心理护理配合中药足浴后对妇科手术前患者的安神助眠作用分析

Analysis on the Effect of Psychological Nursing Combined with Traditional Chinese Medicine Foot Bath on Anshen-assisted Sleep of Patients before Gynecological Surgery

目的:探讨心理护理配合中药足浴后对妇科手术前患者的安神助眠作用。方法:选取2018年1月至2019年12月厦门大学附属妇女儿童医院收治的在本院行妇科手术治疗的患者84例作为研究对象,按照干预模式分为对照组(n=40)和观察组(n=44)。对照组患者按术前准备要求进行常规护理,观察组则增加心理护理和中药足浴,比较2组干预后睡眠质量改善情况,并观察术前焦虑、抑郁的改善效果。结果:干预3 d后观察组睡眠时间(2.69±0.52分)、效率(3.03±1.02分)、质量(3.45±0.98分)、助眠药物应用(2.03±0.57分)和入睡困难各项评分(3.57±1.02分)均显著少于对照组(2.59±1.15分、3.17±0.86分、3.46±1.12分、2.14±0.63、3.62±0.86分),且总分(14.63±3.68分)显著低于对照组(14.85±4.02分),差异有统计学意义(P<0.05)。观察组干预3 d后HAMD(22.36±6.68分)和HAMA评分(21.96±5.86分)均显著低于对照组(30.68±7.47分、29.74±6.87分),差异有统计学意义(P<0.05)。结论:妇科手术前实施中药足浴+心理护理的联合干预模式,可发挥良好的助眠安神效果,并有助于改善患者术前焦虑、抑郁等心理问题,有利于降低围术期风险,临床应用价值较高。

Objective:To investigate the effect of psychological nursing combined with traditional Chinese medicine foot bath on anshen-assisted sleep of patients before gynecological surgery.Methods:A total of 84 patients who underwent gynecological surgery in our hospital from January 2018 to December 2019 were selected.According to the intervention mode,they were divided into the control group(n=40)and observation group(n=44).Patients in the control group received routine nursing according to the preoperative preparation requirements,while those in observation group received psychological nursing and those in the traditional Chinese medicine foot bath.The improvement of sleep quality after intervention in the two groups was compared,and the improvement effect of preoperative anxiety and depression was observed.Results:After 3 days of intervention,the scores of sleep time(2.69±0.52 points),efficiency(3.03±1.02 points),quality(3.45±0.98 points),sleep aid drug application(2.03±0.57 points)and sleep difficulty(3.57±1.02 points)in the psychological+bath group were significantly lower than those in the control group(2.59±1.15 points,3.17±0.86 points,3.46±1.12 points,2.14±0.63 points,3.62±0.86 points).The total score(14.63±3.68 points)was significantly lower than that of the control group(14.85±4.02 points),and the difference was statistically significant(P<0.05).HAMD score(22.36±6.68 points)and HAMA score(21.96±5.86 points)in the psychological+drug bath group were significantly lower than those in the control group(30.68±7.47 points and 29.74±6.87 points),with statistically significant differences(P<0.05).Conclusion:The combined intervention mode of foot bath and psychological nursing of traditional Chinese medicine before gynecological surgery can play a good role in helping patients to sleep and calm down,and can help to improve patients′preoperative anxiety,depression and other psychological problems,and is conducive to reducing perioperative risk,with high clinical application value.