系统心理干预对宫外孕腹腔镜手术患者心理状态及术后恢复的影响

The Effects of systematic mental intervention on the Psychological States and Postoperative Recovery of Patients Who Have Taken Laparoscopic Surgery due to Ectopic Pregnancy

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

江苏省响水县中医院妇产科 ;
dtianldwqql@163.com ;
江苏省盐城市第一人民医院妇产科 ;

摘要
摘要:目的:探究系统心理干预对宫外孕腹腔镜手术患者心理状态及术后恢复的影响。方法:将接受宫外孕腹腔镜手术的100例患者随机分为观察组和对照组各50例。对照组行常规护理,观察组在对照组的基础上联合系统心理干预,比较两组患者焦虑抑郁状态、睡眠质量、术后恢复情况及并发症等。结果:观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PQSI)评分均明显低于对照组(P<0.01);术后下床活动时间、肛门排气时间、进食时间、排便时间、停止输液时间及及住院时间均明显短于对照组(P<0.01);术后恶心呕吐等并发症14.0%明显低于对照组32.0%(P<0.05)。结论:系统心理干预有助于改善宫外孕腹腔镜手术患者的心理状态,降低术后并发症,促进术后康复。
Abstract
Abstract: Objective: to explore the effects of systematic mental intervention on the psychological states and postoperative recovery of patients who have taken laparoscopic surgery due to ectopic pregnancy. Methods:100 cases of ectopic pregnancy laparoscopic surgery were randomly divided into observation group and control group, 50 cases in each group. Patients in control group were treated with routine nursing and those in observation group were treated with systematic mental intervention in addition to routine nursing. Anxiety-depression state, sleep quality, postoperative recovery and complications of patients in two groups were compared. Results: the self-rating anxiety scale (SAS), self-rating depression scale (SDS) and Pittsburg sleep quality index (PQSI) of patients in observation group were significantly lower than those of patients in control group (P<0.01); postoperative activity time off bed, anus exhausting time, eating time, defecating time, transfusion stop time and hospital days of patients in observation group were significantly shorter than those of patients in control group (P<0.01); occurrence rate of complications including postoperative nausea and vomiting of observation group was 14.0%, which was significantly lower than that of control group of 32.0% (P<0.05). Conclusion: systematic mental intervention is conductive to improving the psychological states of patients who have taken laparoscopic surgery due to ectopic pregnancy and reducing the occurrence rate of complications so as to accelerate postoperative recovery.
关键词
关键词:宫外孕;腹腔镜手术;系统心理干预;心理状态;术后恢复
KeyWord
Key Words: Ectopic Pregnancy; Laparoscopic Surgery; systematic mental intervention; Psychological States; Postoperative Recovery
基金项目
页码 729-731
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王立芹,王艳 ,张春梅,任新萍*. 系统心理干预对宫外孕腹腔镜手术患者心理状态及术后恢复的影响 [J]. 国际精神病学杂志. 2017; 44; (4). 729 - 731.

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