结构式心理干预联合图文式教育对异位妊娠腹腔镜手术患者心理状态及术后恢复的影响
Effect of structural psychological intervention combined with graphic education on psychological state and postoperative recovery in ectopic pregnancy patients undergoing laparoscopic operation
张含华 1王丽娟1
作者信息
- 1. 济南市济阳区人民医院,山东济南 251400
- 折叠
摘要
目的 探讨结构式心理干预联合图文式教育对异位妊娠腹腔镜手术患者心理状态及术后恢复的影响.方法 选取 2021年 3 月至 2023 年 3 月山东省济南市济阳区人民医院 60 例异位妊娠腹腔镜手术患者作为研究对象,按抽签法分为对照组与观察组,每组 30 例.对照组采用常规护理,观察组采用结构式心理干预联合图文式教育,比较两组心理状态、术后恢复指标、血压和心率(HR).结果 护理后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组SAS、SDS评分低于对照组(P<0.05);观察组首次排气时间、首次进食时间、首次排便时间以及住院时间均短于对照组(P<0.05);术后,对照组收缩压(SBP)、舒张压(DBP)、HR均上升,观察组SBP上升,但观察组SBP、DBP、HR低于对照组,差异有统计学意义(P<0.05).结论 结构式心理干预联合图文式教育能够改善异位妊娠腹腔镜手术患者的心理状态,促进术后恢复,减轻应激反应,值得临床应用.
Abstract
Objective To investigate the effect of structural psychological intervention combined with graphic education on psychological state and postoperative recovery in ectopic pregnancy patients undergoing laparoscopic operation.Methods A total of 60 patients who underwent laparoscopic operation for ectopic pregnancy in Jiyang People's Hospital of Jinan from March 2021 to March 2023 were selected as the study subjects and divided into control group and observation group according to lottery method,with 30 cases in each group.The control group received routine nursing,and the observation group received structural psychological intervention combined with graphic education.The psychological state,postoperative recovery index,blood pressure,and heart rate(HR)of the two groups were compared.Results After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group decreased in both groups,and the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).The first exhaust time,the first feeding time,the first defecation time,and the length of hospital stay in the observation group were shorter than those in the control group(P<0.05).After operation,the systolic blood pressure(SBP),diastolic blood pressure(DBP),and HR increased in control group,and the SBP increased in observation group,but the SBP,DBP,and HR in the observation group were lower than those in the control group(P<0.05).Conclusion Structural psychological intervention combined with graphic education can improve the psychological state of ectopic pregnancy patients undergoing laparoscopic operation,promote postoperative recovery,and reduce stress reactions,which is worthy of clinical application.
关键词
结构式心理干预/图文式教育/异位妊娠/腹腔镜手术Key words
Structural psychological intervention/Graphic education/Ectopic pregnancy/Laparoscopic operation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据