术前适应性训练对腹腔镜阑尾切除术患者焦虑抑郁情绪及术后疼痛感的影响

Effect of Preoperative Adaptive Training on Anxiety and Depression and Postoperative Pain in Patients Undergoing Laparoscopic Appendectomy

目的：探讨术前适应性训练对腹腔镜阑尾切除术患者焦虑抑郁情绪及术后疼痛感的影响。方法：选取2013年1月至2017年1月我院收治的100例腹腔镜阑尾切除术患者作为研究对象,采用回顾性分析法分析所有患者的临床资料,按照资料中其护理方法将其分为对照组41例和研究组59例,对照组患者予以常规护理干预,研究组在对照组基础上予以术前适应性训练,干预结束后比较两组患者情绪、术后疼痛感等具体情况,并记录两组患者对护理的满意度情况。结果：（1）两组患者干预后焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均较干预前降低,且研究组降低程度明显大于对照组（t=4.107,5.090;P〈0.001）;（2）研究组患者术后1h、12h、24h、48h疼痛评分均明显低于对照组,差异具有统计学意义（t=13.48111.643,9.093,0.771;P〈0.001）;（3）研究组护理总满意度（96.61%）明显高于对照组（80.49%）（χ^2=6.986,P〈0.01）。结论：腹腔镜阑尾切除术患者应用术前适应性训练具有良好的临床疗效,可明显减轻腹腔镜阑尾切除术患者其焦虑和抑郁程度,减轻患者术后疼痛感,且更易被患者所接受,可作腹腔镜阑尾切除术患者首选的护理干预模式。

Objective： To investigate the effect of preoperative adaptive training on anxiety and depression and postoperative pain in patients undergoing laparoscopic appendectomy.Methods： From January 2013 to January 2017,100 cases of laparoscopic appendectomy in our hospital were selected as the research object. All patients were analyzed retrospectively for clinical data.They were divided into control group（ n = 41） and study group（ n = 59） according to the method of data nursing.Patients in the control group were given routine nursing intervention.The study group was given preoperative adaptive training on the basis of the control group.After the intervention,the emotion and postoperative pain were compared between the two groups and the satisfaction of the two groups of patients was recorded.Results：（1）The SAS and SDS scores of both groups were lower than those before the intervention,and the degree of decrease in the study group were significantly greater than those in the control group（ t = 4.107,5.090; P〈0.001）.（2） The scores of pain in study group at 1 h,12 h,24 h and 48 h after operation were significantly lower than those in control group（ t = 13.481,11.643,9.093,10.771; P〈0.001）.Total satisfaction（ 96.61%） in the study group was significantly higher than that in the control group（ 80.49%）（ χ^2= 6.986,P〈0.01）. Conclusion： The application of preoperative adaptive training in patients undergoing laparoscopic appendectomy has good clinical curative effect,which can significantly reduce the degree of anxiety and depression in patients undergoing laparoscopic appendectomy and reduce the postoperative pain sensation in patients.This method is more patient-friendly and can be the preferred mode of nursing intervention for patients undergoing laparoscopic appendectomy.