护理干预对腹腔镜胆囊切除患者术后疼痛及负性心理的影响.docVIP

护理干预对腹腔镜胆囊切除患者术后疼痛及负性心理的影响 　　[摘要] 目的 探讨护理干预对腹腔镜胆囊切除患者术后疼痛及负性心理的影响。 方法 选择2012年1月～2013年12月行腹腔镜胆囊切除术的患者21例为对照组，选择2014年1月～2015年4月行腹腔镜胆囊切除术的患者21例为干预组。对照组给予围手术期常规护理，干预组在此基础上，给予一系列的护理干预措施。观察比较两组患者术后疼痛及术前术后负性心理发生情况。 结果 两组患者术前负性心理状态评估发现，两组患者术前SAS和SDS评分比较，两组患者之间差异无统计学意义（P0.05），术后两组患者的SAS、SDS评分均显著下降（P0.05），而两组间比较，干预组患者术后SAS、SDS评分显著低于对照组（P0.05）。两组患者术后疼痛评估比较，对照组患者术后VAS评分明显高于干预组患者（P0.05）。 结论 护理干预可以明显改善腹腔镜胆囊切除术患者的术前和术后负性情绪，并改善患者术后疼痛症状。 　　[关键词] 腹腔镜手术；胆囊切除术；护理干预 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 2095-0616（2015）20-92-03 　　Effect of postoperative pain and negative psychology of nursing intervention on patients with laparoscopic cholecystectomy 　　LI Ruiyi HU Liqiong 　　Department of Supply Room， Shijie Hospital of Dongguan City， Dongguan 523290， China 　　[Abstract] Objective To study the effect of postoperative pain and negative psychology of nursing intervention on patients with laparoscopic cholecystectomy. Methods 21 patients who were treated with laparoscopic cholecystectomy were selected as control group from January 2012 to December 2013， while the other 21 patients were selected as intervention group from January 2014 to April 2015. The control group was treated with routine nursing in the perioperative period， and the intervention group was treated with nursing intervention based on routine nursing. To observe and compare the occurrence condition of postoperative pain and negative psychology of pre and post operation in patients between the two groups. Results The evaluation of preoperative negative psychological state discovered that， the differences of preoperative SAS and SDS score of patients between the two groups was no statistical significance（P0.05）. The postoperative SAS and SDS score of patients of the two groups has significantly reduced （P0.05）， and which in intervention group was obviously lower than which in control group（P0.05）. The evaluation and comparison of postoperative pain between the two groups showed that， the VAS score of patients in control group