的影响。方法回顾性分析河南中医药大学第一附属医院门诊手术室2021年1月至2022年1月静脉全麻下行阴道紧缩术患者70例;所有患者术前均按照实际情况填写焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)、恢复质量评分量表(QoR-40)作为基础指标,按照患者是否愿意参与心理护理将患者分为两组:心理护理联合常规护理组(S组,40例),常规护理组(C组,30例),S组患者除常规护理外由护士对患者进行围手术期心理护理,C组患者只进行常规护理。记录两组患者术后第1、3、5、7、10天SAS、SDS、PSQI评分,以及患者24 h内镇痛药物的需求、QoR-40评分、恶心呕吐发生率等。结果两组患者年龄、体重指数、美国麻醉医师协会(ASA)分级、术前SAS、SDS、PSQI、QoR-40评分差异无统计学意义(P>0.05);S组患者术后第1、3、5、7天SAS、SDS、PSQI评分均低于C组,两组差异具有统计学意义(P<0.05);两组患者术后第1、3天SAS、SDS、PSQI评分均高于正常,S组患者SAS评分于术后第5天恢复正常,早于C组的术后第7天;术后第5天起S组与C组患者SDS、PSQI评分均已经恢复正常;S组患者术后24 h对镇痛药物的需求低于C组,且S组术后QoR-40评分高于C组,差异具有统计学意义(P<0.05),但两组术后恶心呕吐发生率之间差异无统计学意义(P>0.05)。结论围手术期心理护理能够缓解“私密整形手术”患者的紧张焦虑情绪,改善患者的睡眠质量,减少患者对术后镇痛药物的需求,加快患者身心健康的恢复。Objective To explore the influence of psychological nursing on negative mood,sleep quality and early recovery after surgery during the perioperative period of vaginal tightening surgery.Methods Retrospective analysis was performed on 70 patients who experience vaginal tightening surgery under intravenous general anesthesia in outpatient operating room of the First Affiliated Hospital of Henan Univesity of Chinese Medicine from January 2021 to January 2022.All patients were filled in the self-rating anxiety scale(SAS),self-rating depression scale(SDS),Pittsburgh sleep quality index scale(PSQI),and recovery quality score scale(QoR-40)as the basic indicators according to the actual situation before surgery.The patients were divided into two groups:psychological nursing and conventional nursing group(S group,40 cases),conventional nursing group(C group,30 cases),according to whether they were willing to participate in psychological nursing.Patients in group S were given perioperative psychological nursing by nurses in addition to conventional nursing,while patients in group C were only given routine nursing.The scores of SAS,SDS and PSQI were recorded on the 1st,3rd,5th,7th and 10th postoperative days of the two groups,including with the demand for analgesic drugs and the incidence of nausea and vomiting.Results There were no significant differences in age,body mass index,American Society of Anesthesiologists(ASA)grading,preoperative SAS,SDS and PSQI scores between the two groups.Compared with group C,the scores of SAS,SDS and PSQI in group S were lower on the 1st,3rd,5th and 7th postoperative days,and the differences between the two groups were statistically significant.SAS,SDS and PSQI scores in both groups were higher than normal on the 1st and 3rd postoperative days,and SAS scores in group S returned to normal on the 5th postoperative day,earlier than that in group C on the 7th postoperative day.The demand for analgesics 24 hours after operation in group S was lower than that in group C and the postoperative QoR-

关 键 词：心理护理 焦虑 睡眠 抑郁 

分 类 号：R473.6[医药卫生—护理学]