Journal of International Psychiatry

【摘要】目的：探讨术前心理疏导对畸胎瘤腹腔镜手术患者不良情绪及并发症的影响。方法：将92例择期拟行腹腔镜手术的卵巢畸胎瘤患者随机分为观察组与对照组，每组46例。两组均实施常规护理，观察组在此基础上实施术前心理疏导，干预前后使用焦虑自评量表（SAS）、抑郁自评量表(SDS)对两组患者焦虑、抑郁程度进行评价，观察两组患者术后并发症情况。结果：两组患者干预后SAS、SDS评分均较干预前显著减少（P<0.01），观察组SAS、SDS评分分别为（43.84±6.53）、（41.76±6.21），明显低于对照组的（47.23±6.52）、（45.42±6.33），两组比较差异具有统计学意义（P<0.05）；观察组术后并发症发生率为8.70%，明显低于对照组的23.91%（P<0.05）。结论：对畸胎瘤腹腔镜手术患者进行术前心理疏导，能够有效缓解患者不良情绪，减少术后并发症的发生，是一种有效的心理干预护理模式。【关键词】术前心理疏导；畸胎瘤；腹腔镜手术；不良情绪；预后Influence of Preoperative Psychological Counseling on Unhealthy Emotions and Complications of Patients with Teratoma and Accepted Laparoscopic SurgeryFENG Xue1The Department of gynaecology in Changan hospital，xian city，shanxi province，710061，China[Abstract] Objective: To investigate the influence of preoperative psychological counseling on the unhealthy emotions and complications of patients with teratoma and accepted laparoscopic surgery. Methods: 92 cases of patients with teratoma of ovary who were protocoled laparoscopic surgery in a selective date were randomly divided into the observation group and the control group, with 46 cases in each group. The two groups were treated with usual care, in addition to this, the observation group was treated with preoperative psychological counseling. Before and after the intervention, the anxiety degree and depression degree of the two groups were evaluated by the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). The postoperative complications of the two groups were observed. Results: After the intervention, scores of SAS and SDS of the two groups were significantly lower than those before the intervention (p<0.01), and scores of SAS and SDS of the observation group were respectively (43.84±6.53) and (41.76±6.21), both of which were significantly lower than those of the control group, for the control group, the scores were (47.23±6.52) and (45.42±6.33), respectively. The difference between the two groups had statistical significance (p<0.05); The incidence rate of postoperative complications of the observation group was 8.70%, which was significantly lower than that of the control group(23.91%) (p<0.05). Conclusions: Preoperative psychological counseling on patients with teratoma and accepted laparoscopic surgery can effectively relieve the unhealthy emotions and reduce the incidence rate of postoperative complications, thus the therapy is an effective psychological intervention nursing mode.

[Keywords] Preoperative Psychological Counseling; Teratoma; Laparoscopic Surgery; Unhealthy Emotions; Prognosis