首页|围术期心理治疗对老年腹腔镜卵巢癌/宫颈癌根治术患者负性情绪、心理弹性及术后疼痛的影响

围术期心理治疗对老年腹腔镜卵巢癌/宫颈癌根治术患者负性情绪、心理弹性及术后疼痛的影响

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目的 探讨基于积极增益理论的围术期心理治疗对老年腹腔镜卵巢癌/宫颈癌根治术患者负性情绪、心理弹性及术后疼痛程度的影响.方法 将我院103例老年腹腔镜卵巢癌/宫颈癌根治术患者采用随机数字表法分组,两组患者均给予常规腹腔镜手术及麻醉,并给予术中静脉输注右美托咪定,对照组51例围术期结合常规心理治疗,观察组52例围术期给予基于积极增益理论的围术期心理治疗,对比两组患者负性情绪、心理负担及压力应激水平,术后疼痛程度.结果 治疗后观察组患者抑郁评分及焦虑量表评分均较对照组低(P<0.05);自我负担感受及压力应激评分均低于对照组(P<0.05);术后24 h疼痛程度低于对照组(P<0.05).结论 基于积极增益理论的围术期心理治疗能有效改善老年腹腔镜卵巢癌/宫颈癌根治术患者的负性情绪,减低心理负担,缓解压力应激状态,减轻术后疼痛.
Effects of perioperative psychotherapy on negative emotions,mental resilience and postoperative pain in elderly patients undergoing laparoscopic radical surgery for ovarian/cervical cancer
Objective To explore the effects of perioperative psychotherapy based on positive gain theory on negative emotions,mental resilience and postoperative pain in elderly patients undergoing laparoscopic radical resec-tion of ovarian/cervical cancer.Methods 103 elderly patients with laparoscopic radical resection of ovarian/cervical cancer in our hospital were divided by random number table method.Both groups were given routine laparoscopic surgery and anesthesia,and intraoperative intravenous infusion of dexmedetomidine(Dex),while 51 cases in the control group were combined with routine psychotherapy during perioperative period.52 patients in the observation group were given perioperative psychotherapy based on positive gain theory.Negative emotions,psychological burden,stress and post-operative pain were compared between the two groups.Results After treatment,the depression score and anxiety scale score of observation group were lower than that of control group(P<0.05).The scores of self-burden and stress were lower than those of control group(P<0.05).The degree of pain 24h after operation was lower than that of control group(P<0.05).Conclusion Perioperative psychotherapy based on positive gain theory can effectively improve the nega-tive emotions,reduce psychological burden,relieve stress and relieve postoperative pain in elderly patients undergoing laparoscopic radical resection of ovarian/cervical cancer.

Positive gain theoryElderly laparoscopic surgeryStress stressPsychological burdenPain

刘军、王晓帆、姚蕾、宋君霞

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武汉科技大学附属老年病医院(武汉,430000)

积极增益理论 老年腹腔镜手术 压力应激 心理负担 疼痛

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(2)
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