颈椎病患者手术前焦虑状况分析及心理干预

Analysis of anxiety state and psychological intervention of cervical spondylopathy patients before operation

目的了解颈椎病患者手术前心理状况，探讨有效的心理治疗方法。方法采用状态一特质焦虑问卷（STAI）对58例入院1—2d的颈椎病患者进行测评，并随机分为实验组和对照组，实验组给予系统的治疗干预，对照组只做常规术前准备，并在术日再次测评。结果58例颈椎病患者术前STAI（入院1-2d）与常规比较状态焦虑和特质焦虑，总分明显增高，且差异具有统计学意义（P〈0．05），分组治疗后术日测评，实验组与对照组STAI评分差异有统计学意义（P〈0．01）。结论颈椎病患者术前具有明显的焦虑情绪，实施治疗干预后焦虑状况明显改善。

Objective To realize cervical spondylopathy patients s＇ mental state before operation and discuss the effective psychotherapy. Methods 58 cases （ 1 - 2 days after hospitalization） were evaluated by state - trait anxiety inventory （STAI） and all patients were randomly divided into experimental group and contrast group. The former was gived systemic psychological intervention and the latter was provided general arrangement. All cases were evaluated once more at operation day. Results The comparison of state anxiety and trait anxiety between 58 cases and norm before operation by STAI. Patients＇ total points was elevatory remarkably and the diversity was significant（ P 〈 0.05 ）. At the second evaluation, the difference between two＂ groups was significant too（ P 〈0.01 ）. Condusion Cervical spondylopathy patients have apparent worrying mood before operation. If nurse prevention were provided, worrying status of all patients was improved obviously.