全喉切除手术患者的心理状况及干预效果

The mental condition of patients undergoing total laryngectomy and the intervention effect

目的了解全喉切除患者的心理状况和干预效果。方法采用症状自评量表(SCL-90)对51例喉癌患者在入院3d内和术后2周进行测评和比较。结果本组患者术前SCL-90各因子分,除敌对、偏执症状外均显著高于全国常模,P>0.05;术后SCL-90各因子分均显著低于术前,P均<0.05;与全国常模比,人际敏感、恐怖因子分略高,但无统计学意义,其他7个因子均低于全国常模,有临床意义。术后SCL-90因子分≥2分的例数比术前明显下降,有统计学意义,P均<0.05。说明针对性干预明显缓解了患者的不良心理状态。结论重视全喉切除术患者术前、术后存在的不良心理状态,采取干预措施,促进其躯体和心理尽快康复。

Objective To investigate the mental conditions and the influence of mental care on the perioperative patients with total layngectomy. Methods Before operation, 51 patients with throat tumor were evaluated with SCL-90, then according to the results, mental intervention were done. Results Before operation, all scores of SCL-90 factors except hostile and paranoid state were higher than normal. All patients had severe mental problems. After operation, all scores of SCL-90 factors except intrapersonal sensitiveness, terror were lower than normal. The cases of scores ≥2 of SCL-90 before operation were more than after operation. Conclusion We should attach importance to body and mental symptoms of the perioperative patients with a total larngectomy, taking active role for aimed mental nursing intervention and thus we can accelerate patient＇s recovery and mentality.