人文关怀对眼部手术患者术前负性情绪的影响

Effects of humanistic care on the preoperative negative emotion in patients undergoing eye surgery

目的 探讨人文关怀护理在眼部手术患者术前负性情绪中的应用效果,以减轻患者术前负性情绪、促进术后康复进程.方法 选取2016年10月—2017年2月入住郑州大学第一附属医院2个眼科病区拟行手术的患者各120例,用投硬币法将2个病区随机分为对照组和观察组,对照组实施常规护理,观察组在常规护理基础上实施人文关怀护理.用一般资料调查问卷、自我感受负担量表、焦虑自评量表、抑郁自评量表评价干预效果.结果 干预前两组患者负性情绪评分差异无统计学意义（P〉0.05）.干预后两组患者负性情绪评分均有不同程度下降,且干预后观察组术前自我感受负担得分（28.49±5.92）分、焦虑标准得分（45.49±6.49）分、抑郁标准得分（41.22±5.62）分,对照组分别为（34.95±6.56）、（58.57±8.56）、（54.53±6.45）分,观察组低于对照组,差异均有统计学意义（t值分别为10.49、6.45、7.34;P〈0.01）.结论 人文关怀护理可明显减轻眼部手术患者术前自我感受负担、焦虑、抑郁状况,改善患者负性情绪.

Objective To explore the effects of humanistic care on preoperative negative emotions in patients undergoing eye surgery, so as to alleviate the negative emotion and promote the rehabilitation process of the operation. Methods From October 2016 to February 2017, totals of 120 patients who were undergoing eye surgery from each of the 2 wards of the ophthalmology department in the First Affiliated Hospital of Zhengzhou University were recruited in the research. All the patients were randomly divided into control group and observation group by coin tossing method. Routine nursing was applied in the control group, while on the basis of the control group, humanistic care was given to the observation group. The intervention effects were evaluated by the general information questionnaire, the Self-Perceived Burden Scale （SPBS）, Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）. Results There was no statistical difference in negative emotions between the two groups before intervention （P〉0.05）. The scores of negative emotions all had a certain decrease after intervention. The scores of SPBS, SAS and SDS were （28.49±5.92）, （45.49±6.49） and （41.22±5.62） in the observation group after intervention respectively; while those scores were （34.95±6.56）, （58.57±8.56） and （54.53±6.45） in the control group respectively. The scores of the observation group were all lower than those of the control group, and the differences were statistically significant （t=10.49, 6.45, 7.34; P〈 0.01）. Conclusions Humanistic care can obviously reduce patients＇ self-perceived burden, anxiety, depression and improve patients negative emotions.