磁珠耳穴贴压联合积极心理干预在断指再植术后患者中的运用

Magnetic bead auricular point sticker combined with positive psychological intervention for patients after finger replantation

目的探讨磁珠耳穴贴压联合积极心理干预对断指术后患者的运用价值。方法选取2017年1月至2018年3月在本科接受断指再植的术后患者为研究对象,按入院时间顺序进行分组,其中对照组43例患者采用常规护理方案,观察组43例患者在常规护理组的基础上采用磁珠耳穴贴压联合积极心理干预,比较两组患者干预前后焦虑(SAS)、抑郁(SDS)、睡眠质量(PSQI)及术后并发症情况。结果干预前两组患者SAS、SDS和PSQI评分比较差异无统计学意义(P>0.05),干预后观察组患者SAS、SDS和PSQI总分分别为(42.74±8.18)分、(39.79±6.01)分和(8.48±0.84)分,均明显低于对照组的(71.30±9.69)分、(68.16±7.31)分和(12.83±1.02)分,两组比较差异均有统计学意义(均P<0.05);术后观察组患者血管危象、切口感染、痉挛的发生率分别为14.95%、2.33%和18.60%,明显低于对照组34.88%、13.95%和32.56%,观察组患者断指存活率为88.37%,明显高于对照组的69.77%,两组比较差异均有统计学意义(均P<0.05)。结论磁珠耳穴贴压联合积极心理干预可有效改善患者的心理状态,改善睡眠质量,降低术后并发症的发生率,改善患者预后。

Objective To explore the value of magnetic bead auricular point sticker combined with positive psychological intervention for patients after finger replantation. Methods 86 postoperative amputated patients were divided into a control group and an intervention gorup according to admission time, 43 for each group. The control group took conventional care;and in addition, the intervention group used magnetic bead auricular point sticker. The anxiety, depression, and sleep quality were compared between the two groups before and after the intervention. and the postoperative complications were compared after the intervention. Results There were no statisitcal differences in SAS, SDS, and PSQI scores between the two groups before the intervention (all P > 0.05). The total scores of SAS, SDS, and PSQI in the observation group were (42.74±8.18),(39.79±6.01), and (8.48±0.84), which were significantly lower than those in the control group [(71.30±9.69),(68.16±7.31), and (12.83±1.02);all P < 0.05]. The incidences of vascular crisis, incision infection, and spasm in the observation group were 14.95%, 2.33%, and 18.60%, which were significantly lower than those in the control group (34.88%, 13.95%, and 32.56%;all P < 0.05). The survival rate of severed fingers in the observation group was 88.37%, which was significantly higher than that in the control group (69.77%;P < 0.05). Conclusions Magnetic bead auricular point sticker combined with positive psychological intervention can effectively improve the patients’ psychological status, quality of sleep, and prognosis, and reduce the incidence of postoperative complications.