心理干预对断指再植患者急性期情感抑郁影响研究.docVIP

心理干预对断指再植患者急性期情感抑郁影响研究 　　【摘要】 目的：探讨心理干预对断指再植住院患者急性情感抑郁的术后影响。方法：采用基本资料调查表、医院焦虑抑郁量表（HADS），对40例断指再植患者进行急性期情感抑郁状况调查，将38例经过测定确定有情感抑郁的患者按随机数字表法分为心理干预组19例和对照组19例。对照组进行断指再植术常规基础护理；心理干预组除予以常规基础护理外，予以术前、术后心理护理。比较两组患者治疗后的情感抑郁状况及断指再植成活率。结果：心理干预组手术效果好，断指成活率较高，且情感抑郁情况好于对照组，差异均有统计学意义（P0.01）。结论：在临床治疗基础上，对断指再植患者进行早期心理干预，可显著改善断指再植患者的心理应激，控制不良情绪的出现，有助于预防再植术后血管危象的发生和促进再植指的顺利成活。 　　【关键词】 断指再植术后； 情感抑郁； 心理干预； 效果 　　【Abstract】 Objective：To study the effects of psychological intervention for replantation of hospitalized patients with acute postoperative effects of emotional depression.Method：40 replantation patients with acute emotional depression status were studied by the basic information questionnaire， HADS， and 38 cases after determination of certain how emotional depression patients were randomly divided into the psychological intervention group for 19 cases and the control group for 19 cases. The control group was given the wounded finger regular care， the psychological intervention group was given preoperative and postoperative psychological intervention nursing based on regular care. The emotional depression status and replantation survival rate of the two groups were compared.Result：Compared with the control group， the operation effect of the psychological intervention group was good， survival rate was higher， and the emotional depression was better than the control group， the differences had statistical significance （P0.01）.Conclusion：On the basis of clinical treatment， early mental intervention have better effects on the psychological barrier of replantation patients， can significantly improve the bad mood disorders， improve the success rate of surgery. 　　【Key words】 Replantation of amputated finger； Emotional depression； Psychological intervention； Effects 　　First-author’s address：The Fifth Affiliated （Zhuhai） Hospital to Zhuhai Zunyi Medical College，Zhuhai 519100，China 　　doi：10.3969/j.issn.1674-4985.2014.18.038 　　手指离断是手外科常见的一种急诊，突发的急症使很多患者产生一种巨大的心理创伤。尽管目前的显微外科技术大多可以修复身体创