心理干预矫治普外科患者术后心理障碍和躯体疼痛的临床效果研究

The study of the clinical effect that psychological intervention corrected postoperation mental disorder and body pain of the general surgery patient

目的:探讨心理干预矫治普外科患者术后心理障碍和躯体疼痛的效果。方法:按抛硬币分组法将60例骨科手术患者随机分为研究组和对照组各30例,两组均给予常规术后治疗,对照组实施普通护理,研究组则实施为期4周的综合性心理干预。干预前后采用汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)和疼痛视觉模拟评分法(VAS)评估两组心理和生理状况。结果:干预前,两组HAMD、HAMA和VAS评分差别无统计学意义(P>0.05);干预后,研究组HAMD、HAMA和VAS评分明显低于对照组,具有统计学意义(P<0.01)。结论:心理干预能够改善普外科患者术后焦虑抑郁情绪,降低疼痛程度,有助于改善患者心理和生理不适。

Objective： To explore the effect that psychological intervention corrected postoperation mental disorder and body pain of the general surgery patient. Methods ：60 orthopedics patients who was operated were randomly divided into study groups （30 patients） and control group （30 pa- tients） by coin dividing group method, two groups were given conventional postoperation therapy , control group was given general nursing, study group was comprehensive psychological intervention for4 weeks. Before and after intervention,the psychological and physiology condition of two groups were assessed by HAMD, HAMA and VAS. Results：Before intervention, two groups of HAMD, HAMA and VAS scores were no significant statistical difference （P 〉 0. 05 ） ; after intervention, the scores of HAMD, HAMA and VAS in study group were lower than that in control group （ P 〈 0.01 ）. Conclusion ： Psychologi- cal intervention could improve anxiety depression mood of the general surgery orthopedics patient , relieve painful degree, it was conducive to improve pa- tient＇s psychology and body discomfort.