心理护理对腹腔镜胆囊切除术患者心理状态和术后疼痛影响.docVIP

心理护理对腹腔镜胆囊切除术患者心理状态和术后疼痛影响 　　[摘要] 目的 探讨心理护理对腹腔镜胆囊切除术患者的心理状态和术后疼痛的影响。 方法 选择2015年2月～2016年2月期间我院收治的腹腔镜胆囊切除术患者100例，根据护理方法不同随机分为心理干预组和对照组，每组各50例，对照组患者接受常规护理，心理干预组在对照组的基础上主要实施心理护理，比较两组患者干预前后SAS、SDS、VAS评分的变化情况。 结果 干预前两组患者的SAS、SDS、VAS评分组间比较差异不显著（P0.05），干预后，心理干预组和对照组患者的SAS、SDS、VAS评分较干预前显著降低，且心理干预组患者的SAS、SDS、VAS评分显著低于对照组，组间比较差异具有统计学意义（P0.05）。 结论 心理护理有利于缓解腹腔镜胆囊切除术患者的焦虑、抑郁等消极心理状态，减轻术后疼痛，从而提高患者的生活质量及促进疾病的快速康复。 　　[关键词] 腹腔镜胆囊切除术；心理护理；SAS；SDS；术后疼痛 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2017）17-0158-03 　　[Abstract] Objective To explore the effect of psychological nursing on psychological status and postoperative pain in patients with laparoscopic cholecystectomy. Methods 100 patients with laparoscopic cholecystectomy admitted to our hospital from February 2015 to February 2016 were randomly divided into psychological intervention group（n=50） and control group（n=50） according to different nursing methods. Patients in the control group received routine care， and the psychological intervention group was mainly given psychological nursing based on the treatment of the control group. The changes of SAS， SDS and VAS scores were compared between the two groups before and after the intervention. Results There were no significant differences in the SAS， SDS and VAS scores between the two groups before intervention（P0.05）. After intervention， the scores of SAS， SDS and VAS in the psychological intervention group and the control group were significantly lower than those before intervention. The scores of SAS， SDS and VAS in the psychological intervention group were significantly lower than those in the control group， and the difference was significant（P0.05）. Conclusion Psychological nursing is helpful to relieve the anxiety， depression and other negative psychological state and reduce the postoperative pain of patients with laparoscopic cholecystectomy， thus improving the quality of life of patients and promoting rapid rehabilitation of the disease. 　　[Key words] Laparoscopic chole