妇科腹腔镜术后患者心理状况的分析与护理

Analysis and Nursing on Psychological Status of Patients After Gynecological Laparoscopy

目的研究妇科良性肿瘤腹腔镜术后患者心理健康状况,提出促进妇科良性肿瘤腹腔镜患者术后心理健康的措施,帮助患者尽快恢复身心健康,提高护理满意度。方法用自制一般量表和SCL-90症状自评量表对30例妇科良性肿瘤腹腔镜术后患者进行问卷调查。结果 30例患者SCL-90因子总分高于全国常模,差异具有统计学意义(P<0.05)。不同文化程度间,大专及以下患者和大专以上患者的SCL-90因子总分均高于全国常模总分,差异具有统计学意义(P<0.05)。结论妇科良性肿瘤腹腔镜术后患者均存在不同程度的异常心理状况,护理人员应做好患者及家属的护理与健康教育,消除其躯体化、焦虑、精神病性等情绪,缓解其心理压力。

Objective To study the mental health status of the gynecological benign tumor patients with laparoscopic surgery, put forward laparoscopic gynecological benign tumor patients of postoperative mental health measures to help patients as soon as possible to restore physical and mental health, improve nursing satisfaction. Methods Using self-made general scale and SCL - 90 symptom self-evaluation scale of 30 patients with gynecological benign tumor of laparoscopic surgery for the questionnaire. Results The total score of SCL-90 in 30 patients was significantly higher than that of the national norms, the difference was statistically significant （P 〈0.05）. The scores of SCL-90 among college students and junior college students with different educational level were significantly higher than those of the national norm, the difference was statistically significant （P 〈 0.05）. Conclusion The patients with benign gynecologic tumors had abnormal mental state with different degrees after laparoscopic surgery. The nurses should do well the nursing and health education for their patients and their families, and eliminate their somatization, anxiety, psychotic and other emotions, so as to relieve their psychological pressure.