痔疮手术患者给予围手术期综合干预对其心理状态影响

Effect of comprehensive traditional Chinese medicine therapy on preoperative depression in patients with hemorrhoids

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(4)
作者
作者单位

陕西省咸阳市中心医院 ;

摘要
【摘要】目的:研究痔疮手术患者给予围手术期综合干预对其心理状态影响。方法:根据焦虑自评量表(SAS),将有术前焦虑的82例痔疮患者按入院顺序随机分为干预组(41例)和对照组(41例)。对照组行常规治疗和干预,干预组在此基础上加用围手术期综合干预,记录并评估患者术前24 h和0.5 h的焦虑发生率、SAS评分、睡眠效果和术后并发症发生率等指标。结果:围手术期综合干预后,干预组患者的术前24 h和0.5 h的焦虑发生率分别为9.76.0%和24.40%、SAS评分分别为43.33±3.92分和52.55±2.95分和匹茨堡睡眠质量指数量表评分分别为4.21±1.12分和8.15±1.87分均明显优于对照组术前24 h和0.5 h的焦虑发生率分别为53.66%和85.37%、SAS评分分别为53.15±3.64 分和59.45±4.13分和匹茨堡睡眠质量指数量表评分分别为4.21±1.12分和8.15±1.87分,观察组的术后并发症发生率%明显低于对照组患者的并发症发生率%,差异具有统计学意义(P<0.05)。结论:围手术期综合干预能有效改善痔疮患者术前的心理状态,降低焦虑水平,值得临床的推广应用。
Abstract
【Abstract】To study the effect of perioperative comprehensive intervention on the psychological status of patients with hemorrhoids surgery. Methods: 82 patients with hemorrhoids were randomly divided into intervention group (41 cases) and control group (41 cases) according to the self-rating Anxiety Scale (SAS). The control group received routine treatment and intervention, intervention group on the basis of combined with peri operative intervention, recorded and evaluated patients before 24 h and 0.5 h anxiety occurrence rate, SAS score, sleep effect and postoperative complications rate and other indicators of index is too single, replace the index]. Results: the perioperative comprehensive intervention, the intervention group patients with preoperative 24 h and 0.5 h the incidence of anxiety was 9.76.0% and 24.40% respectively, the SAS score was 43.33 + 3.92 and 52.55 + 2.95 points and PSQI scores were 4.21 + 1.12 and 8.15 + 1.87 points were significantly better than that of the control group were 24 h and 0.5 h, the incidence of anxiety were 53.66% and 85.37%, the SAS score was 53.15 + 3.64 and 59.45 + 4.13 points and PSQI scores were 4.21 + 1.12 and 8.15 + 1.87, the complication rate was significantly lower than the control group% of patients with complications the incidence of postoperative% in the observation group, the difference was statistically significant (P < 0.05). Conclusion: Perioperative comprehensive intervention could effectively improve preoperative mental state and relieve anxiety level in patients with hemorrhoids, which is worthy of further clinical application and promotion.
关键词
【关键词】中医综合疗法;痔疮患者;术前焦虑
KeyWord
【Keywords】Comprehensive traditional Chinese medicine therapy; Patients with hemorrhoids; Preoperative depression
基金项目
页码 765-768
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刘伟*,沈江立,罗小红,焦云婷. 痔疮手术患者给予围手术期综合干预对其心理状态影响 [J]. 国际精神病学杂志. 2016; 43; (4). 765 - 768.

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