围术期心理护理对择期手术患者的影响

Effects of preoperative psychological care for patients under surgical operation in operating room

目的研究分析围术期心理护理对择期手术患者心理状态及一般生命体征的影响。方法 2009年9月～2011年3月,372例接受择期手术患者分为心理护理组和常规护理组,对常规护理组患者实施常规护理,心理护理组患者在此基础上接受心理护理,统计分析两组患者术前、术后产生负性心理事件,研究两组患者一般生命体征的变化。结果心理护理组患者较常规护理组患者在围术期产生的负性心理事件少(P<0.05)。心理护理组患者较常规护理组患者术前、术后一般生命体征处于更好的状态(P<0.05)。结论心理护理可以明显减少手术患者负性心理,增强患者对手术的依从性,有利于手术顺利实施,并为减少术后并发症,促进患者术后康复创造了良好条件,但仍需深入探讨和进一步研究。

【Objective】 To investigate and study the effects of preoperative psychological care for patients under surgical operation in operating room.【Methods】 372 patients under surgical operation in operating room were divided into conventional care group（n =186） and psychological care group（n =186） in Xiangya Hospital,Central South University.The patients in conventional care group received general nursing,while the patients in psychological care group received psychological care.Observe and analyze the adverse psychological reaction between the two groups perioperatively.【Results】 Fear,anxiety and depression of pre-operation,during patients in operating room,and post-operation in psychological care group were significantly less than those of the conventional care group,and the differences showed statistically significant（P 0.05）.Psychological care patients＇ blood pressure,pulse,heart rate and respiration of pre-operation,during patients in operating room,and post-operation were in better condition compared to conventional care group（P 0.05）.【Conclusions】 Psychological care can relieve patients＇ adverse psychological reaction,eliminate the dread mood and the psychological block for operation,fortify their confidence in beating the disease,let them actively cooperate with the surgery,and psychological care increases the effect of nursing.