心理护理对耳鼻喉科老年患者术后焦虑、抑郁情绪及疼痛程度的影响

Effect of psychological nursing on postoperative anxiety, depression and pain in elderly patients in Department of ENT

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

湖北省襄阳中心医院 ;
湖北省大冶市人民医院医保办 ;
湖北省麻城市人民医院耳鼻喉科 ;

摘要
摘要:目的:研究心理护理对耳鼻喉科老年患者术后焦虑、抑郁情绪及疼痛程度的影响。方法:选择本院2015年1月-2017年1月收治的需行耳鼻喉科手术的老年患者146例,按照随机对照的原则将其分为干预组和对照组,对照组给予常规护理,干预组增加心理护理。使用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者的精神状态进行评价,采用视觉模拟评分法(VAS)评估对患者术后第24h、48h、72h的疼痛程度,采用调查问卷的方式计算患者护理满意度。结果:护理前,两组患者SDS和SAS评分无差别(P>0.05);护理后,两组患者SDS和SAS评分均有明显的下降,干预组SDS和SAS评分明显低于对照组(P<0.05);术后24h、48h、72h,干预组患者VAS评分及镇痛药物使用率均低于对照组,差异具有统计学意义(P<0.05);干预组总满意度为98.6%高于对照组的84.9%,差异具有统计学意义(P<0.05)。结论:对耳鼻喉科老年患者采用心理护理,可以缓解患者术后疼痛,降低镇痛药物使用率,也减少了负性情绪的产生,值得临床应用。
Abstract
Abstract: Objective: Objective to study the influence of psychological nursing on anxiety, depression and pain degree of elderly patients in Department of ENT. Methods: 146 elderly patients in our hospital in January 2015 -2017 year in January were underwent Department of ENT surgery patients, according to the principle of random control is divided into intervention group and control group, the control group was given routine nursing, psychological nursing intervention group. Using the self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS) were used to evaluate the patients mental state, using the visual analogue scale (VAS) assessment of the degree of pain in 24h, 48h, 72h after surgery, using the questionnaire to calculate nursing satisfaction of patients. Results: Before treatment, two groups of patients with SDS and SAS were no difference (P>0.05); nursing, two groups of patients with SDS and SAS scores were significantly decreased, SDS and SAS scores in the intervention group was significantly lower than the control group (P<0.05); after 24h, 48h, 72h, VAS scores of patients in the intervention group and the analgesic drug use rate compared with the control group, the difference was statistically significant (P < 0.05); the intervention group total satisfaction was 98.6% higher than that of the control group 84.9%, the difference was statistically significant (P < 0.05). Conclusion: Psychological nursing for elderly patients in Department of ENT can relieve postoperative pain, reduce the use rate of analgesic drugs, and reduce the negative emotions. It is worthy of clinical application.
关键词
关键词:心理护理;耳鼻喉科;老年;疼痛;负性情绪
KeyWord
Key words: psychological nursing; Department of ENT; old age; pain; negative emotion
基金项目
页码 360-362
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王海玉*,刘翠娥,彭玉松,潘玲. 心理护理对耳鼻喉科老年患者术后焦虑、抑郁情绪及疼痛程度的影响 [J]. 国际精神病学杂志. 2019; 46; (2). 360 - 362.

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