| 摘要 |
【摘要】目的：探讨胆囊切除术患者实施细致术前访视对其术前心理状态的影响。方法：病历资料选取于 2020年5月-2023年5月区间，入选对象为医院收治的胆囊切除术患者，共计入选50例，随机数字表法分组各25例，划分为对照组（接受常规术前访视）与观察组（接受细致术前访视）；观察对比两组焦虑自评量表（self-rating anxiety scale, SAS）、抑郁自评量表 (Self-rating depression scale, SDS)评分、简明心境状态量表（profile of mood states, POMS）评分、术后恢复情况。结果：访视后，两组SAS、SDS评分均降低，且观察组评分更低（P＜0.05）；访视前，两组POMS评分对比（P＞0.05），访视后，两组疲乏、慌乱、紧张、愤怒评分均下降，精力、自尊感评分均升高，且观察组较对照组更优（P＜0.05）；较对照组，观察组术后下床活动时间、首次排气时间、住院时间均明显缩短（P＜0.05）。结论：细致术前访视的实施有利于改善胆囊切除术患者术前心境状态，消除焦虑、抑郁，促进术后早期康复。
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| Abstract |
[Abstract] Objective: To explore the impact of meticulous preoperative visits on the psychological state of patients undergoing cholecystectomy. Methods: Medical record data were selected from May 2020 to May 2023, with a total of 50 patients undergoing cholecystectomy admitted to the hospital. 25 patients were randomly divided into a control group (receiving routine preoperative visits) and an observation group (receiving detailed preoperative visits); Observe and compare the scores of self rating anxiety scale (SAS), self rating depression scale (SDS), profile of mood states (POMS), and postoperative recovery between two groups. Results: After the visit, the SAS and SDS scores of both groups decreased, and the observation group had lower scores (P<0.05); Before the visit, the POMS scores of the two groups were compared (P>0.05). After the visit, the scores of fatigue, panic, tension, and anger in both groups decreased, while the scores of energy and self-esteem increased. The observation group was better than the control group (P<0.05); Compared with the control group, the observation group had significantly shorter postoperative activity time, first exhaust time, and hospitalization time (P<0.05). Conclusion: The implementation of meticulous preoperative visits is beneficial for improving the preoperative mood of patients undergoing cholecystectomy, eliminating anxiety and depression, and promoting early postoperative recovery.
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