强化术前访视对肛瘘手术患者心理状况的影响

The impact of strengthening preoperative visit on psychological status of anal fistula patients

目的探讨加强术前访视对肛瘘手术患者心理状况、术后生活质量及疗效的影响。方法选取本院收治的肛瘘择期手术患者200例为研究对象,按照随机数字表法分为观察组与对照组各100例。对照组给予常规术前访视,观察组则对常规术前访视方案进行优化。采用汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)、肛肠科患者生活质量量表评价2组患者心理状况及术后生活质量。结果访视前,2组患者HAMD评分及SAS评分差异无统计学意义(P>0.05);术前1 h及术后2周,2组患者HAMD得分及SAS评分均降低,观察组降低程度大于对照组,差异有统计学意义(P<0.05);手术后2周,观察组患者生活质量各项目评分及总分均高于对照组(P<0.05);观察组术后显效例数及总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论强化术前访视能有效改善肛瘘患者的心理状态和生活质量,促进患者术后康复。

Objective To investigate the effect of strengthening preoperative visit on mental status,quality of life and efficacy of anal fistula surgery patients. Methods A total of 200 anal fistula patients were randomly divided into observation group and control group,with 100 cases in each group. The control group received routine preoperative visits,while the observation group received health education after preoperative visit. Hamilton Depression Scale（ HAMD）,Self-Rating Anxiety Scale（ SAS） and Quality of Life Scale were used to evaluate patients＇ psychological status and quality of life. Results There was no significant difference in HAMD score and SAS score between two groups before visits（ P 0. 05）. HAMD score and AS scores reduced and the reducing degree of the observation group was more significant than that in the control group before one preoperative hour of surgery and 2 weeks after surgery and the difference was statistically significant（ P 0. 05）. After 2weeks of surgery,score of each item and total score of life quality in the observation group were higher than that in the control group（ P 0. 05）. The number of cured cases and total efficiency in the observation group were significantly higher than that in the control group,the difference was statistically significant（ P 0. 05）. Conclusion Strengthening preoperative visit on patients with anal fistula can effectively improve the psychological status and quality of life and promote postoperative recovery.