心理护理在妇科腹腔镜手术患者围术期的应用

Application of mental nursing for gynecology patients with laparoscopic surgery during perioperation period

目的探讨心理护理在妇科腹腔镜手术患者围术期中的应用效果。方法选取2012年9—12月进行妇科腹腔镜手术的患者528例，随机分为观察组266例和对照组262例，对照组患者围术期给予常规护理，观察组在此基础上给予心理护理。使用焦虑自评量表（SAS）评估两组患者入院时、手术前和术后1d的焦虑情况，并观察两组患者术前1d和进入手术室5rain后的平均动脉压及心率。结果两组患者入院时的SAS评分差异无统计学意义（P〉0．05）；观察组术前及术后1d的SAS评分分别为（40．62±8．55），（38．51±7．74）分，较对照组降低，差异有统计学意义（P〈0．05）。术前1d，两组患者的平均动脉压和心率差异无统计学意义（P〉0．05）；进入手术室5min后，观察组平均动脉压及心率分别为（94．29±8．30）mmHg，（82．48±7．25）次／min，均低于对照组，差异有统计学意义（P〈0．05）。结论对妇科腹腔镜手术患者围术期给予针对性的心理护理，能够减轻患者的焦虑情绪，使患者能够在术中保持比较放松及平和的心态。

Objective To assess the effectiveness of mental nursing for gynecology patients with laparoseopic surgery during perioperation period. Methods A total of 528 gynecology patients with laparoscopic operation were randomly divided into observation group （266 cases） who were given psychological nursing care on the bases of routine care, and control group （262 cases ） who were given routine care. We used SAS to assess the anxiety of patients at admission, before operation and 1 d after operation, and observed mean arterial blood pressure （MABP） and heart rate at 1 d before operation, 5 rain after going into operation room in two groups. Results There were no statistically significant for the scores of SAS between two groups when patients admitted （ P 〉 0. 05 ） ; the SAS scores of observation group acquired （40.62 ± 8.55 ）, （ 38.51 ± 7.74 ） at before operation and 1 d after operation, lower than these of the control group （ P 〈 0. 05 ）. 1 d before operation, the MABP and heart rate had no statistical differences between two groups （ P 〉 0. 05 ） ; but at 5 min coming into operation room, the MABP and heart rate were （94.29 ±8.30） mmHg and （ 82.48 ± 7.25 ） times/rain in the observation group, higher than these of the control group （ P 〈 0. 05 ）. Conclusions The targeted mental nursing can alleviate patients＇ anxiety and help to relax in the perioperative period for gynecology patients with laparoseopic surgery.