提前心理疏导对全身麻醉患者术后负面情绪、遵医行为的影响

Effect of psychological counseling in advance on negative emotion and compliance behavior of patients undergoing orthopedic surgery under general anesthesia

目的 分析提前心理疏导对全身麻醉患者骨科术后负面情绪、遵医行为的影响。方法将2021年1月~2023年2月于本院行全身麻醉骨科手术治疗的176例患者随机分为两组。对照组88例予以常规临床干预,观察组88例在对照组基础上予以提前心理疏导。比较两组干预前后的负性情绪、心理弹性,评价两组的遵医行为及生活质量。结果 干预后观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05);干预后观察组的心理弹性量表(CD-RISC)各维度评分高于对照组(P<0.05);观察组的遵医行为明显优于对照组(Z=4.941,P<0.05);干预后,观察组的生活质量综合评定问卷-74(GQOLI-74)各维度评分高于对照组(P<0.05)。结论 对全身麻醉骨科手术患者应用提前心理疏导可有效改善患者术后的负性情绪,提高心理弹性、遵医行为及生活质量。

Objective To analyze the effect of psychological counseling in advance on the negative emotion and compliance behavior of patients undergoing orthopedic surgery under general anesthesia.Methods A total of 176 patients undergoing general anesthesia orthopedic surgery in our hospital from January 2021 to February 2023 were randomly divided into two groups.The control group(88 cases)received routine clinical intervention,and the observation group(88 cases)received psychological counseling in advance on the basis of the control group.The negative emotion,resilience,compliance behavior and quality of life were compared between the two groups before and after intervention.Results After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of CD-RISC in the observation group were higher than those in the control group(P<0.05).The compliance behavior of the observation group was significantly better than that of the control group(Z=4.941,P<0.05).After intervention,the scores of GQOLI-74 in the observation group were higher than those in the control group(P<0.05).Conclusion Psychological counseling in advance can effectively improve the patients 'negative emotions,psychological resilience,compliance behavior and quality of life after general anesthesia orthopedic surgery.