心理护理对围麻醉期妇产科腹腔镜手术患者的效果  

Effect of psychological nursing on perioperative anesthesia of patients undergoing laparoscopic surgery in gynecology and obstetrics

作　　者：窦晓雪 贺楠 邢聪聪 DOU Xiaoxue;HE Nan;XING Congcong(Operating Theatre,Anyang Maternal and Child Health Hospital,Anyang 455000,China)

机构地区：[1]安阳市妇幼保健院手术室,安阳455000

出　　处：《国际精神病学杂志》2024年第5期1652-1655,共4页Journal Of International Psychiatry

基　　金：河南省医学科技攻关计划项目(编号:201701829)。

摘　　要：目的 探讨心理护理干预实行于妇产科腹腔镜手术患者围麻醉期的临床价值及对其心理、情绪的影响。方法 选择2016年7月~2022年7月收治且经严格纳排标准后的110例妇产科腹腔镜手术患者,以随机数字表法分2组各55例,记为对照组与观察组,前一组实行常规护理模式,后一组实行心理护理模式,评估两组负性情绪(焦虑自评量表(SAS)、抑郁自评量表(SDS)评分)和心理状态,同时观察及比较患者血压及心率变化,统计相关并发症发生率。结果 干预后,评估患者负性情绪,两组SAS、SDS评分均呈下降趋势,且观察组更为显著(P<0.05);观察组患者担心焦虑程度较对照组相对低(P<0.05);于术前相较,两组入室5min时患者血压、心率差异明显(P<0.05),与对照组结果相比,观察组血压、心率变化相对小,组间比较(P<0.05);观察组恶心呕吐、腹胀、尿潴留发生率明显低于对照组(P<0.05)。结论 在妇产科腹腔镜手术患者围麻醉期开展心理护理干预,可有效减轻其焦虑抑郁情绪,调节心理状态,同时稳定控制患者心率及血压。Objective To explore the clinical value of psychological nursing intervention in the perioperative period of gynecological laparoscopic surgery and its influence on psychology and emotion.Methods 110 cases of gynecological laparoscopic surgery patients who were admitted from July 2016 to July 2022 and were treated with strict admission and discharge criteria were selected.They were randomly divided into two groups,55 cases in each group.The groups were recorded as the control group and the observation group.The former group adopted the conventional nursing mode,and the latter group adopted the psychological nursing mode to evaluate the negative emotions(SAS,SDS)and psychological status between the two groups,At the same time,the changes of blood pressure and heart rate were observed and compared,and the incidence of related complications was counted.Results After intervention,the SAS and SDS scores of the two groups showed a downward trend,and the observation group was more significant(P<0.05).The anxiety level of the patients in the observation group was lower than that in the control group(P<0.05).Compared with the results of the control group,the changes of blood pressure and heart rate in the observation group were relatively small(P<0.05).The incidence of nausea,vomiting,abdominal distention and urinary retention in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Psychological nursing intervention in the perioperative period of laparoscopic surgery in gynecology and obstetrics can effectively reduce their anxiety and depression,regulate their psychological state,and stabilize their heart rate and blood pressure.

关 键 词：心理护理 妇产科 围麻醉期 负性情绪 心理 

分 类 号：R740.05[医药卫生—神经病学与精神病学]