综合干预对痔疮患者围手术期焦虑情绪的影响

Effect of comprehensive traditional Chinese medicine therapy on preoperative depression in patients with hemorrhoids

目的研究综合干预对痔疮患者围手术期焦虑情绪的影响。方法根据焦虑自评量表(SAS),将有术前焦虑的82例痔疮患者随机分为干预组(41例)和对照组(41例)。对照组行常规治疗和干预,干预组在此基础上加用围手术期综合干预,记录并评估患者术前24 h和0.5 h的SAS评分、睡眠效果和术后并发症发生率等指标。结果围手术期综合干预后,干预组患者SAS评分分别为43.33±3.92分和52.55±2.95分和匹茨堡睡眠质量指数量表评分分别为4.21±1.12分和8.15±1.87分,明显优于对照组术前24 h和0.5 h的SAS评分(53.15±3.64,59.45±4.13)和匹茨堡睡眠质量指数量表评分(4.21±1.12分和8.15±1.87),干预组的术后并发症发生率明显低于对照组患者(P<0.05)。结论围手术期综合干预能有效改善痔疮患者术前的焦虑情绪。

Objective To study the effect of perioperative comprehensive intervention on the anxiety state of patients with hemorrhoids surgery. Methods 82 patients with hemorrhoids were randomly divided into intervention group（41 cases）and control group（41 cases）according to the self-rating Anxiety Scale（SAS）. The control group received routine treatment and intervention,intervention group on the basis of combined with peri operative intervention,recorded and evaluated patients before 24 h and 0.5 h anxiety occurrence rate,SAS score,sleep effect and postoperative complications rate and other indicators of index is too single,replace the index]. Results The perioperative comprehensive intervention,the intervention group patients with preoperative 24 h and 0.5 h the SAS score was 43.33±3.92 and 52.55±2.95 points and PSQI scores were 4.21±1.12 and 8.15±1.87 points were significantly better than that of the control group were 24 h and 0.5 h,the SAS score was 53.15±3.64 and 59.45±4.13 points and PSQI scores were 4.21±1.12 and 8.15±1.87,the complication rate was significantly lower than the control group% of patients with complications the incidence of postoperative% in the observation group,the difference was statistically significant（P0.05）. Conclusion Perioperative comprehensive intervention could effectively improve preoperative mental state and relieve anxiety level in patients with hemorrhoids,which is worthy of further clinical application and promotion.