再次手术患者手术前心理护理干预研究

Effects of preoperative mental nursing on psychological status for reoperation in patients

目的观察手术前心理护理对患者接受再次手术时心理状态的影响。方法对126例拟进行再次手术患者先进行是否愿意接受再次手术的问卷调查,然后由手术室责任护士对患者进行心理护理,包括直接与患者面对面的交流,以及通过患者家属进行间接心理疏导。结果126例拟再次手术患者中,心理护理前仅有85例(67.5%)愿意主动接受手术,经过心理护理后,愿意主动接受手术治疗的患者比例显著增加,为114例(90.5%)。结论手术室护士的术前心理护理干预能明显消除患者由于上次手术所造成的心理障碍,有利于患者以积极的心理状态主动接受再次手术,值得深入研究和广泛应用。

Objective To study the effects of preoperative mental nursing on psychological status for reoperation in patients, through which the patients can easily accept the reoperations. Methods 126 patients were arranged to accept the preoperative mental nursing, The mental nursing items included two aspects： the primary nurse gave patients the direct preoperative psychological training and the indirect psychological guidance through their family numbers after a questionnaire for reoperation. Results Before the mental nursing training,the patients who preferred to actively accept the reoperation was 85 （the ratio was about 67.5 %）. After mental nursing training and guidance, the number of patients who tended to actively accept the reoperation became 114 （the ratio was about 90.5%）. there existed a significant difference between the two groups. Conclusion The preoperative mental nursing is an effective means to help the patient to actively accept the reoperation and should be extensively utilized.