摘要
目的:探讨术前心理访谈对肛瘘患者心理状况、术后疼痛的影响。方法:选取2016年7月至2018年9月某院收治的肛瘘患者168例为研究对象,采用信封法随机法分为研究组和对照组各84例,对照组在术前给予常规干预,研究组在此基础上给予心理访谈干预,比较两组患者术后自理能力、康复情况,并分析对患者心理状况及术后疼痛的影响。结果:研究组术后12h、术后24h、术后48h疼痛评分均显著低于对照组(t=8.534,21.740,15.915;P<0.05);干预后两组HAMA、HAMD评分均显著降低,且研究组以上评分均明显低于对照组(t=32.023,28.253;P<0.05);干预后研究组自我管理技能、自我责任感、自我概念、健康知识水平评分、自护能力总分均显著高于对照组(t=13.340,27.133,13.497,33.492,19.460;P<0.05);研究组首次排尿时间、住院时间均显著短于对照组(t=10.965,12.543;P<0.05),研究组尿路刺激征、排便异常发生率均明显低于对照组(χ^(2)=9.377,11.060;P<0.05)。结论:术前心理访谈在肛瘘患者中应用较佳,可显著降低术后疼痛,改善负性情绪,提高自我管理技能,促进患者恢复,值得在临床上推广应用。
Objective:To explore the effects of preoperative psychological interview on psychological status and postoperative pain in patients with anal fistula.Methods:A total of 168 patients with anal fistula admitted to our hospital from July 2016 to September 2018 were selected for the study and were randomly divided into study group and control group by envelopment method,with 84 cases in each group.Control group was given routine intervention before operation,and study group was given psychological interview intervention on this basis.The postoperative self-care ability and rehabilitation were compared between two groups,and the effects on psychological status and postoperative pain were analyzed.Results:The pain scores in study groupwere significantly lower than those in control group at 12 h,24 h and 48 h after operation(t=8.534,21.740,15.915;P<0.05).After intervention,the scores of HAMA and HAMD in the two groups were significantly decreased,and the above scores in study group were significantly lower than those in control group(t=32.023,28.253;P<0.05).After intervention,the scores of self-management skills,self-responsibility,self-concept and health knowledge level and scores ofself-care ability in study group were significantly higher than those in control group(t=13.340,27.133,13.497,33.492,19.460;P<0.05).The first urination time and hospital stay in study group were significantly shorter than those in control group(t=10.965,12.543;P<0.05),and the incidence rates of urinary tract irritation and defecation abnormalities in study group were significantly lower than those in control group(χ^(2)=9.377,11.060;P<0.05).Conclusion:Preoperative psychological interview has better application in patients with anal fistula,and it can significantly reduce postoperative pain,improve negative emotions,improve self-management skills,and promote patient recovery.Thus it is worthy of clinical promotion and application.
作者
常晶
韩晓霞
施敏
周晓慧
CHANG Jing;HAN Xiaoxia;SHI Min(Department of Surgery,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国健康心理学杂志》
北大核心
2021年第1期45-49,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划项目(编号:201703256)。
关键词
术前心理访谈
肛瘘
心理状况
术后疼痛
Preoperative psychological interview
Anal fistula
Psychological status
Postoperative pain
