基于叙事护理理论的心理干预在择期腹腔镜胆囊切除术患者中的应用

Application of psychological intervention based on narrative nursing theory in patients undergoing selective laparoscopic cholecystectomy

目的:探究择期腹腔镜胆囊切除术患者应用基于叙事护理理论的心理干预效果。方法:2017年8月-2018年12月选取择期腹腔镜胆囊切除术患者78例,随机分为两组,各39例。研究组采用基于叙事护理理论的心理干预;参照组采用常规干预方法。比较两组干预效果。结果:研究组SDS、SAS护理评分低于参照组,首次肛门排气时间、下床时间、住院时间短于参照组,治疗依从率高于参照组,差异有统计学意义(P<0.05)。结论:择期腹腔镜胆囊切除术患者应用基于叙事护理理论的心理干预,能稳定患者情绪、提高依从性、缩短病程。

Objective:To explore the application effect of psychological intervention based on narrative nursing theory in patients undergoing selective laparoscopic cholecystectomy.Methods:From August 2017 to December 2018,78 patients with selective laparoscopic cholecystectomy were selected and randomly divided into two groups of 39 cases in each group.The study group was given psychological intervention based on narrative nursing theory,and the reference group was given conventional intervention methods.We compared the intervention effect between the two groups.Results:In the study group,the scores of SDS and SAS were lower than those of the reference group,the time of first anal exhaust,time of getting out of bed and time of hospitalization were shorter than those of the reference group,and the treatment compliance rate was higher than that of the reference group.The differences were statistically significant(P<0.05).Conclusion:The application of psychological intervention based on narrative nursing theory in patients undergoing selective laparoscopic cholecystectomy can stabilize patients'mood,improve compliance and shorten the course of disease.