危机干预对患青壮年断指再植者围术期行心理支持

Psychological interventions of young patients with finger replantation

目的探讨青壮年断指再植患者围术期的心理问题,行必要的护理干预,以达到促进康复。方法采用信封法将40例青壮年断指再植患者分为实验组和对照组各20例,对照组行常规护理,实验组在此基础上实施护理干预,干预前后对两组进行HAMA评分比较。结果实验组HAMA评分在术前、术后当天及术后第7天明显低于对照组(P<0.01),实验组再植指成活率高于对照组(P<0.05)。结论围术期危机干预能显著缓解青壮年断指再植术后患者的焦虑及抑郁情绪,有效提高再植指的成功率。

Objective To explore perioperative psychological problems of young patients with fin- ger replantation, and through the necessary nursing interventions to improve rehabilitation. Methods According to the envelope method, randomly divided the patients into experimental group and control group, 20 cases in each group. The control group with conventional care, the experimental group with conventional care and nursing interventions, then compared the two grope with HAMA Scores. Re- suits HAMA scores in the experimental group before surgery, postoperative day and 7 days was signifi- cantly lower than the control group （P ~ 0.01）, and have higher survival rate of replanted fingers （P 0.05） Conclusions Perioperative nursing intervention can effectively alleviate the patients with anxiety and depression, improve the survival rate of finger replantation.