成人包皮手术后的心理问题及心理护理

The postoperative psychological problem and nursing in adult treated with circumcision

目的:探讨成人包皮手术患者术后的心理问题并提出相应的护理干预措施。方法:选择432例成人包皮手术患者随机分为对照组(208例)和观察组(216例),调查患者术后心理状况的影响因素,并提出相应的护理干预措施,比较实施前后2组患者的抑郁焦虑状况。结果:成人包皮手术患者术后心理状况受诸多因素影响,其中担心手术是否成功(96.6%)、担心术后并发症(89.9%)、担心婚姻状况(88.0%)、担心疾病复发(82.2%)、担心术后疼痛(73.1%)是其主要影响因素;实施护理干预后2组患者的焦虑和抑郁症状均较干预前显著降低(P<0.01),而观察组患者干预后术后的焦虑和抑郁评分均较对照组明显降低(P<0.01)。结论:成人包皮手术患者术后普遍存在焦虑和抑郁症状,实施护理干预措施可有效改善患者的心理状况,促进患者的顺利康复。

Objective： To investigate the postoperative psychological problems in adult treated with circumcision,and formulate the nursing intervention. Methods： Four hundred and thirty-two adult patients treated with circumcision were randomly divided into the control group（ 208 cases） and observation group（ 216 cases）. The influencing factors of the postoperative psychological status were investigated,the corresponding nursing intervention measure was formulated. The depression and anxiety between two groups were compared before and after treatment. Results： The postoperative psychological status in patients treated with circumcision were affected by many factors,and the main influencing factors included worrying about surgery success（ 96. 6%）,postoperative complications（ 89. 9%）,marriage（ 88. 0%）,recurrence（ 82. 2%） and postoperative pain（ 73. 1%）. Compared with that before intervention,the anxiety and depression symptoms in two groups reduced significantly after implementating nursing intervention（ P〈0. 01）. The scores of the anxiety and depression symptoms in observation group were significantly lower than those in control group after nursing intervention（ P〈0. 01）. Conclusions： The postoperative anxiety and depression symptoms are usually found in adult treated with circumcision.Implementating nursing intervention can effectively improve the psychological condition and promote recovery of patients.