心理干预对骨外科手术患者焦虑的影响

Effect on the anxiety of the patient on ectosteal operation by mental intervention

目的探讨手术室护士的心理干预对骨外科手术患者焦虑的作用。方法将186例择期骨外科手术患者随机分成2组,观察组和对照组,各93例。观察组在围手术期护理的基础上,由手术室护士施行心理干预,而对照组患者进行常规的围手术期护理。结果术前访视前所有病例均存在着明显的焦虑情绪,p>0.05;术日的SAS评分结果显示观察组的焦虑分值降低,p<0.05;术后第3dSAS测评结果显示,2组均有不同程度的下降,但观察组与对照组间相比仍有显著性差异,p<0.05。结论手术室护士有针对性的心理干预能有效降低骨外科手术患者的焦虑程度,使患者以较好的心理状态度过围手术期,改善了患者的生活质量,提高了手术室护士的整体护理水平。

Objective:To study the function of mental intervention of Operating Room Nurse on the anxiety of the patient on ectosteal operation.Method:186 cases of patient were separated into 2 groups at random,which were intervention group and control one.Self-rating anxiety scale designed by Zung was utilized to evaluate the cases in proxima luce and operation day and the third day after operation.Intervention group was utilized mental intervention at the base of nursing care over the time of ambioperation while the control one was only received rout nursing care over the time of ambioperation.Result:All the cases were found serious anxiety before interviewing and operation.Score of SAS of the Intervention diminished in the operation day while the control one rised,and significant difference(t=5.937,p<0.05)was found between the two groups.In the third day after operation the score of the two ones decreased at different degrees,but significant difference(t=2.093,p<0.05) was still found.Conclusion:Mental interventio utilized by Operating Room Nurse can relief effectively the anxiety of the patient on ectosteal operation who can pass the time of ambioperation with good mood and the quality of life of the patient and the whole lever of nursing care of Operating Room Nurse were all improved.