面部整形患者围术期心理、认知及行为干预护理的临床研究

Clinical research on mental,cognitive and behavioral intervention nursing during perioperative period for patients received facial plastic surgery

目的探讨围术期进行心理、认知及行为干预护理对面部整形求美者心理健康状况及护理满意度的影响。方法选择2015年6月—2018年6月本院收治的行面部整形手术的50例求美者为研究对象,采取非随机同期对照方式将患者分为观察组和对照组两组,每组各25例。对照组进行常规术前治疗及护理,观察组采取心理及认知联合干预措施。比较两组求美者干预前后面部整形认知度、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分、护理满意度及护理依从性。结果观察组求美者对面部整形术的原理、效果及风险的认知度均明显高于对照组(P<0.05);干预后,两组求美者的SAS、SDS评分均降低(P<0.05),且观察组求美者SAS、SDS评分变化更显著(P<0.05);观察组求美者的护理满意度和护理依从性分别为92.00%(23/25)、88.00%(22/25),明显高于对照组的68.00%(17/25)、64.00%(16/25),差异均有统计学意义(P<0.05)。结论围术期进行心、认知联合行为干预护理能够提高求美者对面部整形术的认知度并改善心理健康状况,提高术后满意度及依从性。

Objective To explore the influence of psychological,cognitive and behavioral intervention nursing care during the perioperative period on the mental health status and nursing satisfaction of those seeking facial plastic surgery.Methods From June 2015 to June 2018,50 patients who underwent facial plastic surgery in our hospital were selected as the research subjects.The patients were divided into observation group and control group according to a non-randomized concurrent control method,with 25 cases in each group.The control group received conventional preoperative treatment and nursing care,and the observation group took joint intervention measures of mental and cognitive interventions.The cognition of facial plastic surgery,Anxiety Self-Rating Scale(SAS)and Depression Self-Rating Scale(SDS)scores,nursing satisfaction and nursing compliance were compared between the two groups of beauty seekers before and after intervention.Results The awareness of the principles,effects and risks of facial plastic surgery in the observation group was significantly higher than those of the control group(P<0.05).After the intervention,the SAS and SDS scores of the two groups of beauty applicants were reduced(P<0.05),and the SAS and SDS scores of the beauty seekers in the observation group changed more significantly(P<0.05).The nursing satisfaction and nursing compliance of the beauty seekers in the observation group were 92.00%(23/25)and 88.00%(22/25),which was significantly higher than the 68.00%(17/25)and 64.00%(16/25)of the control group,the differences were statistically significant(P<0.05).Conclusions Perioperative psychologicalcare and cognition combined behavioral intervention nursing could increase the awareness of facial plastic surgery,improve mental health,and improve postoperative satisfaction and compliance.