【摘要】 目的探讨心理干预对胃肠手术患者手术配合度和心理舒适度的影响。方法选取我院2013年1月至2017年1月收治的178例择期行胃肠手术患者为研究对象,随机将其等分为观察组和对照组。对照组患者给予常规护理干预,观察组在对照组的基础上给予心理干预。比较两组患者入院时和术前的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分;比较两组患者术前的心率、血压、皮质醇、血糖和C反应蛋白的变化情况;比较两组患者的手术配合度。结果两组患者入院时SAS,SDS评分比较差异无统计学意义(P> 0. 05),两组患者手术前SAS,SDS评分均低于入院时且观察组评分低于对照组(P <0. 05)。观察组患者心率、收缩压、皮质醇、血糖和C反应蛋白水平低于对照组(P <0. 05),观察组患者手术配合度高于对照组(P <0. 05)。结论心理干预可改善胃肠手术患者焦虑、抑郁的心理状态,降低患者的心率、收缩压、皮质醇、血糖和C反应蛋白水平,提高患者的手术配合度,值得临床推广应用。更多还原

【Abstract】 Objective To explore the effect of psychological intervention on surgical cooperation and psychological comfort in patients with gastrointestinal surgery. Methods To select 178 cases of patients undergoing elective gastrointestinal surgery in our hospital from January 2013 to January 2017 as the study subjects,and they were divided into observation group and control group with the same number of patients randomly. Patients in the control group were given routine nursing intervention,while patients in the observation group were given psychological intervention on the basis of the control group. The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were compared between the two groups at admission and before surgery.The changes of heart rate,blood pressure,cortisol,blood glucose and C-reactive protein were compared between the two groups. In addition,the surgical compliance of patients in the two groups was compared. Results There was no significant statistical difference in SAS and SDS scores between the two groups at the admission to the hospital( P > 0. 05). The preoperative SAS and SDS scores of the two groups were lower than those at the admission and the score of the observation group was lower than that of the control group( P < 0. 05). The heart rate,systolic blood pressure,cortisol,blood glucose and C-reactive protein levels in the observation group were lower than those in the control group( P < 0. 05). The surgical compliance of patients in the observation group was higher than that of the control group( P < 0. 05). Conclusion Psychological intervention can improve the psychological state of anxiety and depression in patients with gastrointestinal surgery. Meanwhile,it can reduce the heart rate,systolic blood pressure,cortisol,blood glucose and C-reactive protein levels,as well as improve the surgical compliance of patients,which was worthy of clinical promotion and application.更多还原