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目的探讨术前心理护理对子宫肌瘤手术患者焦虑情绪的影响。方法自湖南省妇幼保健院2013年10月-2015年3月收集的子宫肌瘤手术病例中选取80例作为实验对象(入选经该院相关检查与手术病理证实病情,且已签署知情同意书,排除伴精神异常和无法全程配合实验者),患者自愿参与护理干预模式分组的方式分成观察组和对照组各40例,对照组按照常规方法进行护理,观察组制定术前心理护理方案进行干预。调查两组对护理内容的满意度,同时评估其住院时间和实施护理前、后的心理情绪改善情况。结果 1调查显示,观察组的护理总满意度高达97.5%(39/40),相比对照组的80.0%(32/40)显著提高,差异有统计学意义(P<0.05)。2实施护理前,两组的SAS量表评分基本相当,差异无统计学意义(P>0.05),实施后,观察组的SAS量表评分相比对照组显著下降,差异有统计学意义(P<0.05)。3在住院时间方面,观察组平均(8.53±1.28)d,相比对照组的(11.64±1.91)d有明显缩短,差异有统计学意义(P<0.05)。结论术前为子宫肌瘤手术患者提供心理护理,对改善患者焦虑情绪、提高护理质量具有较好的效果,值得推荐使用。
Objective To investigate the effect of preoperative psychological nursing on anxiety in patients with uterine fibroid surgery. Methods Eighty cases of uterine leiomyoma collected from Hunan Provincial Maternal and Child Health Hospital from October 2013 to March 2015 were enrolled in this study. All the patients were confirmed by the related examination and pathology of the hospital and signed the informed consent. Patients were divided into observation group and control group with 40 cases in each group. Patients in control group were treated according to routine methods, and observation group were given preoperative psychological nursing intervention. The two groups were surveyed for their satisfaction with the nursing content and evaluated their length of hospital stay and the improvement of their psychological mood before and after the nursing. The results of a survey showed that the total satisfaction of the observation group was 97.5% (39/40), which was significantly higher than that of the control group (80.0%) (32/40), the difference was statistically significant (P <0.05). Before the implementation of nursing care, SAS scores of the two groups were basically the same, the difference was not statistically significant (P> 0.05), after the implementation of SAS score scale in the observation group decreased significantly compared with the control group, the difference was statistically significant (P <0.05). 3 In the hospital stay, the observation group averaged (8.53 ± 1.28) d, compared with the control group (11.64 ± 1.91) d was significantly shorter, the difference was statistically significant (P <0.05). Conclusion Preoperative care for patients with uterine fibroids provide psychological care to improve anxiety and improve the quality of care with good results, it is recommended.