全程心理干预对腹腔镜子宫肌瘤切除术后患者希望水平与负性情绪的影响

The effect of comprehensive psychological intervention on hope level and negative emotions in patients undergoing laparoscopic myomectomy

目的探讨腹腔镜子宫肌瘤切除术(Laparoscop—icmyomectomy,LM)患者配合全程心理干预对其负性情绪、希望水平的影响。方法于2021年4月~2023年1月采集病例入档,对象为医院收治的LM麻醉患者,共计104例,基于“随机数字表法”划分为对照组与观察组,均纳入52例,2组均接受气管插管全麻,其中对照组实施常规干预,观察组实施全程心理干预;对比两组希望水平、焦虑抑郁情绪、生活质量的差异。结果相较于术前1d,两组术后Hearth希望量表评分均呈不同程度升高,且观察组升幅相对大(P<0.05);相比术前,两组术后焦虑自评量表评分、抑郁自评量表评分均呈不同程度升高,且观察组升幅较对照组小(P<0.05);术后2组生活质量(sf-36)评分均呈升高趋势,且观察组改变趋势更大(P<0.05)。结论在LM麻醉患者配合全程心理干预,可明显缓解患者焦虑抑郁情绪,提高希望水平,促进患者生活质量显著提升。

Objective To explore the impact of comprehensive psychological intervention on negative emotions and hope levels in patients undergoing laparoscopic myomectomy(LM).Methods From April 2021 to January 2023,a total of 104 cases of LM anesthesia patients admitted to the hospital were collected and recorded.They were divided into a control group and an observation group based on a 1:1 random number table method,with 52 cases included.Both groups received tracheal intubation general anesthesia,with the control group receiving routine intervention and the observation group receiving full psychological intervention.Compare the levels of hope,anxiety and depression,and quality of life between two groups.Results Compared to the day before surgery,the postoperative Heart Hope Scale scores of both groups showed varying degrees of increase,and the observation group had a relatively large increase(P<0.05).Compared to before surgery,the scores of the Self Rating Anxiety Scale and the Self Rating Depression Scale in both groups showed varying degrees of increase,and the increase in the observation group was smaller than that in the control group(P<0.05).The quality of life(sf-36)scores in both postoperative groups showed an increasing trend,and the observation group showed a greater trend of change(P<0.05).Conclusion In LM anesthesia patients,comprehensive psychological intervention can significantly alleviate their anxiety and depression,improve their level of hope,and promote a significant improvement in their quality of life.