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目的探讨心理干预对子宫肌瘤切除患者的术后护理影响,以提高医护人员的护理质量,促进患者早日康复。方法选取南方医科大学深圳医院2016年3-8月进行腹腔镜子宫肌瘤切除术治疗的126例患者为研究对象,随机分为两组,对照组与干预组。对照组给予基础护理,干预组在基础护理的基础上进行心理干预。探讨两组患者在术后视觉模拟疼痛评分(VAS评分)、术后不适症状发生率、住院时间、症状自评量表-SCL90得分以及患者与家属满意度之间的差异。结果干预组与对照组相比患者在术后VAS评分[对照组为(6.7±1.6)、干预组为(4.5±1.2)],以及术后症状发生率、住院时间比较均有显著性降低(P<0.05),在患者与家属满意度方面有显著性提高(P<0.05);SCL90得分情况显示,干预组能够显著降低(P<0.05)术后患者的焦虑、抑郁情绪,提高患者的睡眠质量。结论子宫肌瘤切除患者的术后护理中增加心理干预护理,能够缓解患者的焦虑抑郁等不良情绪,提高术后医护质量,促进患者早日康复。
Objective To investigate the effect of psychological intervention on postoperative nursing in patients with myomectomy, in order to improve the nursing quality of medical staff and promote the early rehabilitation of patients. Methods A total of 126 patients undergoing laparoscopic myomectomy from March 2016 to August 2016 in Shenzhen Medical College of Southern Medical University were randomly divided into two groups: control group and intervention group. Control group given basic nursing, intervention group based on basic nursing psychological intervention. The differences of postoperative visual analog pain score (VAS score), incidence of postoperative discomfort symptoms, length of hospital stay, symptom self-rating scale-SCL90 score, and patient satisfaction with family members were compared between the two groups. Results Compared with the control group, the postoperative VAS score (6.7 ± 1.6 in the control group and (4.5 ± 1.2) in the intervention group) and the incidence of postoperative symptoms and hospital stay were significantly lower (P < (P <0.05). The score of SCL90 in intervention group was significantly lower than that in control group (P <0.05), and the patients’ anxiety and depression were significantly improved quality. Conclusions Psychological intervention nursing is added to the postoperative care of patients with myomectomy, which can relieve anxiety, depression and other bad emotions, improve postoperative quality of care and promote early recovery.