摘要
目的探讨心理护理对心胸外科手术患者心理状态及护理质量的影响。方法本研究选取2016年6月-2018年6月在郑州市某医院行心胸外科手术的60例患者为研究对象。采用随机数字表法,将患者分为常规护理组与心理护理组,每组30例。常规护理组患者接受常规护理,心理护理组患者在常规护理的基础上接受心理护理。比较2组患者护理前及出院时症状自评量表(SCL-90)及匹兹堡睡眠指数量表(PSQI)评分;比较2组患者手术时间、住院时间及出院时护理满意度。结果出院时,心理护理组患者SCL-90中焦虑、抑郁、恐惧、强迫、偏执、敌对、精神病性、人际关系评分分别为(1.40±0.11)分,(1.17±0.05)分,(1.01±0.10)分,(1.21±0.12)分,(0.71±0.04)分,(1.14±0.13)分,(0.81±0.04)分及(1.04±0.08)分,低于常规护理组的(1.50±0.21)分,(1.40±0.11)分,(1.21±0.08)分,(1.41±0.13)分,(1.10±0.20)分,(1.31±0.17)分,(1.15±0.03)分及(1.14±0.05)分,差异均有统计学意义(P<0.05)。出院时,心理护理组患者PSQI评分为(7.6±1.1)分,低于常规护理组的(9.6±1.2)分,差异有统计学意义(P<0.05)。心理护理组患者手术时间、住院时间分别为(225.1±38.8)min及(7.7±2.2)d,均短于常规护理组的(229.7±40.1)min及(10.0±2.3)d,差异均有统计学意义(P<0.05)。心理护理组患者总满意度为83.3%,高于常规护理组的56.7%,差异有统计学意义(P<0.05)。结论心理护理能够有效改善心胸外科手术患者心理状态及护理质量,值得临床推广应用。
Objective To investigate the influence of mental nursing on mental status and nursing quality in patients with thoracic surgery.Methods A total of 60 patients underwent thoracic surgery in a hospital in Zhengzhou from June 2016 to June 2018 were selected and divided into the mental nursing group(n=30)and the routine nursing group(n=30)according to random digits table.Patients in the routine group received routine nursing,while in the mental nursing group received routine nursing and mental nursing.Scores of symptom check list(SCL-90)and Pittsburgh sleep quality index(PSQI)of patients in two groups before admission and after discharge were compared;operating time,hospitalization time and nursing satisfaction of patients in two groups were compared.Results SCL-90 scores of anxiety,depression,fear,coercion,paranoia,hostility,psychosis and interpersonal relations in the mental nursing group when discharging were(1.40±0.11),(1.17±0.05),(1.01±0.10),(1.21±0.12),(0.71±0.04),(1.14±0.13),(0.81±0.04)and(1.04±0.08),respectively.All were lower than those in the routine care group,which were(1.50±0.21),(1.40±0.11),(1.21±0.08),(1.41±0.13),(1.10±0.20),(1.31±0.17),(1.15±0.03)and(1.14±0.05),respectively;all differences were statistically significant(P<0.05).When discharging,PSQI score in the mental nursing group was(7.6±1.1),which was lower than that of(9.6±1.2)in the routine nursing group,with statistically significant differences(P<0.05).Operating time and hospitalization time in the mental nursing group were(225.1±38.8)min and(7.7±2.2)d,both of which were shorter than those of(229.7±40.1)min and(10.0±2.3)d in the routine nursing group,with statistically significant differences(P<0.05).Total satisfaction degree in the mental nursing group was 83.3%,which was higher than that of 56.7%in the routine group,with statistically significant differences(P<0.05).Conclusion Mental nursing can effectively improve mental status and nursing quality in patients with thoracic surgery,which is worthy of clinical promotion.
作者
郭琳琳
赵巧燕
Guo Linlin;Zhao Qiaoyan(The Seventh People′s Hospital of Zhengzhou,Zhengzhou 450000)
出处
《保健医学研究与实践》
2020年第1期66-69,共4页
Health Medicine Research and Practice
基金
河南省科技攻关计划项目(2018020861)
关键词
心理护理
心胸外科手术
心理状态
护理质量
医学模式
呼吸功能
Mental nursing
Thoracic surgery
Mental status
Nursing quality
Medical mode
Respiratory function
