心理咨询与治疗在择期手术患者术前心理干预中的应用

Application of psychological counseling and therapy to the preoperative psychological intervention on the patients with surgery at the appointed time

目的:探讨心理咨询与治疗在择期手术患者术前心理干预中的应用。方法:将240例择期手术患者随机分为心理干预组和对照组各120例,对照组未实施心理干预;心理干预组运用心理咨询与治疗的方法进行术前心理干预,评估心理干预前后的心理状态,并与国内常模及对照组比较。结果:心理干预组术前SCL-90中躯体化、抑郁、焦虑、恐惧及精神病性因子高于国内常模(P<0.05),人际关系因子低于国内常模(P<0.05);心理干预后患者焦虑、抑郁、疑虑、依赖性与被动性加强、情感脆弱与易激动、适应能力下降与心理干预前比较均有统计学意义(P<0.05,P<0.01)。结论:对择期手术患者运用心理咨询与治疗的方法进行术前心理干预,可有效降低术前不良情绪,使其以最佳心理状态接收手术。

Objective： To explore the application of psychological counseling and therapy to the preoperative psychological intervention on the patients with surgery at the appointed time.Methods： 240 patients with surgery at the appointed time were randomly divided into psychological intervention group and control group（120 cases for each group）.The patients in the control group were not given psychological intervention and in the psychological intervention group psychological counseling and therapy was adopted to the preoperative psychological intervention on the patients.The psychological state was assessed and compared with the national norm and that in the control group before and after psychological intervention.Results： The somatization,depression,anxiety,fear and mental factors in the SCL-90 were higher in the psychological intervention group than the national norm before surgery（P〈 0.05） and the factor of interpersonal relationships was lower than the national norm（P 〈0.05）;after psychological intervention,anxiety,depression,doubt,dependency,passivity,emotional vulnerability and irritability were sig-nificantly different compared with those before intervention（P 〈0.05,P〈 0.01）.Conclusion： Psychological counseling and therapy applied to the preoperative psychological intervention on the patients with surgery at the appointed time can effectively relieve the negative emotions of the patients before surgery and have them receive surgery in the optimal mental state.