宫外孕腹腔镜手术患者术前实施以夫妻为中心的心理干预对术后恢复的影响

Effect of preoperative husband-and-wife-centered psychological intervention on postoperative recovery in patients with ectopic pregnancy undergoing laparoscopic surgery

目的:研究宫外孕腹腔镜手术患者术前实施以夫妻为中心的心理干预对术后恢复的影响。方法:选择某院2017年5月至2018年5月收治的宫外孕腹腔镜择期手术患者110例,随机分为观察组和对照组各55例。对照组患者实施常规术前及术后干预,观察组在对照组基础上给予以夫妻为中心的心理干预。记录两组患者术后下床活动时间、排气时间、进食时间、排便时间、停止输液时间、住院时间及并发症发生率,比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛视觉模拟量表(VAS)、婚姻主观感受量表(MPS)评分。结果:观察组术后下床活动时间、排气时间、进食时间、排便时间、停止输液时间及住院时间均明显低于对照组(t=-3.156,-4.135,-4.913,-6.698,-4.030,-5.207;P<0.05);观察组术后并发症发生率14.55%,低于对照组30.91%(χ^2=4.193,P<0.05)。观察组干预后SAS量表、SDS量表、PSQI量表、VAS量表评分变化优于对照组(t=-3.620,-2.995,-9.734,-10.727;P<0.05);观察组干预后MPS量表中夫妻互动、家庭关系、夫妻冲突评分改善优于对照组(t=2.798,2.024,-8.295;P<0.05)。结论:宫外孕腹腔镜手术患者实施以夫妻为中心的心理干预能有效调节患者心理状态,改善睡眠质量及疼痛情况,且在一定程度上提高婚姻质量,对其术后恢复有积极影响。

Objective:To study the effect of preoperative husband-wife-centered psychological intervention on the postoperative recovery of the patients with ectopic pregnancy undergoing laparoscopic surgery.Methods:A total of 110patients were selected with ectopic pregnancy in our hospital from May 2017to May 2018,and we divided them into the observation group and the control group randomly,55patients for each group.Performed routine preoperative and postoperative intervention were given in the control group,with husband-wife-centered psychological intervention besides routine preoperative and postoperative intervention in the observation group.We recorded the time of getting out of bed,exhaust time,eating time,defection time,stopping infusion time,hospitalization time and the incidence of complications and compared SAS,SDS,VAS and MPS between the two groups before and after intervention.Results:After operation,the time of getting out of bed,exhaust time,eating time,defection time,stopping infusion time and hospitalization time in the observation group were significantly lower than those in the control group(t=-3.156,-4.135,-4.913,-6.698,-4.030,-5.207,P<0.05);The incidence of complications in the observation group was 14.55%,which was lower than that in the control group(30.91%)(χ2=4.193,P<0.05).The scores of SAS,SDS,PSQI and VAS in the observation group were better than those in the control group(t=-3.620,-2.995,-9.734,-10.727,P<0.05).The relationship between the family and the scores of the martial conflict of MPS in the observation group were better than those in the control group(t=2.798,2.024,-8.295;P<0.05).Conclusion:It can effectively adjust the psychological state of patients with ectopic pregnancy that perform husband-wife-centered psychological intervention,which also can improve the sleep quality and the pain condition,moreover,it can improve the quality of the marriage to a certain extent and have a positive effect on the postoperative recovery.