个性化心理护理联合健康教育对急诊清创缝合术患者心理应激、疼痛程度的影响

The effect of individualized psychological nursing combined with health education on the degree of psychological stress and pain in emergency debridement suture patients

目的探讨个性化心理护理联合健康教育对急诊清创缝合术患者心理应激及疼痛程度的影响。方法选取深圳大学总医院急诊2018年7月至2019年2月接收的接受清创缝合术治疗的患者267例,随机分为实验组(134例)和对照组(133例)。对照组患者接受临床常规清创缝合术后常规护理干预治疗,实验组患者在常规护理干预的基础上接受个性化心理护理联合健康教育治疗。统计分析两组患者干预治疗前后收缩压、舒张压、心率、肾上腺素(E)等心理应激指标以及疼痛程度差异。结果护理干预前两组患者血压、心率差异无统计学意义,但均显著高于正常水平,肾上腺素水平均基本正常。护理干预后实验组患者收缩压、舒张压均显著降低,差异有统计学意义(P<0.05),基本恢复正常水平,而肾上腺素水平与干预前比较差异无统计学意义。干预治疗后实验组患者收缩压、舒张压与干预前比较差异无统计学意义,仍显著高于正常水平,而肾上腺素指标显著升高,差异有统计学意义(P<0.05)。疼痛程度显示,术后实验组患者中度以上疼痛百分比与干预前比较显著降低,差异有统计学意义(P<0.05),而对照组患者干预后疼痛级别变化不显著,干预后实验组疼痛级别显著低于对照组,差异有统计学意义(P<0.05)。结论个性化心理护理联合健康教育对于降低急诊清创缝合术后患者心理应激反应,改善患者负面情绪,降低应激反应发生程度,改善患者疼痛级别均具有十分重要的临床价值。

Objective To explore the effect of individualized psychological nursing combined with health education on the psychological stress and pain of emergency debridement suture patients.Methods A total of 267 cases of debridement suture patients received in the emergency department of the hospital from July 2018 to February 2019 were randomly divided into experimental group(134 cases)and control group(133 cases).Patients in the control group received routine nursing intervention after debridement and suture,while patients in the experimental group received personalized psychological nursing combined with health education on the basis of routine nursing intervention.The differences in psychological stress indicators such as systolic blood pressure,diastolic blood pressure,heart rate,epinephrine(E)and pain levels between the two groups before and after intervention were statistically analyzed.Results Before nursing intervention,there was no significant difference in blood pressure and heart rate between the two groups,but they were significantly higher than the normal level,and the adrenergic level was basically normal.After nursing intervention,the systolic and diastolic blood pressure of the patients in the experimental group were significantly reduced,and the differences were statistically significant(P<0.05),basically returned to normal level,but the difference between the epinephrine level and that before the intervention was not statistically significant.After intervention treatment,systolic blood pressure and diastolic blood pressure in the experimental group showed no statistically significant difference from that before intervention,which was still significantly higher than the normal level,while the adrenergic index was significantly increased,with statistically significant difference(P<0.05).According to the degree of pain,the percentage of patients with moderate or above pain in the experimental group after surgery was significantly lower than that before intervention,and the difference was statistically significant(P<0.05),while the level of pain in the control group did not change significantly after intervention,and the level of pain in the experimental group was significantly lower than that in the control group after intervention,with statistically significant differences(P<0.05).Conclusions Personalized psychological nursing combined with health education is of great clinical value in reducing the psychological stress response of patients after emergency debridement and suture surgery,improving the negative emotions of patients,reducing the degree of stress response,and improving the pain level of patients.