术前心理评估联合针对性干预对经皮肾镜碎石取石术患者的心理情绪和并发症发生率的影响

Effect of Preoperative Psychological Assessment combined with Targeted Intervention on Psychological Mood and Complication Rate of Patients Undergoing Percutaneous Nephrolithotomy

目的探讨术前心理评估联合针对性干预对经皮肾镜碎石取石术患者的心理情绪和并发症发生率的影响。方法将2018年1月至2019年12月间60例我院收治的经皮肾镜碎石取石术患者按照随机数字表法分为2组,对照组30例予以常规干预,研究组30例予以术前心理评估联合针对性干预。比较两组患者焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分以及并发症发生情况。结果两组患者干预前SDS、SAS评分比较无显著性差异(P>0.05),干预后两组SDS、SAS评分均低于干预前,且研究组低于对照组(P<0.05)。研究组并发症发生率(10.00%)低于对照组(36.67%)(P<0.05)。结论术前心理评估联合针对性干预在经皮肾镜碎石取石术患者中应用可减轻心理应激反应,降低并发症风险。

Objective To investigate the effect of preoperative psychological assessment combined with targeted intervention on psychological mood and complication rate of patients undergoing percutaneous nephrolithotomy.Methods From January 2018 to December 2019,60 patients who underwent percutaneous nephrolithotomy in our hospital were divided into two groups according to random number table method,30 patients in the control group were given routine intervention,and 30 patients in the study group were given preoperative psychological evaluation combined with targeted intervention.The self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score and the occurrence of complications were compared between the two groups.Results There was no significant difference in SDS and SAS scores between the two groups before intervention(P>0.05).SDS and SAS scores in the two groups after intervention were lower than those before intervention,and those in the study group were lower than those in the control group(P<0.05).The incidence of complications in the study group(10.00%)was lower than that in the control group(36.67%)(P<0.05).Conclusion The application of preoperative psychological assessment combined with targeted intervention in patients undergoing percutaneous nephrolithotomy can reduce the psychological stress response and reduce the risk of complications.