术前心理健康教育对子宫肌瘤年轻患者的心理应激反应的影响

Effect of Preoperative Psychological Health Education on Stressful Psychological Reaction of Young Patients with Hysteromyoma

目的：探讨子宫肌瘤年轻患者进行术前心理健康教育,对其心理应激反应的影响。方法：将我院收治的96例子宫肌瘤年轻患者随机设为48例对照组,给予术前常规治疗护理;48例研究组,常规治疗护理的基础上进行术前心理健康教育。比较两组院后次日清晨（T0）、手术当天（T1）、手术结束时（T2）、术后次日清晨（T3）的血压、心率、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、皮质醇和白细胞介素-6（IL-6）浓度。结果：两组T0的收缩压、舒张压、心率比较,差异均无统计学意义（P〉0.05）。对照组T1、T2、T3的收缩压、舒张压、心率,均明显高于研究组,差异均有统计学意义。两组T0时段的HAMA、HAMD比较,差异均无统计学意义（P〉0.05）。对照组T1、T2、T3的HAMA、HAMD明显高于研究组,差异均有统计学意义（P〈0.05）。研究组和对照组T0的血清皮质醇比较，差异均无统计学意义（P〉0．05）。对照组T1、T2、T3的血清皮质醇明显高于研究组,差异均有统计学意义（t=9.232,6.739,9.678;P〈0.05）。两组T0、T1、T2、T3的IL-6比较，差异均无统计学意义（P〉0．05）。结论：对子宫肌瘤年轻患者进行术前健康教育,可降低其应激反应,稳定患者术前术后的血压、心率,从而辅助临床疗效。

Objective：To study effect of preoperative psychological health education on stressful psychological reaction of young patients with hysteromyoma.Methods：A total of 96 cases of young patients with hysteromyoma admitted in our hospital were selected,in which 48 cases were randomly set as control group and were provided with preoperative conventional treatment nursing,while the other 48 cases were provided with preoperative psychological health education on the basis of conventional treatment nursing.Patients in two groups were compared for blood pressure,heart rate,HAMA,HAMD,cortisol and interleukin-6（IL-6）concentration in the next morning of admission（T0）,at the day of operation（T1）,at the end of operation（T2）,in the next morning after operation（T3）.Results：The systolic pressure,diastolic pressure and heart rate of the two groups at T0 period were compared,showing no statistical significance（P〉0.05）.The systolic pressure,diastolic pressure and heart rate of the study group at T1 and other periods were significantly smaller than those of the control group,and the difference had statistical significance（P〈0.05）.The difference in HAMA and HAMD at T0 period between two groups had no statistical significance（P〉0.05）.The HAMA and HAMD of the research group at T1 and other periods were significantly smaller than those of the control group,with difference having statistical significance（P〈0.05）.The difference in serum cortisol at T0 period between research group and control group had no statistical significance（P〉0.05）.The serum cortisol of the study group at T1,T2 and T3 period were significantly smaller than those of the control group,and the differences showed statistical significance（t=9.232,6.739,9.678;P〈0.05）.IL-6 of the two groups at T0,T1,T2,T3 period were compared,holding no statistical significance（P〉0.05）.Conclusion：Preoperative psychological health education for young patients with hysteromyoma can relieve stressful reaction and stabilize blood pressure,heart rate for patients before and after operation,so as to assist clinical therapeutic efficacy.