系统心理干预对宫外孕腹腔镜手术患者心理状态及术后恢复的影响

The effect of systematic mental intervention on the psychological state and postoperative recovery of ectopic pregnancy patients undergone laparoscopic surgery

目的探究系统心理干预对宫外孕腹腔镜手术患者心理状态及术后恢复的影响。方法将接受宫外孕腹腔镜手术的100例患者随机分为观察组和对照组各50例。对照组行常规护理,观察组在对照组的基础上联合系统心理干预,比较两组患者焦虑抑郁状态、睡眠质量、术后恢复情况及并发症等。结果干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PQSI)评分均明显低于对照组(P<0.01);术后下床活动时间、肛门排气时间、进食时间、排便时间、停止输液时间及及住院时间均明显短于对照组(P<0.01);术后恶心呕吐等并发症发生率(14.0%)明显低于对照组(32.0%)(P<0.05)。结论系统心理干预有助于改善宫外孕腹腔镜手术患者的心理状态,减少术后并发症,促进术后康复。

Objective To explore the effect of systematic mental intervention on the psychological states and postoperative recovery of ectopic pregnancy patients undergone laparoscopic surgery. Methods 100 cases of ectopic pregnancy patients undergone laparoscopic surgery were randomly divided into observation group and control group,50 cases in each group. Patients in control group were treated with routine nursing and those in observation group were treated with systematic mental intervention in addition to routine nursing. Anxiety-depression state,sleep quality,postoperative recovery and complications of patients in two groups were compared. Results Scores of the self-rating anxiety scale（SAS）,self-rating depression scale（SDS）and pittsburg sleep quality index（PQSI）of patients in observation group were significantly lower than those of patients in control group（P〈0.01）;Postoperative activity time off bed,anus exhausting time,eating time,defecating time,transfusion stop time and hospital stay of patients in observation group were significantly shorter than those of patients in control group（P〈0.01）;Occurrence rate of complications including postoperative nausea and vomiting of observation group（14.0%）,which was significantly lower than that of the control group（32.0%）（P〈0.05）. Conclusion Systematic mental intervention can improve the psychological state of patients who undergone laparoscopic surgery due to ectopic pregnancy and reduce the occurrence rate of complications so as to accelerate postoperative recovery.