心理护理对腹腔镜胆囊切除术患者焦虑心理的影响

目的:探讨心理护理对腹腔镜胆囊切除术患者焦虑心理的影响。方法:将84例腹腔镜手术患者随机分为2组:对照组23例,给予常规护理;心理护理组61例,给予常规护理+心理护理,其中文化程度<高中的患者34例,文化程度≥高中的患者27例。采用焦虑自评量表(SAS)评价焦虑状态,采用疼痛视觉模拟标尺评估患者疼痛情况,以及评估患者情绪情感、恐惧程度及对治疗满意度。结果:与对照组比较,心理护理组患者焦虑程度、恐惧程度、疼痛评分、显著下降(P<0.05);与文化程度<高中比较,文化程度≥高中的患者焦虑评分显著降低(P<0.05),情绪情感的评分显著增加(P<0.05);术后第1-2天疼痛评分无显著差异(P>0.05),术后第3天疼痛评分有显著差异(P<0.05);心理护理组的满意度明显升高(P<0.05)。结论:腹腔镜手术患者存在明显的焦虑、恐惧症状,心理护理干预能有效缓解患者焦虑心理,减轻疼痛程度,减少疼痛时间,提高患者对医疗服务满意度,可有效提高临床护理质量与效率。

Effect of Mental Nursing Intervention on Anxiety and Pain of Patients with Laparoscopic Cholecystectomy in Primary Hospital

Objective: To study the effect of mental nursing intervention on preoperative anxiety and postoperative pain of patient with laparoscopic cholecystectomy.Methods: 84 cases of patients with laparoscopic cholecystectomy were randomly divided into mental nursing intervention group(61) and control group(23).Control group were given conventional nursing,while the intervention group were given conventional nursing plus mental nursing interference.In the intervention group,34 patients get little education up to middle school,and 27 patients got high school education or upwards.The Self-rating Anxiety Scale(SAS) was used to evaluate anxiety.The pain score of visual analog scale(VAS) was used to evaluate pain.The degrees of emotions,fear and satisfactory were evaluated.Results: Compared with control group,the level of anxiety,fear and pain score were significantly decreased in mental nursing intervention group(P<0.05).Compared with patients with low culture degree,the anxiety score of patients with high school education or upwards was significantly lower(P<0.05),and emotions score was significantly increased.VAS scores after laparoscopic surgery had no significant difference between two groups in the postoperative first and second day(P>0.05),but became significant different in the postoperative third day(P<0.05).The intervention group had a higher degree of satisfaction.Conclusion: The symptoms of anxiety and fear were obviously existed in patients with laparoscopic cholecystectomy.The mental nursing intervention could reduce the degree and duration of pain,increase satisfaction of patients with medical care,and effectively improve the quality and efficiency of clinical nursing.