结肠造口围手术期病人心理特点及护理体会.docVIP

精品论文 参考文献 结肠造口围手术期病人心理特点及护理体会 常德市第一人民医院普外四科 湖南常德 415000 【摘 要】目的：探讨结肠造口围手术期病人心理特点及护理体会。方法：选取68例结肠造口病人作为研究对象，采用SCL-90症状自评量表对所有研究对象进行评分，并与全国常模水平进行对比分析；将所有研究对象随机分为对照组和观察组，各34例；其中对照组采取常规护理，观察组在此基础上，采取心理护理；对比两组病人护理前后的心理状态改善情况。结果：结肠造口病人的SCL-90症状自评量表评分中，抑郁、焦虑、恐惧评分均显著高于全国常模水平，经T检验，差异具有统计学意义（P＜0.05）；护理后，观察组抑郁、焦虑、恐惧评分显著降低，且与对照组手术后对比，差异具有统计学意义（P＜0.05）。结论：结肠造口围手术期病人的心理状态表现为抑郁、焦虑、恐惧，通过心理护理，可消除不良心理因素，对于改善心理状态和预后具有积极作用。 【关键词】结肠造口；围手术期；心理护理 Colostomy perioperative psychological characteristics of the patient and nursing Qixiali Changde City First Peoples Hospital General Surgery four subjects Changde City，Hunan Province 415000 [Abstract] Objective：To investigate the perioperative colostomy patients psychological characteristics and nursing.Methods：68 cases of colostomy patients for the study，using the SCL-90 symptom checklist for all subjects were scored with the national norm and the level of comparative analysis；all subjects were randomly divided into control group and observation groups，each 34 cases；the control group received usual care in which，on the basis of the observation group，taking psychological care；mental state compared two groups of patients before and after treatment to improve the situation.Results：colostomy patients with SCL-90 symptom checklist scores，depression，anxiety，fear scores were significantly higher than the national level，the T test，the difference was statistically significant（Plt;0.05）；after treatment observation of depression，anxiety，fear scores were significantly reduced，and contrast with the control group after surgery，the difference was statistically significant（Plt;0.05）.Conclusion：colostomy surgery around the mental state of the patient showed depression，anxiety，fear，through psychological care，can eliminate the adverse psychological factors，psychological status and prognosis for improvement has a positive effect. Keywords：colostomy；perioperative period；psychological care 结肠造口作为将乙状结肠近段移至左下腹壁，形成单口式肠