论文部分内容阅读
目的:探讨分级心理干预对胸外科老年患者术后心理状态与睡眠的影响。方法:选择行胸外科手术的老年患者120例,按照随机数字表法分为对照组和观察组,每组60例。在常规护理的基础上,对照组给予常规心理护理,观察组给予分级心理护理(其中三级心理护理30例,二级心理护理26例,一级心理护理4例)。采用症状自评量表(SCL-90)评价两组患者的心理状态,采用匹茨堡睡眠质量指数量表(PSQI)评价睡眠状态,采用焦虑自评量表(SAS)评价焦虑状态,采用抑郁自评量表(SDS)评价抑郁状态。结果:两组患者SCL-90、SAS、SDS及PSQI评分在心理护理前差异无统计学意义(P>0.05)。心理护理后对照组SCL-90评分显著升高(P<0.05),观察组护理后则无明显变化(P>0.05);而SAS评分、SDS评分及PSQI评分均降低,观察组降低幅度更大(P<0.05)。结论:有针对性地分级心理干预,可以显著消除患者的焦虑、恐惧心理,改善患者的睡眠质量,增加患者战胜疾病的信心,值得临床推广。
Objective: To investigate the effect of graded psychological intervention on postoperative psychology and sleep in elderly patients undergoing thoracic surgery. Methods: A total of 120 elderly patients undergoing thoracic surgery were divided into control group and observation group according to the random number table method, with 60 cases in each group. On the basis of routine nursing, the control group was given routine psychological care, and the observation group was given graded psychological nursing (including 30 cases of tertiary care, 26 cases of secondary care, and 4 cases of primary care). The psychological status of the two groups was evaluated by using SCL-90, and the sleep status was assessed by Pittsburgh Sleep Quality Index Scale (PSQI). Anxiety was evaluated by SAS (anxiety self-rating scale) Self-rating scale (SDS) evaluation of depression. Results: There was no significant difference in SCL-90, SAS, SDS and PSQI score between two groups before psychological nursing (P> 0.05). The score of SCL-90 in the control group was significantly higher after psychological nursing (P <0.05), but there was no significant change in the observation group after nursing (P> 0.05). SAS score, SDS score and PSQI score were decreased, (P <0.05). Conclusion: The targeted grading psychological intervention can significantly eliminate patients ’anxiety and fear, improve their sleep quality and increase patients’ confidence to overcome the disease, which is worthy of clinical promotion.