心理干预在前列腺肥大合并膀胱结石围手术期病人中的应用

Psychological intervention application on the prostatic hypertrophy merger bladder calculi in preoperative patients

目的探讨心理干预对列腺肥大合并膀胱结石围手术期患者的影响。方法选择需行手术治疗的58例前列腺肥大合并膀胱结石的患者，随机分成试验组与对照组各29例。实验组采用心理干预，对照组按常规护理，比较两组干预结果。结果与对照组相比，实验组患者术中焦虑程度明显下降，差异有极显著性（P〈0．01）。经心理干预后，实验组患者收缩压[035．76±14．18）mmHgVS（126．57±13．91）mmHg]、舒张压[（86．67±10．85）mmHgVS（78．32±9．21）mmHg]、心率[（89．97±8．69）次／分VS（76．93±8．03）次，分]都有不同程度的下降，稳定在允许手术的范围内，手术前与手术中比较差异均有极显著性（P〈0．01）。实验者患者并发症少，遵医嘱率提高，住院天数明显减少。结论必须重视人性化的护理，围手术期的患者有必要实施心理干预。

Objective To explore the effects of psychological intervention on preoperative patients. Methods 58 cases of prostatic hypertrophy merger bladder calculi were selected and randomly divided into experiment group and control group, each with 29 patients. Experiment group was treated with psychological intervention and control group with routine care, two sets of intervention results were compared. Results Compared with control group the anxiety level of patients during operation dropped significantly （P 〈 0.01）, the blood pressure and heart rate became more stable （ P 〈 0.01 ）, with less complications, higher rate of following doctors advices and shorter hospital stay. Concluation Humanistic care must cause our attention, it＇ s necessary for the preoperative patient to implement psychological intervention.