神经外科择期术前焦虑患者心理护理的疗效观察

Psychological nursing care for patients with preoperative anxiety before elective neurosurgery

目的观察神经外科择期手术术前焦虑患者心理护理的疗效。方法将82例神经外科择期手术的住院患者按就诊顺序编号随机分为两组。对照组41例给予外科常规护理。观察组41例在常规护理的基础上给予心理干预，针对患者最关心最焦虑的问题予以及时的解答和引导，观察两组患者在入院时及手术前焦虑自评量表（SAS）评分及抑郁量表（HAMD）评分的变化以及整体护理满意度。结果观察组护理满意度为90．24％；对照组护理满意度为73．17％，两组SAS及HAMD的评分变化具有统计学意义，观察组疗效优于对照组（P〈0．05）。护理满意度高于对照组。结论心理护理能够减轻神经外科择期手术术前患者的焦虑及抑郁症状，值得临床推广。

Objective To observe the efficacy of psychological nursing care for patients with preoperative anxiety before elective neurosurgery. Methods 82 neurosurgical inpatients taking elective surgery were randomly divided into a control group and an observation group according to treating number, 41 for each group. The control group received conventional surgical care. In addition, the observation group received psychological intervention： giving answers and guidance for the issues the anxious patients most concerned about. Self-Rating Anxiety Scale （SAS） and depression scores scale （HAMD） score changes as well as satisfaction with overall care were observed at the time of admission and before the surgery. Results The satisfaction rate was 90.24% in the observation group and was 73.17% in the control group. The SAS and HAMD scores were statistically significant changed and nursing satisfaction was higher in the observation group than that in the control group （P 〈0.05）. Conclusions Psychological nursing care can relieve the symptoms of anxiety and depression in patients undergoing elective neurosurgical surgery and is worth being clinically generalized.