畢慧玲
[摘要] 目的 探討心胸外科手術中應用心理護理的效果。方法 方便選擇該院于2018年5月—2019年2月期間收治的心胸外科手術患者90例作為該次研究對象,參照計算機隨機序列法將其中45例患者劃分為對照組,剩余患者自動歸為研究組,對照組患者治療期間接受常規護理,研究組則以常規護理方案為基礎,另施行心理護理,比對兩組患者護理前后的焦慮自評量表(SAS)評分、抑郁自評量表(SDS)評分以及護理后的精神障礙發生率、護理滿意度。結果 兩組患者護理前SAS評分、SDS評分接近,即組間差異無統計學意義(P>0.05);但護理后,研究組患者的SAS評分、SDS評分均低于對照組,即數據組間對比,差異有統計學意義(P<0.05);研究組患者的精神障礙發生率為8.89%,低于對照組的33.33%,數據對比差異有統計學意義(χ2=8.073,P<0.05);研究組患者的護理滿意度為95.56%,高于對照組的71.11%,數據對比差異有統計學意義(χ2=9.680,P<0.05)。 結論 心胸外科手術患者接受心理護理,不僅可以改善患者的心理狀體,降低精神障礙發生率,還能提高患者的護理滿意度,有利于護患關系的和諧發展,臨床應對其進行推廣。
[關鍵詞] 心理護理;心胸外科手術;SAS評分;SDS評分;精神障礙發生率
[中圖分類號] R47 ? ? ? ? ?[文獻標識碼] A ? ? ? ? ?[文章編號] 1674-0742(2019)11(a)-0134-03
Study on the Effect of Psychological Nursing in Cardiothoracic Surgery
BI Hui-ling
Operating Room, Jinxiang County People's Hospital, Jinxiang, Shandong Province, 272200 China
[Abstract] Objective To investigate the effect of applying psychological nursing in cardiothoracic surgery. Methods Convenient selected a total of 90 patients with cardiothoracic surgery admitted to our hospital from May 2018 to February 2019 were enrolled in this study. 45 patients were divided into control group by computer random sequence method, and the remaining patients were automatically classified. The patients in the control group received routine nursing during the treatment period, and the study group was based on the routine nursing program. Psychological nursing was also performed. The self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) score and the incidence of mental disorders after care, satisfaction with care before and after treatment were compared between the two groups. Results The pre-treatment SAS scores and SDS scores of the two groups were close, that is, the statistical significance of the differences between the two groups was not established (P>0.05). However, after the nursing, the SAS scores and SDS scores of the study group were lower than the control group, ie, the data group. The difference was statistically significant (P<0.05). The incidence of mental disorder in the study group was 8.89%, which was lower than that in the control group (33.33%). There was significant statistical difference in the data comparison (χ2=8.073, P<0.05); The nursing satisfaction of the study group was 95.56%, which was higher than that of the control group (71.11%). There was significant statistical difference in the data comparison (χ2=9.680, P<0.05). Conclusion Psychological nursing for patients undergoing cardiothoracic surgery can not only improve the psychological status of patients, reduce the incidence of mental disorders, but also improve the satisfaction of patients' care, which is conducive to the harmonious development of nurse-patient relationship and clinical promotion.
綜上所述,心胸外科手術患者接受心理護理,不僅可以改善患者的心理狀體,降低精神障礙發生率,還能提高患者的護理滿意度,有利于護患關系的和諧發展,臨床應對其進行推廣。
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(收稿日期:2019-07-21)