状态焦虑与混合痔术后疼痛相关性及临床应用分析-correlation between state anxiety and postoperative pain of mixed hemorrhoids and its clinical application.docxVIP

PAGE PAGE 2 中文摘要 目的：探索痔手术患者状态焦虑及其与术后疼痛的相互关系，探讨心理干 预在痔手术后患者疼痛及焦虑治疗中的临床疗效。 方法：将 60 例符合纳入标准的混合痔术后患者随机分成 2 组，其中 治疗组 30 例，对照组 30 例。治疗组采用常规入院指导加医生心理干 预的方法，对照组采用常规入院指导的方法。对两组患者于术前及术 后的不同时间分别进行疼痛和焦虑的问卷调查。调查问卷包括手术患 者状态一特质焦虑问卷(STAI)、视觉模拟量表(VAS)，对两组患者焦 虑与术后疼痛进行评估。 结果：1．痔手术患者术前状态焦虑分值高于常模(PO.05)；2.术前 焦虑分值与术后各个时间点疼痛分值均呈正相关，术后的焦虑分值与 疼痛分值呈正相关；3.治疗组与对照组术后疼痛、焦虑分值及止痛效 果比较均有统计学意义(PO.05)。 结论：1. 痔手术术前病人存在状态焦虑；2.患者术后疼痛程度和焦 虑水平具有正相关性；3.心理干预对于痔手术后患者的疼痛程度及焦 虑均有影响，心理干预配合药物术后止痛效果良好。 关键词：痔手术，术后疼痛，焦虑，心理干预 ,临床应用 Abstract Objective： Explore hemorrhoid surgery state anxiety and the relationship with postoperative pain, to explore clinical efficacy of the psychological intervention treatment in patients with hemorrhoid post-operative pain and anxiety. Methods：60 cases met the inclusion criteria of the mixed hemorrhoid surgery patients were randomly divided into two groups, 30 cases in the treatment group and 30 cases in the control group. Treatment group was admitted to hospital conventional guide plus a doctor of psychological inter- vention methods,the control group admitted to hospital conventional guide. Patients in both groups were carried out pain and anxiety questionnaire at different times of before and after surgery.The questionnaire included surgery State-Trait Anxiety Inventory (STAI), visual analogue scale (VAS), Assess the anxiety and the postoperative pain of patients of two groups. Results：1.Hemorrhoids preoperative state anxiety scores above the norm (P 0.05); 2.Preoperative anxiety scores and postoperative pain scores at each time point were positively related,postoperative pain scores and anxiety sub-values were positively correlated; 3. The treatment group and control group compared postoperative pain,anxiety scores and clinical effects were statistically significant (P 0.05). Conclusion：1. Hemorrhoid surgery preoperative patients exist state anxiety; 2. Postoperative pain and anxiety have levels of relevant; 3.Patients with psychological inter- vention, hemorrhoids surgery pai