解郁调护方案改善手术应激状态抑郁质型的应用效果

The nursing research of preoperative depression and pressure during operations

目的探讨解郁调护方案改善手术应激状态抑郁质型的应用效果。方法运用症状自评量表(SCL-90)、焦虑量表(SAS)、汉密尔顿抑郁量表(HAMD)筛查中、高度手术焦虑的抑郁质患者100例,将受试对象随机分为实验组与对照组,每组各50例,实验组采用解除抑郁调护方案进行调节,对照组采用常规护理措施,比较干预前后2组的SCL-90和SAS评分。结果实验组干预后SCL-90各因素得分和SAS各因素得分显著低于干预前(P<0.05),对照组干预后SCL-90躯体症状、强迫症状、焦虑以及精神症状等4个因子得分显著低于干预前(P<0.05)。干预后实验组SCL-90各因素得分和SAS得分显著低于对照组(P<0.05)。结论解除抑郁护理调节方案能够显著改善抑郁质型手术期焦虑应激状态,提高患者应对手术压力因素的能力以及身心健康。

Objective To establish a simple and practical nursing program for the patients with depression and stress,reducing the psychological symptoms of patients,and improving the quality of surgery and surgical capacity to respond.Methods 100 patients with a high degree of anxiety and depression were randomly divided into two groups.The experiment group with 50 patients received nursing program to adjust the lifting of depression,while the control group didn＇t.The SCL-90 and SAS score of the two groups were compared before and after the experiment.Results SCL-90 scores of each factor an SAS scores were lower than before in experiment group（P0.05）.The score of somatic symptoms,obsessive-compulsive symptoms,anxiety and psychiatric symptoms in SCL-90 was lower than before in control group（P0.05）.The SCL-90 and SAS score of the experiment group was lower than that in control group（P0.05）.Conclusion Effective care measures can improve the depressive state of patients undergoing stress,and the ability to respond to surgery and physical and mental stress.