首页|围手术期心理护理在急性阑尾炎腹腔镜手术患者中的应用效果

围手术期心理护理在急性阑尾炎腹腔镜手术患者中的应用效果

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目的 探究围手术期心理护理在急性阑尾炎腹腔镜手术患者中的干预效果.方法 选取急性阑尾炎腹腔镜手术患者80例,按随机数字表法分为对照组和试验组,每组40例.对照组运用常规的急性阑尾炎围手术期护理,试验组在对照组基础上增加心理护理干预措施.比较2组患者术后首次排气时间和恢复自主活动时间,护理干预前后患者心理状态(采用焦虑和抑郁自评量表评分评定),以及护理效果和患者对护理的满意度.结果 试验组患者术后首次排气时间和恢复自主活动时间短于对照组,护理总有效率和患者护理满意度高于对照组(均P<0.05).护理干预后,2组患者焦虑和抑郁自评量表评分均较护理干预前降低;试验组焦虑和抑郁自评量表评分均较对照组降低(均P<0.05).结论 围手术期心理护理对急性阑尾炎腹腔镜手术患者效果显著,可加快患者术后恢复进程,降低患者焦虑和抑郁情绪,提高护理效果和护理满意度.
Perioperative Psychological Care in Patients with Acute Appendicitis Laparoscopic Surgery
Objective To explore intervention effects of perioperative psychological care in patients undergoing laparoscopic surgery for acute appendicitis.Methods 80 patients undergoing laparoscopic surgery for acute appendicitis were selected and divided into the control group and the experimental group,using the method of randomized numerical table,with 40 patients in each group.The control group received routine perioperative nursing for acute appendicitis,while the experimental group added psychological care interventions on the basis of the control group.The study compared the time of first postoperative exhaust and resumption of independent activity between the two groups of patients;it assessed patients'psychological states before and after nursing intervention(using the anxiety and depression self-assessment scale scores);the study evaluated the effectiveness of nursing care and patients'satisfaction with the provided nursing services.Results The experimental group had shorter first exhaust time and recovery time of spontaneous activity after surgery compared to the control group,and the overall nursing effectiveness rate and patient satisfaction were higher than those in the control group(all P<0.05).After nursing intervention,the self-assessment scores of anxiety and depression in both groups of patients decreased compared to before nursing intervention,and the self-assessment scores of anxiety and depression in the experimental group were lower than those in the control group(all P<0.05).Conclusion Perioperative psychological care demonstrates positive effects in patients undergoing laparoscopic surgery for acute appendicitis,which can accelerate postoperative recovery process,reduce anxiety and depression in patients,and improve nursing effectiveness and patient satisfaction.

acute appendicitislaparoscopic surgeryperioperative periodpsychological careanxiety and depression

李爱兰

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余干县人民医院护理部,江西 上饶 335100

急性阑尾炎 腹腔镜手术 围手术期 心理护理 焦虑和抑郁

2024

实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
年,卷(期):2024.25(5)
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