术前访视联合心理干预对呼吸内镜手术患者负性情绪的影响

Effect of preoperative Visits combined with psychological Intervention on negative Emotions in Patients undergoing respiratory Endoscopy Surgery

目的浅析呼吸内镜手术患者实行术前访视联合心理干预对负性情绪的影响。方法选入本次研究的120个病例均是河南省胸科医院2020年4月至2022年12月收治的呼吸内镜手术患者,选用数字标注法分为研究组和对照组,每组60例,对照组行常规干预,研究组行术前访视联合心理干预,比对两组负性情绪、生活质量、术后各阶段疼痛程度、不良反应发生率及护理满意度。结果研究组在干预后焦虑、抑郁情绪均低于对照组,差异有统计学意义(P<0.05),各生活质量维度较对照组评分更高,差异有统计学意义(P<0.05);术后4 h、8 h、12 h采用视觉模拟评分法(VAS)评估疼痛程度,研究组VAS评分较对照组更低,差异有统计学意义(P<0.05);研究组较对照组不良反应发生率明显降低,差异有统计学意义(P<0.05),研究组护理满意度较对照组明显升高,差异有统计学意义(P<0.05)。结论呼吸内镜手术患者实行术前访视联合心理干预,有利于减轻患者负性情绪,减轻术后疼痛感,提升护理满意度,改善预后,实践价值较高。

Objective To analyze the impact of preoperative visits combined with psychological intervention on negative emotions in patients undergoing respiratory endoscopy surgery.Methods The 120 cases selected for this study were all patients who underwent respiratory endoscopy surgery at Henan Chest Hospital from April 2020 to December 2022.They were divided into study group and control group using digital labeling,with 60 cases in each group.The control group received routine intervention,while the study group received preoperative visits combined with psychological intervention.Negative emotions,quality of life,postoperative pain levels at each stage,incidence of adverse reactions,and nursing satisfaction were compared between the two groups.Results After intervention,the anxiety and depression levels in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of various quality of life dimensions were higher than those in the control group,and the differences were statistically significant(P<0.05);Visual Analog Scale(VAS)was used to evaluate the degree of pain at 4,8,and 12 hours after surgery.The VAS score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05);The incidence of adverse reactions in the study group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Preoperative visit combined with psychological intervention is beneficial for reducing negative emotions,alleviating postoperative pain,improving nursing satisfaction,and improving prognosis in patients undergoing respiratory endoscopy surgery.It has high practical value.