针对性干预对妇科腹腔镜手术患者心理状态及生活质量的影响

Effect of targeted intervention on mental status and quality of life in patients undergoing gynecologic laparoscopic surgery

目的:研究分析针对性干预对妇科腹腔镜手术患者心理状态及生活质量的影响。方法:选取我院2016年6月至2017年6月期间收治的250例妇科腹腔镜手术患者作为研究对象,采用随机数字表法将其分为两组,分别为对照组与观察组,每组125例,对照组患者在临床上使用常规干预,观察组患者在此基础上应用针对性干预治疗,均干预1个月,详细记录两组患者围术期指标情况,利用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的焦虑和抑郁进行评分,分析其患者治疗前后的心理状态变化,对比分析其术后生活质量、对干预满意度和不良反应发生等情况。结果:相比对照组,观察组患者术后肛门排气及下床活动时间、首次排便和住院时间均明显低于对照组,差异具有统计学意义(t=-10.12,-6.06,-2.07,-4.23,-4.800;P<0.01);干预前,两组患者的心理状态比较差异无统计学意义(P>0.05);干预后,两组的抑郁及焦虑评分均较干预前明显降低,且观察组的降低程度高于对照组(t=-4.66,-18.54;P<0.001);观察组患者的生活质量各指标评分(运动锻炼及人际关系、营养和健康责任、自我实现和压力管理)均显著高于对照组,两组相比差异具有统计学意义(t=10.46,20.45,28.79,14.02,22.34,9.32;P<0.001);观察组患者干预满意度(98.40%)明显高于对照组(89.60%)(χ~2=9.298,P<0.01);观察组患者不良反应发生率(15.20%)明显低于对照组(40.00%)(χ~2=19.383,P<0.001)。结论:针对性干预可有效地促进妇科腹腔镜手术患者的术后恢复,减少住院时间及成本,控制患者的心理状态,提高其生活质量,减低不良反应发生率,提高患者对干预的满意度,提高医患亲密关系。

Objective:To investigate the effect of targeted intervention on mental status and quality of life in patients undergoing gynecologic laparoscopic surgery.Methods:A total of 250 patients undergoing gynaecological laparoscopic surgery admitted to our hospital between June 2016 and June 2017 were selected and divided into control group and observation group using a random number table method,each with 125 cases.Patients in the control group used routine interventions,based on this,the observation group received the targeted intervention,both for 1 mon.The perioperative indexes,the anxiety and depression degree assessed by Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),the changes of psychological state,the postoperative quality of life,intervention satisfaction rate,and occurrence of adverse reactions of the two groups were recorded in detail.Results:The postoperative anus exhaust and ambulation time,first bowel movement and hospital stay were significantly lower in the observation group than in the control group(t=-10.12,-6.06,-2.67,-4.23;P<0.001)The SAS and SDS scores of the two groups had no difference before intervention(P>0.05),which were decreased after intervention,and were lower in the observation group than in the control group(t=-4.66,-18.54;P<0.001);The scores of the quality of life indicators,including exercises and interpersonal relationships,nutrition and health responsibility,self-actualization,and stress management,were significantly higher in the observation group than that in the control group(t=10.46,20.45,28.79,14.02,22.34,9.32;P<0.001);The intervention satisfaction rate of the observation group was higher than that of the control group(98.40%vs 89.60%,χ2=9.298,P<0.01);The incidence of adverse reactions in the observation group was significantly lower than that in the control group(15.20%vs40.00%,χ2=19.383,P<0.001).Conclusion:Targeted intervention can effectively promote postoperative recovery,reduce hospitalization time,costs,and incidence of adverse reactions,control the patient’s psychological state,improve their quality of life,intervention satisfaction,and promote the doctor-patient intimacy of gynecologic laparoscopic surgery patients.