首页|结构式心理疗法对育龄期子宫内膜异位症行腹腔镜手术患者负性情绪、应激水平及术后恢复的影响

结构式心理疗法对育龄期子宫内膜异位症行腹腔镜手术患者负性情绪、应激水平及术后恢复的影响

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目的 研究结构式心理疗法对育龄期子宫内膜异位症行腹腔镜手术患者负性情绪、应激水平及术后恢复的影响。方法 选取本院2020年4月~2023年4月期间86例育龄期子宫内膜异位症行腹腔镜手术患者随机分组,均给予围术期常规干预,对照组43例给予常规心理疏导,观察组43例联合结构式心理疗法,对比两组患者负性情绪、应激水平及术后恢复效果。结果 观察组干预后,抑郁自评量表(Self-rating depression Scale,SDS)和焦虑自评量表(Self-rating anxiety scale,SAS)评分均低于对照组(P<0。05);观察组患者进入手术室前和术后24h的平均动脉压(MAP)和心率(HR)水平均低于对照组(P<0。05);观察组干预后,患者术后首次排气时间、引流管留置时间、首次排便时间、首次进食时间和首次下床活动时间均低于对照组(P<0。05)。结论 结构式心理疗法能够有效降低育龄期子宫内膜异位症行腹腔镜手术患者应激水平,缓解负性情绪,促进患者术后恢复。
The effect of structured psychotherapy on negative emotions,stress levels,and postoperative recovery in patients with endometriosis of childbearing age undergoing laparoscopic surgery
Objective To investigate the effects of structured psychotherapy on negative emotions,stress levels,and postoperative recovery in patients with endometriosis of childbearing age undergoing laparoscopic surgery.Methods 86 patients with endometriosis of childbearing age who underwent laparoscopic surgery in our hospital from April 2020 to April 2023 were randomly divided into two groups.All patients received routine perioperative interven-tion,43 patients in the control group received routine psychological counseling,and 43 patients in the observation group received structured psychotherapy.The negative emotions,stress levels,and postoperative recovery effects of the two groups of patients were compared.Results After intervention,the self rating depression scale(SDS)and self rating anxiety scale(SAS)scores of the observation group were lower than those of the control group(P<0.05).The average arterial pressure(MAP)and heart rate(HR)levels of patients in the observation group before entering the operating room and 24 hours after surgery were lower than those in the control group(P<0.05).After intervention in the observa-tion group,the first postoperative exhaust time,drainage tube retention time,first defecation time,first meal time,and first bed activity time of patients were lower than those of the control group(P<0.05).Conclusion Structured psychotherapy can effectively reduce stress levels in patients with endometriosis of childbearing age undergoing laparo-scopic surgery,alleviate negative emotions,and promote postoperative recovery.

Structured psychotherapyEndometriosisChildbearing ageNegative emotionsLaparoscopic surgery

高佳、陈维

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西安市人民医院(西安市第四医院)妇产科(西安,710000)

结构式心理疗法 子宫内膜异位症 育龄期 负性情绪 腹腔镜手术

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(6)