子宫肌瘤术后创伤性应激障碍早期影响因素及护理干预效果

The study of the early factors of post traumatic stress disorder after hysteromyomectomy and the influences of ursing intervention

目的分析子宫肌瘤切除术后创伤性应激障碍(PTSD)发生的早期影响因素及护理干预效果。方法将接受腹腔镜子宫肌瘤切除术患者5600例纳入本研究,经调查共有153例患者存在术中知晓,术中知晓发生率为2.73%。将153例术中知晓患者分为常规护理组和心理干预组。比较两组患者术后PTSD发生率,分析其早期影响因素。结果术后心理干预组较常规组PTSD发生率低(P<0.05),且发生PTSD的影响因素中,以居住地、应对方式、人格特质、社会支持和早期心理因素为主。结论护理心理干预能有效减少子宫肌瘤切除术术中知晓患者术后PTSD发生率,因此,对子宫肌瘤切除术患者应早期进行护理干预。

Objective To analyze the early factors of post traumatic stress disorder after hysteromyomectomy and the influences of nurse on it. Methods 5600 cases of patients who received hysteromyomectomy were collected,the incidence of intraoperative awareness was counted,and then divided into usual care group and psychological intervention group; the incidence of PTSD were compared,the early factors of PTSD were analyzed. Results The incidence of PTSD was lower in intervention group than usual care group（ P 0. 05）; the main factors of PTSD were different residence,coping style,personality traits,social support and early psychological factors. Conclusion Nursing after intraoperative awareness can effectively reduce the incidence of PTSD,early nursing intervention can prevent the incidence of PTSD. The refore,the nursing intervention of hysteromyomectomy patients could be performed at the early stage of the disease.