妇科择期手术患者术前心理状况调查及对策

The Investigation and Countermeasures of Preoperative Psychological Status of Gynecological Elective Surgical Patients

目的:为解决妇科择期手术患者术前紧张、焦虑等心理反应,保证手术顺利进行。方法:采用Zung SAS心理卫生量表,评定100例择期手术患者的心理健康,筛选出96例焦虑患者。对96例患者进行护理干预,观察干预前后的血压、心率、呼吸以及焦虑评分。结果:96例焦虑患者中,年龄越小、文化程度越高者,其焦虑程度越高;开腹者焦虑程度高于腹腔镜手术者。96例焦虑患者干预后焦虑评分为(35.32±5.34)分,明显低于干预前的(43.82±8.64)分,护理干预后的收缩压、舒张压、心率、呼吸均明显优于护理干预前,差异均有统计学意义(P<0.05)。结论:分析择期手术患者产生紧张焦虑的主要原因,实行有效的心理干预方案,能改善患者生命体征,降低焦虑分值,对保证手术顺利进行具有十分重要的意义。

Objective：To solve patients’preoperative stress,anxiety and other psychological reactions preoperative of gynecological undergoing elective surgery and ensure smooth operation.Method：Using Zung SAS Mental Health Scale,the mental health of 100 elective surgical patients were evaluated,96 patients with anxiety were selected.96 patients were given nursing intervention,the blood pressure,heart rate,respiration and anxiety score before and after intervention were observed.Result：In 96 patients with anxiety,the age was smaller,the cultural degree was higher,the degree of anxiety was higher,the anxiety level of abdominal operation was higher than the laparoscopic surgery.After intervention,the score of anxiety in all patients was （35.32±5.34）scores,which was significantly lower than （43.82±8.64）scores before intervention,and the blood pressure,heart rate,respiration after intervention were significantly better than before intervention,the differences were statistically significant（P〈0.05）.Conclusion：Analyzing the main cause of anxiety in elective surgical patients,the implementation of effective psychological intervention programs,can improve patients’ vital signs,reduce anxiety,it is very important to ensure smooth operation.