摘要
目的探讨心理护理在普外科老年手术患者中的应用效果。方法行手术治疗的老年患者90例随机分为对照组和观察组,各45例。对照组给予常规护理,观察组在此基础上给予心理护理。观察干预前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分变化,术后24、48、72 h谵妄发生情况,以及其他术后并发症发生情况及住院时间。结果干预后,2组患者SAS、SDS评分均较干预前降低,差异有统计学意义(P<0.01);观察组评分低于对照组,差异有统计学意义(P<0.05,P<0.01)。观察组平均住院时间及出院前总谵妄发生率低于对照组,差异有统计学意义(P<0.05,P<0.01)。结论心理护理干预能有效改善患者的焦虑、抑郁心理状态,降低术后并发症发生率及谵妄发生率,缩短住院时间。
Objective To observe the application of psychological care in elderly patients with surgical treatment. Methods A total of 90 elderly patients with surgical treatment were randomly divided into observation group and control group, both with the conventional nursing. The observation group was given psychological intervention. The mental status of two group were assessed by self rating anxiety scale （SAS） and self rating depression scale （SDS）. The postoperative delirium and other complications were observed. Results The score of SAS and SDS were decreased in both of two group after intervention, and was dropped more in observation group （ P 〈 0.05, P 〈 0.01 ）. Observation group had lower incidence of postoperative delirium and shorter length of stay compared with the control group （P 〈0.05, P 〈0.01 ）. Conclusion Psychological care is potentially effective to improve the mental status and reduce the risk of postoperative delirium in elderly patients.
出处
《中西医结合护理（中英文）》
2015年第2期77-78,114,共3页
Journal of Clinical Nursing in Practice
关键词
普外科手术
老年
心理护理
焦虑
抑郁
surgical treatment
elderly patients
psychological care
anxiety
depression
