摘要
目的分析回馈教育联合激励式心理干预对腹腔镜胆囊切除术患者的应用效果。方法选取2017年3月至2019年9月于蒙阴县人民医院行腹腔镜胆囊切除术的160例患者作为观察对象,按随机数字表法分为对照组和观察组,每组80例。对照组男46例,女34例,年龄(46.43±6.75)岁;观察组男43例,女37例,年龄(47.85±6.42)岁。对照组患者实施常规护理及心理干预,观察组患者在对照组的基础上实施回馈教育联合激励式心理干预。比较两组患者术后恢复情况、自我感受负担(SPB)评分、负性情绪评分及生活质量综合评定问卷-74(GQOLI-74)评分。结果术后,对照组患者肛门排气时间为(40.53±4.38)h、术后下床时间为(2.37±0.85)h、疼痛评分为(5.13±0.62)分,观察组患者肛门排气时间为(35.88±5.67)h、术后下床时间为(1.84±0.79)h、疼痛评分为(4.89±0.47)分,两组比较差异均有统计学意义(均P<0.05);干预后,对照组患者因情感因素、身体因素、经济因素产生的SPB评分分别为(29.68±2.38)分、(30.18±3.83)分、(34.23±3.97)分,观察组分别为(24.46±2.56)分、(25.36±2.71)分、(30.18±4.53)分,两组比较差异均有统计学意义(均P<0.001);干预后,对照组患者焦虑自评量表(SAS)评分为(48.26±5.18)分、抑郁自评量表(SDS)评分为(46.52±5.73)分,观察组患者SAS评分为(42.54±4.35)分、SDS评分为(40.29±4.82)分,两组比较差异均有统计学意义(均P<0.001);干预后,对照组患者疾病知识、身体状况、社会功能、生活状态评分分别为(60.13±8.81)分、(63.59±8.28)分、(68.84±8.13)分、(69.58±10.75)分,观察组分别为(73.25±9.12)分、(74.65±8.54)分、(81.23±10.07)分、(82.37±11.14)分,两组比较差异均有统计学意义(均P<0.05)。结论回馈教育联合激励式心理干预能促进腹腔镜胆囊切除术患者术后恢复,有效减轻患者SPB,缓解负性情绪,进而提高生活质量。
Objective To analyze the application effect of feedback education combined with motivational psychological intervention on patients undergoing laparoscopic cholecystectomy.Methods One hundred and sixty patients who underwent laparoscopic cholecystectomy at Mengyin County People's Hospital from March,2017 to September,2019 were taken as observation objects,and were divided into an observation group and a control group,with 80 cases in each group.There were 46 males and 34 females in the control group;they were(46.43±6.75)years old.There were 43 males and 37 females in the observation group;they were(47.85±6.42)years old.The control group received routine nursing and psychological intervention;in addition,the observation group took feedback education and motivational psychological intervention.The postoperative recovery and the scores of Self-Perceived Burden(SPB),negative emotions,and Quality of Life GQOLI-74 were compared between the two groups.Results After the intervention,the anal exhaustion time,time to have off-bed activity,and the pain score were(40.53±4.38)h,(2.37±0.85)h,and(5.13±0.62)in the control group,and were(35.88±5.67)h,(1.84±0.79)h,and(4.89±0.47)in the observation group,with statistical differences(all P<0.05).After the intervention,the SPB scores caused by emotion,body,and economical factors were(29.68±2.38),(30.18±3.83),and(34.23±3.97)in the control group,and were(24.46±2.56),(25.36±2.71),and(30.18±4.53)in the observation group,with statistical differences(all P<0.001).After the intervention,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale were higher and the scores of disease knowledge,physical condition,social function,and life status were lower in the control group than in the observation group[(48.26±5.18)vs.(42.54±4.35),(46.52±5.73)vs.(40.29±4.82),(60.13±8.81)vs.(73.25±9.12),(63.59±8.28)vs.(74.65±8.54),(68.84±8.13)vs.(81.23±10.07),and(69.58±10.75)vs.(82.37±11.14);all P<0.05].Conclusion Feedback education combined with motivational psychologic
作者
王萍
姜伟
姜肇宇
Wang Ping;Jiang Wei;Jiang Zhaoyu(Department of Outpatients,Mengyin County People's Hospital,Linyi 276200,China;Department of Ophthalmology and Otorhinolaryngology,Mengyin County People's Hospital,Linyi 276200,China;Clinical Medicine,Qilu Medical University,Zibo 255300,China)
出处
《国际医药卫生导报》
2021年第11期1720-1724,共5页
International Medicine and Health Guidance News
关键词
回馈教育
激励式心理干预
腹腔镜胆囊切除术
患者
自我感受负担
Feedback education
Motivational psychological intervention
Laparoscopic cholecystectomy
Patients
Self-Perceived Burden
