护理干预对行腹式子宫次全切除术患者焦虑抑郁及疼痛的影响研究

Effect of Nursing Intervention on Anxiety, Depression and Pain in Patients with Abdominal Hysterectomy

目的探讨护理干预对行腹式子宫次全切除术患者焦虑抑郁及疼痛的影响。方法选取2013年9月—2016年9月成都市妇女儿童中心医院行腹式子宫次全切除术的患者100例为研究对象,按照随机数字表法分成对照组与试验组,每组50例。对照组给予常规健康教育、基础护理、饮食护理、病情监测等护理措施;试验组在上述基础上联合护理干预。采用汉密尔顿焦虑量表(HAMA)评价患者焦虑程度,采用汉密尔顿抑郁量表(HAMD)评价患者抑郁程度,采用视觉模拟评分量表(VAS)评价患者疼痛程度,记录两组患者住院时间、住院费用。结果护理前,两组患者HAMA评分、HAMD评分、VAS评分比较,差异无统计学意义(P>0.05);护理后,试验组患者HAMA评分、HAMD评分、VAS评分较对照组降低,差异有统计学意义(P<0.05)。试验组患者住院时间及住院费用较对照组降低,差异有统计学意义(P<0.05)。结论护理干预对行腹式子宫次全切除术患者效果显著,可改善焦虑、抑郁状态,缓解术后疼痛,缩短住院时间,降低住院费用。

Objective To analyze the effect of nursing intervention on anxiety,depression and pain in patients with abdominal hysterectomy. Methods One thousand patients who received subtotal abdominal hysterectomy in Chengdu Women ’s and Children’s Central Hospital from September 2013 to September 2016 were randomized into two groups, control group and experiment group,each group of 50 cases. The control group was given routine health education,basic nursing,diet nursing,disease monitoring and other nursing measures; on the basis of the above, the experimental group combined nursing intervention. Hamilton Anxiety Scale（ HAMA） was used to evaluate the degree of anxiety,Hamilton Depression Scale（ HAMD）was used to evaluate the degree of depression, visual analogue scale（ VAS） was used to evaluate the degree of pain, the hospitalization time and hospitalization expenses of two groups were recorded. Results Before nursing intervention, the differences of scores of HAMA,HAMD,VAS between two groups were not statistically significant（ P 〉 0. 05）; after nursing intervention,the scores of HAMA,HAMD,VAS in experiment group were lower than those in control group,the differences were statistically significant（ P 〈 0. 05）. The hospitalization time and hospitalization expenses in experiment group were lower than those in control group, the differences were statistically significant（ P 〈 0. 05）. Conclusion Nursing intervention is effective in patients with abdominal hysterectomy,it can improve anxiety and depression,relieve postoperative pain, shorten hospital stay,lower hospital costs.