漏斗胸手术患者的心理状况及心理护理研究

目的:了解漏斗胸患者手术前、后心理状况,评价心理护理干预的临床效果。方法:选自2010年1月至2012年6月住院行手术治疗的漏斗胸患者,术前、术后(3个月)进行SAS、SDS和SCL-90测评。随机分组进行针对性的心理护理干预,评价临床效果和满意度情况。结果:漏斗胸患者心理障碍发生率高,44.2%达到抑郁标准;65.1%达焦虑诊断标准。SCL-90测评中焦虑、抑郁和人际关系敏感因子得分分别为26、28和22分。观察组和对照组进行比较,具有统计学差异(p<0.05)。结论:漏斗胸患者存在广泛抑郁、自卑,恐惧心理障碍。心理护理可使患者的焦虑、抑郁不良情绪得到有效改善,患者可更积极的配合治疗,Nuss手术同时给予心理护理干预后,患者治疗效果好,住院满意度明显提高。

objective: to understand the funnel chest surgery patients before and after psychological status, evaluate the clinical effect of psychological nursing intervention. Methods: between January 2010 and June 2010 hospitalized patients with surgical treatment of funnel chest, preoperative and postoperative(3 months) in SAS, SDS and SCL-90 assessment. Randomized to pertinent psychological nursing intervention, evaluate the clinical effect and the degree of satisfaction. Results: the prevalence of mental disorder is high in patients with funnel chest, 44.2% reach the standard depression; 65.1% of anxiety diagnostic criteria. SCL-90 assessment, anxiety, depression and interpersonal sensitivity factor score was 26, 28 and 22 points, respectively. Comparison of the observation group and control group with statistical difference(p < 0.05). Conclusion: patients with funnel chest widespread depression and inferiority, fear of mental disorder. Psychological nursing can make to effectively improve the patient’s anxiety, depression, bad mood, patients can more actively cooperate with treatment, Nuss procedure while giving psychological nursing intervention, patients’ treatment effect is good, the hospital satisfaction has improved significantly.