| 朱文娟.分级心理护理对普外科术后患者焦虑､抑郁情绪及社会支持的影响[J].中国烧伤创疡杂志,2019,31(6):423~426. |
| DOI： |
| 中文关键词: 分级心理护理 外科 手术 焦虑 抑郁 社会支持 影响 |
| 英文关键词:Graded psychological nursing care General surgery Operation Anxiety Depression Social support Influence |
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| 摘要点击次数: 1893 |
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| 中文摘要: |
| 【摘要】 目的 探讨分级心理护理对普外科术后患者焦虑?抑郁情绪及社会支持的影响?方法 将2017 年1 月至2019 年1 月长沙医学院附属株洲市人民医院普外科收治的62 例拟行手术治疗的患者按照随机数表法随机分为治疗组(31 例) 与对照组(31 例), 其中治疗组患者予以分级心理护理, 对照组患者予以常规心理护理,对比分析两组患者术后第1 天(即心理干预前)?出院前及出院后1 个月的焦虑自评量表(self-rating anxiety scale, SAS)?抑郁自评量表(self-rating depression scale, SDS) 及社会支持评定量表(social support revalued scale, SSRS) 评分?结果 心理干预后, 两组患者SAS 及SDS 评分均逐渐降低?SSRS 评分均逐渐升高, 两组患者各时间点SAS?SDS 及SSRS 评分组内两两对比, P 均<0.05, 差异具有统计学意义; 出院前及出院后1 个月,治疗组患者SAS 及SDS 评分均明显低于对照组?SSRS 评分均明显高于对照组, 两组患者SAS?SDS 及SSRS 评分组间对比, P 均<0.05, 差异具有统计学意义?结论 分级心理护理可解决普外科术后患者不同时期所存在的不同心理问题, 缓解其焦虑及抑郁情绪, 提升其社会支持领悟水平, 助其重塑生活信心, 提高生活质量, 具有重要的临床意义, 值得推广应用? |
| 英文摘要: |
| 【Abstract】 Objective To investigate the influences of graded psychological nursing care on anxiety, depression and social support of postoperative patients in the general surgery department. Methods Sixty-two patients who scheduled to receive surgical operations in Zhuzhou People’s Hospital from January 2017 to January 2019, were divided, according to the random number table, into a treatment group (31 cases) and a control group (31 cases). Patients in the treatment group were given the graded psychological nursing care in addition to the routine psychological nursing care, whereas patients in the control group were only given the routine psychological nursing care. The scores of self-rating anxiety scale(SAS), self-rating depression scale (SDS) and social support revalued scale (SSRS) on the first day postoperation (before the psychological nursing care), before the discharge and one month after discharge were analyzed in the two groups.Results After the psychological intervention, the SAS and SDS scores in the two groups gradually decreased whereas the SSRS scores gradually increased. The scores of SAS, SDS and SSRS at different time points were compared in pairs within each of the two groups, and the results all showed statistically significant differences (P <0.05). At the time points of before the discharge and one month after discharge, the SAS and SDS scores in the treatment group were significantly lower than that in the control group while SSRS scores were significantly higher than that in the control group. The SAS, SDS and SSRS scores were respectively compared between the two groups, which all showed statistically significant differences (P <0.05). And it can thus be concluded that, compared with the routine psychological nursing care, the graded psychological nursing care can significantly alleviate the anxiety and depression of patients and improve their perception level towards social support. Conclusion The graded psychological nursing care can help solve the various psychological problems of postoperative patients at different stages after the surgeries, relieve their anxiety and depression, uplift their social support perception, rebuild their confidence in life and improve their quality of life, presenting great clinical significance and deserving to be promoted in clinical practice. |
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