心理护理对手术患者术前焦虑和抑郁情绪的影响

Influence of Psychological Nursing on Preoperative Anxiety and Depression of Surgical Patients

目的探讨心理护理对手术患者术前焦虑和抑郁情绪的影响。方法选择在我院施行择期手术治疗的80例患者为研究对象,随机分为两组各40例。对照组在术前准备期间采用外科护理常规,观察组在对照组的基础上,由责任护士对其进行个体化的心理护理,在入院后24小时内及送手术前30分钟,分别评估并比较两组患者的焦虑和抑郁程度。结果两组患者在入院后24小时内均有不同程度的焦虑及抑郁情绪(P>0.05),送手术前30分钟,两组患者的焦虑及抑郁程度均比入院当天有明显改善,差异分别有统计学意义(P<0.01),但观察组的改善程度更显著(P<0.01)。结论对择期手术患者在术前进行个体化的心理护理,能够明显缓解患者的焦虑和抑郁等负性心理情绪,增强战胜疾病的信心,有利于手术的顺利进行及术后的康复。

Objective To explore the psychological nursing on the preoperative anxiety and depression of patients with surgery. Methods Eighty patients with selective surgery in our hospital were randomly divided into two groups, with 40 cases in each group. The control group received conventional surgery nursing, while the observation group received the individualized psychological nursing on the basis of conventional surgery nursing. The anxiety and depression level within 24 hours after admission and 30 minutes before surgery were evaluated. Results Both groups had anxiety and depression within 24 hours after admission （P 〉0.05）. 30 minutes before surgery, both groups had improved anxiety and depression level compared with the day of admission （both P 〈0.01）, and the degree of improvement was more significant in observation group （P〈0.01）. Conclusions Individualized psychological nursing for patients with selective surgery during preoperative period can significantly improve patients＇ anxiety and depression, enhance the confidence to overcome the disease, which is conducive to the smooth progress of surgery and postoperative rehabilitation.