摘要
目的评估胆结石手术患者的心理状态及生活质量,分析进行护理干预的效果。方法将收治的217例胆结石手术患者分为干预组和对照组,对照组按照常规胆结石手术护理流程实施一般护理,干预组实施个体化护理。利用横断面现况调查的研究方法,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者的焦虑、抑郁状态,采用消化道生存质量的量表(GIQLI)评估生活质量状况,并及时进行护理干预,探讨其临床效果,分析影响患者生活质量的因素。结果干预组护理后的焦虑、抑郁评分均低于对照组,干预组术后的生活质量评分明显高于对照组,差异均有统计学意义(P<0.05);回归分析结果显示,生活质量的影响因素有年龄、手术方式、腹胀、排便改变。结论胆结石手术患者的心理状态及生活质量受多因素影响,个体化护理能改善胆结石患者的焦虑和抑郁的心理状态,且能提高其生活质量。
Objective To investigate the effect of the individualized nursing care on the psychological status and quality of life of patients with gallstone surgery. Methods 217 patients with cholelithiasis were randomly divided into the control group and the intervention group. The routine and individualized nursing care was respectively implemented in the control and intervention group,the psychological changes and quality of life of the patients were compared between the two groups before and after nursing care. Results The seventy level of fear of the patients was significantly lower in the intervention group than the control group after nursing care the SAS scores were 41. 5 ± 9. 7 points and SDS scores were 42. 3 ± 8. 9 points in the intervention group after nursing care and they were significantly lower than 50. 3 ± 10. 4 points and 49. 1 ± 9. 6 points in the control group; the scores of GIQLI in the intervention group and they were significantly higher than in the control group（ P 0. 05）.Conclusions The individualized nursing care can relieve the negative psychological state and improve the quality of life of patients with gallstone surgery.
出处
《齐齐哈尔医学院学报》
2016年第16期2111-2113,共3页
Journal of Qiqihar Medical University
关键词
胆结石
护理
心理状态
生活质量
影响因素
Gallstone
Nursing care
Psychological state
Quality of life
Influencing factor
