结构式心理干预对急腹症患者心理生理应激及疼痛的影响

Effect of structural psychological intervention on psychophysiological stress and pain in patients with acute abdomen

目的分析结构式心理干预对急腹症患者心理生理应激及疼痛的影响。方法选取急腹症患者112例,依据随机数字表法均分为对照组和研究组,对照组给予常规心理干预,研究组给予结构式心理干预;于术前,运用焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组患者术前干预前后的心理应激反应;于术前,检测两组患者干预前后的收缩压(SBP)、舒张压(DBP)和心率(HR),比较两组患者干预前后的生理应激反应;依据视觉模拟量表(VAS)评分比较两组患者干预后24 h的疼痛缓解情况,观察并发症,记录患者对心理干预的满意度。结果干预后两组患者SAS、SDS评分均下降,且研究组低于对照组,差异有统计学意义(t=5.610、5.747,P<0.05);干预后24 h,两组SBP、DBP、HR数值均趋于正常,且研究组SBP、DBP、HR水平均明显优于对照组,差异有统计学意义(t=8.456、2.147、8.313,P<0.05);研究组的疼痛程度明显优于对照组,满意度显著高于对照组,并发症总发生率低于对照组,差异有统计学意义(χ^(2)=4.667,5.303,P<0.05)。结论结构式心理干预能够有效缓解急腹症患者的心理应激状态、生理应激反应和疼痛程度。

Objective To analyze the effect of structural psychological intervention on the psychophysiological stress and pain in patients with acute abdomen.Methods A total of 112 patients with acute abdomen were selected and randomly divided into control group and study group.Control group was given conventional psychological intervention,while study group was given structural psychological intervention.Before surgery,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were applied to evaluate psychological stress response before and after intervention.Before surgery,systolic blood pressure(SBP),diastolic blood pressure(DBP),and heart rate(HR)of two groups were detected before and after the intervention.Physiological stress responses were compared between two groups before and after the intervention.Visual analog scale(VAS)was used to score pain relief at 24 h after intervention between two groups.The complications were observed,and the patients′satisfaction with the psychological intervention was recorded.Results After intervention,the scores of SAS and SDS in two groups were decreased,and they were lower in study group than those in control group(t=5.610,5.747;P<0.05).At 24 h after intervention,SBP,DBP,and HR in two groups tended to be normal,their levels in study group were superior to control group(t=8.456,2.147,8.313;P<0.05).The pain degree of study group was significantly lower than that of control group,while the satisfaction degree in study group was significantly higher than that of control group,and the total incidence of complications was lower in study group than that of control group(χ^(2)=4.667,5.303;P<0.05).Conclusion Structural psychological intervention can effectively relieve the psychological stress state,physiological stress response,and pain level of patients with acute abdomen.