心理护理对耳鼻咽喉部手术术后影响

Effect of psychological nursing on otorhinolaryngology operation

目的心理护理对耳鼻咽喉部手术术后的影响。方法选择2019年8月到2022年8月在我院耳鼻咽喉部手术患者86例,根据电脑随机法分为对照组和实验组,各43例。在治疗阶段,为对照组提供常规护理,实验组在常规护理基础上联合心理护理,就2组耳鼻咽喉部手术患者最终疗效展开比较,内容包括:心理状态、术后疼痛状态和护理满意度。结果两组耳鼻咽喉部手术患者心理状态评分,护理前,没有显著差异,护理后,实验组均低于对照组,P<0.05。两组耳鼻咽喉部手术患者术后疼痛评分、镇痛药物使用率和疾病健康知识掌握度评分,术后1h,两组患者疼痛评分没有显著差异,术后24h、72h,实验组疼痛评分低于对照组,P<0.05。实验组镇痛药物使用率低于对照组,P<0.05。护理前,两组患者疾病健康知识掌握度评分没有显著差异,护理后,实验组高于对照组,P<0.05。耳鼻咽喉部手术患者护理满意度,实验组高于对照组,P<0.05。结论对耳鼻咽喉部手术治疗患者实施心理护理,能够改善不良心理,对于患者术后优化效果产生不良影响,强化对于患者术后疼痛的缓解。

Objective The influence of psychological nursing on otorhinolaryngology operation after operation.Methods A total of 86 patients with otorhinolaryngology surgery in our hospital from August 2019 to August 2022 were selected and divided into control group and experimental group by computer random method,with 43 cases in each group.In the treatment stage,the control group was provided with routine nursing,and the experimental group was combined with psychological nursing on the basis of routine nursing.The final efficacy of otorhinolaryngology surgery patients in the two groups was compared,including psychological state,postoperative pain state and nursing satisfaction.Results There was no significant difference in the psychological state scores of otorhinolaryngology surgery patients between the two groups before nursing,but after nursing,the experimental group was higher than the control group,P<0.05.There was no significant difference in pain score,analgesic drug utilization rate and disease and health knowledge mastery score between the two groups at 1 h after operation,but at 24 h and 72 h after operation,the pain score of the experimental group was lower than that of the control group(P<0.05).The utilization rate of analgesic drugs in the experimental group was lower than that in the control group,P<0.05.Before nursing,there was no significant difference in the mastery of disease and health knowledge between the two groups,but after nursing,the experimental group was higher than the control group(P<0.05).The nursing satisfaction of otorhinolaryngology operation patients in experimental group was higher than that in control group,P<0.05.Conclusion Psychological nursing for patients with otorhinolaryngology surgery can improve the bad psychology,have a bad impact on the optimization effect of patients after surgery,and strengthen the relief of postoperative pain.