心胸外科手术患者分级心理护理模式的研究

Study on the Classification of Psychological Nursing Mode for Patients with Thoracic surgery

目的:通过对心胸外科手术患者的心理评估进行分级心理护理,研究分级心理护理模式对该患者的干预效果及临床意义。方法:随机选取2015年12月-2016年12月心胸外科手术患者110例,按照随机对照原则,入组患者分为对照组和研究组,每组55例。对照组患者采用常规心理护理手段;研究组患者在进行SCL-90评分与匹兹堡睡眠质量评分后,分为心理情况不同的三个等级,每级患者在采用常规心理护理手段的情况下,再采取相应的分级心理护理手段。结果:与对照组相比,研究组患者平均SCL-90得分与匹兹堡睡眠质量指数均明显低,差异有统计学意义(P<0.01)。结论:对不同心理情况的患者进行分级心理护理干预后,研究组患者的术后情绪及睡眠质量相对于对照组患者得到了明显的改善,具有重要的临床意义。

Objective：To study the effect and clinical significance of psychological nursing with the psychological assessment on the patients with thoracic surgery.Method：From December 2015 to December 2016,we randomly selected 110 cases with cardiothoracic surgery,in accordance with the principle of randomization,patients were divided into the control group and the study group with 55 patients in each group.The control group was treated with routine psychological nursing measures;patients in the study group in SCL-90 score and Pittsburgh sleep quality rating,into three psychological situation of different grades,each level of patients in the conventional means of psychological nursing,and then took the corresponding grading psychological nursing measures.Each patient used conventional psychological care,and then took the appropriate level of psychological care.Result：The scores of SCL-90 and the Pittsburgh sleep quality index before discharge in the study group were lower than the control group,the differences were statistically significant（P〈0.01）.Conclusion：Through grading psychological nursing intervention on different mental patients,the study group of patients with postoperative mood and sleep quality compared with patients in the control group are significantly improved,with important clinical significance.