简快心身积极疗法在老年患者围手术期中的应用

Application of Jiankuai psychosomatic active therapy in perioperative period of elderly patients

目的探讨简快心身积极疗法在老年围手术期患者中的应用效果。方法选取2018年3月至2019年12月泌尿外科围手术期老年患者387例,按同一病区2个医疗组所收治患者分为医疗组一所收治的193例患者为观察组和医疗组二所收治的194例患者为对照组。观察组采用常规围手术期护理结合简快心身积极疗法进行干预,对照组仅采用常规围手术期护理。采用Zung编制的焦虑自评量表(SAS)、罗森伯格自信心量表、自我效能感量表(GSES)作为比较2组实施前后的评价指标。结果术后7 d观察组SAS评分为(31.13±3.64)分,对照组为(48.45±7.72)分,2组比较差异有统计学意义(t值为16.36,P<0.05)。术前1 d、术后7 d观察组自信心有效率分别为98.4%(190/193)、94.8%(183/193),对照组分别为86.6%(168/194)、85.1%(165/194),2组比较差异有统计学意义(Z值为-3.27、14.66,均P<0.05)。观察组患者术后7 d GSES评分为(26.79±2.17)分,对照组为(16.86±1.90)分,2组比较差异有统计学意义(t值为10.19,P<0.05)。结论简快心身积极疗法的应用能有效减轻围手术期老年患者紧张焦虑情绪,增加其自信心和自我效能感,有效提高医患沟通效率,促进康复。

Objective To explore the application effect of Jiankuai psychosomatic active therapy in the elderly perioperative patients.Methods From March 2018 to December 2019,387 elderly patients in the urology department of the First People′s Hospital of Lianyungang City,Jiangsu Province were selected.According to the patients in two medical groups in the same ward,193 patients in one medical group were divided into the experimental group and 194 patients in two medical groups as the control group.The experimental group was intervened by routine perioperative nursing combined with simple and fast psychosomatic active therapy,while the control group was only intervened by routine perioperative nursing.Self rating Anxiety Scale(SAS),Rosenberg Self-confidence Scale and General Self-efficacy Scale(GSEs)were used as the evaluation indexes before and after the implementation of the two groups.Results The SAS score of the experimental group was 31.13±3.64 and that of the control group was 48.45±7.72 on the 7th day after operation.The difference between the two groups was statistically significant(t value was 16.36,P<0.05).The effective rate of self-confidence was 98.4%(190/193)and 94.8%(183/193)in the experimental group and 86.6%(168/194)and 85.1%(165/194)in the control group on the first day and the seventh day after operation,respectively.The difference between the two groups was statistically significant(Z values were-3.27 and 14.66,all P<0.05).The GSEs score of the patients in the experimental group was 26.79±2.17 and that of the control group was 16.86±1.90.The difference between the two groups was statistically significant(t value was 10.19,P<0.05).Conclusions The application of Jiankuai psychosomatic active therapy can effectively reduce the tension and anxiety of the elderly patients during the perioperative period,increase their self-confidence and self-efficacy,effectively improve the communication efficiency between doctors and patients,and promote rehabilitation.