摘要
目的探讨强化心理干预对老年男性腹股沟疝患者疝环充填式修补术围术期心理状态的干预效果。方法选取2013年1月至2014年9月咸阳市中心医院78例男性腹股沟疝患者为研究对象,采用随机数字法将其分为观察组和对照组,每组患者39例。其中对照组患者给予常规性干预护理,观察组患者在常规护理的基础上,给予强化心理干预护理。观察2组患者在充填式修补术围术期护理干预前后症状自评量表、康奈尔医学指数(CMI)、治疗依从性以及术前2组患者各时段心率、收缩压比较。结果在护理干预前,2组患者的症状自评量表、康奈尔医学指数、治疗依从性上比较差异均无统计学意义(P>0.05),而在护理干预后,观察组患者在症状自评量表的躯体化、抑郁、焦虑、人际、敌对、恐惧、强迫状态、偏执以及精神病性方面评分均优于对照组(t=6.875、5.422、10.954、2.567、3.567、3.400、2.090、13.248、16.194,P<0.05)。观察组患者的CMI指数总分以及心理阳性率均明显高于对照组(χ2=7.508、6.309、4.255、4.255,P<0.05)。2组术前1 d心率以及收缩压比较差异无统计学意义(P>0.05),但术前20 min观察组患者的心率和收缩压明显优于对照组(t=5.073、2.934,P<0.05)。结论强化心理干预对老年男性腹股沟疝患者疝环充填式修补术围术期心理有着显著的干预效果。
Objective To explore the effect of strengthening psychological intervention on the perioperative psychological state of mesh-plug repair in elderly male patients with inguinal hernia. Methods 78 cases of elderly male patients with inguinal hernia treated in Xianyang Central Hospital from January 2013 to September 2014 were selected. They were divided into observation group and control group, with 39 cases in each group, according to the random digital table method. The patients in the control group were given routine nursing care, and the patients in the observation group were given strengthening psychological intervention on the basis of routine nursing. The Symptom self-rating scale, Connell Medical Index （CMI）, treatment compliance, perioperative heart rate and systolic blood pressure of the two groups before and after preoperative nursing intervention were observed. Results Before nursing intervention, there were no significant differences in the symptom self- rating scale, CMI and treatment compliance between the two groups （P 〉 0. 05 ）. While after nursing intervention, the scores of physical, depression, anxiety, interpersonal, hostility, fear, compulsion, paranoia and psychosis of the symptom self-rating scale in the observation group were superior to the control group （ t = 6. 875, 5. 422, 10. 954, 2. 567, 3. 567, 3. 400, 2. 090, 13. 248, 16. 194; P 〈0.05）. The CMI scores and the psychological positive rate of the observation group were significantly higher than those of the control group （ t = 7. 508, 6. 309, 4. 255, 4. 255 ; P 〈 0.05 ）. There were no significant difference in heart rate and systolic blood pressure between the two groups at preoperative 1 d （P 〉 0.05）, but the heart rate and systolic blood pressure of the patients in the observation group in preoperative 20 min were significantly better than those in the control group （t = 5. 073, 2. 934, P 〈 0. 05 ）. Conclusion Strengthening psychological intervention has significant intervention effect on the perioper
出处
《中华疝和腹壁外科杂志（电子版）》
2016年第6期470-473,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
