术前访视中心理干预对不孕症腹腔镜手术患者的影响

Effect of mental intervention by using preoperative interview on infertility patients undergoing gynecological laparoscopy operation

目的:观察利用术前访视对不孕症腹腔镜手术患者进行心理干预的效果。方法:将200例不孕症行腹腔镜手术的患者随机分为心理干预组与对照组各100例,并进行比较观察,对照组术前在病区进行常规健康教育,干预组由手术室护士利用术前访视对不孕患者进行心理状况调查分析,并实施心理干预。结果:干预组焦虑、抑郁水平均明显低于对照组(P<0.05)。与术前1d相比,对照组入室后5min的心率及血压显著升高,而心理干预组除心率加快外,血压变化并不显著。结论:不孕症人群心理状况的整体水平较正常人低,不良情绪以抑郁、焦虑等为主。利用术前访视对不孕症腹腔镜患者进行心理干预,可以减轻患者焦虑、抑郁情绪,对手术患者围术期血压及心率具有稳定作用,有利于患者早日康复。

Objective： To observe effect of mental intervention by using preoperative interview on infertility patients undergoing gynecological laparoscopy operation. Methods： 200 patients were randomly divided into the psychological nursing group and the control group, each group included 100 cases. Patients in the control group were given routine health educa tion in the ward. Patients in the psychological nursing group were given mental intervention during preoperative interview time by the operating room nurses. Results： Anxiety and depression level of the patients in psychological nursing group were significantly lower than that of patients in control group （P0.05）. Compared with that of preoperative day, heart rate and blood pressure in the control group evidently increased 5 minutes after entering the operation room. While in the psychological nursing group, except heart rate increasing, blood pressure was more stable. Conclusion： The overall mental health conditions of infertility patients were lower than that of normal population. The bad moods were mainly anxiety and depression. Giving psychological nursing by means of preoperative interview can alleviate anxiety and depression of patients undergoing gynecological surgeries, maintain hemodynamics and promote early recovery of patients.