术前心理干预对骨科手术患者的影响

目的探讨术前心理干预对择期行骨科手术患者的影响。方法选择200例择期手术患者，采用随机数字法分为干预组和对照组，对照组实行常规术前准备，干预组在常规术前准备基础上给予患者一系列具有针对性的心理干预，比较两组患者手术前晚的睡眠情况，记录手术前一天及入手术室后的心率、血压，同时采用抑郁自评量表（SDS）和焦虑自评量表（SAS）评价两组患者干预前及术前的心理状况。结果干预组患者睡眠质量明显好于对照组（P〈0.05）；入手术室后，干预组患者血压和心率均显著低于对照组（P〈0．05），干预组患者SDS和SAS评分明显低于对照组（P〈0．05）。结论对于行骨科手术的患者术前实施适当的心理干预，可以维持患者围术期循环的稳定性。缓解患者的抑郁和焦虑程度，有利于患者术后康复。

Objective To investigate the influence of preoperative psychological intervention on patients underwent elective orthopedic surgery. Methods 200 patients underwent elective surgery were divided into intervention group and control group randomly, the control group received routine preoperative preparation, the intervention group patients were given based on the preparation of a series of targeted psychological intervention in routine preoperative, two groups of patients with operation last night＇s sleep condition were compared the day before the surgery and after entering the operation room of the heart rate, blood pressure, and the self rating Depression Scale （ SDS ） and self rating Anxiety Scale （ SAS ） evaluation of psychological status of patients in the two groups before intervention and before the operation were recorded. Results The sleep quality of the intervention group was significantly better than that of the control group （ P〈0.05 ） . After entering the operating room, the blood pressure and heart rate of the intervention group were significantly lower than those of the control group （ P〈0.05 ） . The score was significantly lower than the control group （ P〈0.05 ） . Conclusion The preoperative psychological intervention for perioperative orthopedic surgery patients can maintain the stability of the perioperative circulation of patients, and relieve the depression and anxiety of patients, and it is beneficial for their postoperative recovery.