手术前后心理支持对腹腔镜下子宫全切术患者心理状态及术后恢复的影响  

Effects of the psychological nursing support of patients before and after laparoscopic total hysterectomy on their metal state and postoperative recovery

作　　者：孙亦涵 刘静茹 罗昊 孙宗秀 SUN Yihan;LIU Jingru;LUO Hao;SUN Zongxiu(3201 Hospital of People's Liberation Army,Hanzhong,Shanxi Province,723000)

机构地区：[1]三二〇一医院,汉中723000

出　　处：《中国计划生育学杂志》2025年第2期316-320,共5页Chinese Journal of Family Planning

摘　　要：目的:观察手术前后心理护理支持对腹腔镜下子宫全切术患者术后恢复及生活质量影响。方法:纳入2022年2月-2024年6月本院收治拟行腹腔镜下子宫全切术患者98例,随机数字表法分为常规组与心理护理组,常规组(49例)实施常规护理干预,心理护理组(49例)在常规护理基础上联合手术前后心理护理支持,比较出院时两组Connor-Davidson心理弹性量表(CD-RISC)评分、焦虑自评量表(SAS)以及抑郁自评量表(SDS)评分、Kolcaba的舒适状况量表(GCQ)及匹兹堡睡眠质量指数量表(PSQI)、自我效能感量表(GSES)评分及世界卫生组织生活质量简表(WHOQOL-BREF)评分、术后并发症、恢复状况、护理满意率。结果:心理护理组出院时CD-RISC评分、SAS评分、SDS评分、GCQ评分、PSQI评分、GSES评分及WHOQOL-BREF评分均优于常规组,术后并发症发生率(2.0%)低于常规组(16.3%),术后下床活动时间(1.11±0.18d)、排气时间(2.01±0.43d)、住院时间(9.14±2.25d)等均短于常规组(1.36±0.26d、2.55±0.76d、13.12±2.94d),护理满意率(98.0%)高于常规组(81.6%)(均P<0.05)。结论:手术前后心理护理支持对腹腔镜下子宫全切术患者具有积极影响,可较好降低患者并发症发生率,改善患者术后心理状态及睡眠质量,提升患者自我效能感及护理舒适度、生活质量,促进患者更快恢复,患者较为满意及认可。Objective: To observe the effects of the psychological nursing support of patients before and after laparoscopic total hysterectomy on their postoperative recovery and quality of life. Methods: A total of 98 patients who wanted the total laparoscopic hysterectomy were included and were divided into two groups(49 cases in each group) by random number table method from February 2022 to June 2024. The patients in the two groups received the routine nursing intervention before and after surgery, and the patients in the study group received the psychological nursing support additionally. The scores of Connor-Davidson resilience scale(CD-RISC) and self-rating anxiety scale(SAS), self-rating depression scale(SDS), Kolcaba comfort questionnaire(GCQ), Pittsburgh sleep quality index(PSQI), general self-efficacy scale(GSES) and world health organization quality of life brief scale(WHOQOL-BREF) at discharge, the postoperative complications incidence, the recovery status and the nursing satisfaction rate of the patients were compared between the two groups. Results: The scores of CD-RISC, SAS, SDS, GCQ, PSQI, GSES and WHOQOL-BREF of the patients in the study group at discharge were significantly better than those of the patients in the control group. The incidence of the postoperative complications(2.0%) of the patients in the study group was significantly lower than that(16.3%) of the patients in the control group. The time of the postoperative getting out of the bed(1.11±0.18 d), the exhaust time(2.01±0.43d) and the hospital duration(9.14±2.25d) of the patients in the study group were significantly shorter than those(1.36±0.26d,2.55±0.76dand 13.12±2.94d)of the patients in the control group.The nursing satisfaction rate(98.0%)of the patients in the study group was significantly higher than that(81.6%)of the patients in the control group(all P<0.05).Conclusion:The psychological nursing support for the patients before and after laparoscopic total hysterectomy has the positive impact,which can better reduce the incidence

关 键 词：腹腔镜下子宫全切术 手术前后心理护理支持 心理状态 睡眠质量 自我效能感 并发症 护理满意率 

分 类 号：R47[医药卫生—护理学]