局麻下射频治疗三叉神经痛的心理分析及护理干预

Psychological analysis and nursing intervention in patients with primary trigeminal neuralgia treated by radiofrequency thermocoagulation under local anesthesia

目的分析原发性三叉神经痛在局麻下行射频热凝治疗患者术前术后的心理特点,为临床治疗和护理提供依据。方法通过对患者手术前、手术中、手术后进行护理干预,采用Zung焦虑自评量表SAS和Zung抑郁自评分量表SDS对125例三叉神经痛患者在手术前1～2d及手术后4～5d分别进行评定。结果患者手术后SAS较手术前有所下降(39.66±5.23vs.31.79±4.87),SDS较手术前有所下降(42.42±5.77vs.34.39±5.33),差异有显著性。结论三叉神经痛患者存在明显的焦虑和抑郁心理,护理干预可降低和减轻病人的不良情绪,促进疾病的康复。

Objective To analyze the preoperative and postoperative psychological characteristics in patients with primary trigeminal neu- ralgia treated by radiofrequency thermocoagulation under local anesthesia, and to provide a empirical basis for clinical treatment and nursing care. Methods The preoperative, intraoperative and postoperative nursing interventions were given to 125 patients with trigeminal neuralgia, then the assessment was performed by using Zung self- rating anxiety scale （SAS） and Zung Self-Rating Depression Scale （SDS） in 1 -2 days before and 4 -5 days after surgery. Results After surgery compared with pre - operative decline in SAS （39.66 ± 5.23 vs. 31.79 ± 4.87 ）, SDS was a significant difference between the pre - operative and post - operative score （42.42 ± 5.77vs. 34.39 ± 5.33 ）. Conclusion There was significant anxiety and depression in patients with trigeminal neuralgia, and nursing intervention can reduce and mitigate negative emotions of patients and promote rehabilitation of the disease.