劉巖

【摘要】 目的：分析心理護(hù)理對(duì)泌尿外科患者術(shù)前心理焦慮癥狀的影響。方法：選取2016年8月-2019年8月本院收治的泌尿外科患者90例。借助雙盲隨機(jī)抽樣法將其分為對(duì)照組和試驗(yàn)組，每組45例。對(duì)照組予以傳統(tǒng)護(hù)理干預(yù)，試驗(yàn)組予以心理護(hù)理干預(yù)。比較兩組護(hù)理滿意度、心理焦慮、抑郁癥狀評(píng)分、應(yīng)激反應(yīng)指標(biāo)、生活質(zhì)量評(píng)分、術(shù)后舒適性、術(shù)后康復(fù)時(shí)間、術(shù)后下床活動(dòng)時(shí)間及住院時(shí)間。結(jié)果：試驗(yàn)組護(hù)理滿意度為95.56%，顯著高于對(duì)照組的82.22%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。術(shù)前，試驗(yàn)組焦慮、抑郁癥狀評(píng)分均低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。術(shù)前，試驗(yàn)組的收縮壓、舒張壓、心率均優(yōu)于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。術(shù)前，試驗(yàn)組的社會(huì)功能、軀體功能、情感職能及總體健康評(píng)分均高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。試驗(yàn)組舒適度為97.78%，高于對(duì)照組的77.78%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。試驗(yàn)組的術(shù)后下床活動(dòng)時(shí)間及住院時(shí)間均短于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：對(duì)泌尿外科患者予以心理護(hù)理干預(yù)優(yōu)勢(shì)顯著，更易于提升患者的護(hù)理滿意度，提高其術(shù)后舒適性，改善應(yīng)激反應(yīng)指標(biāo)、生活質(zhì)量，縮短術(shù)后下床活動(dòng)時(shí)間及住院時(shí)間，值得臨床推廣與采納。

【關(guān)鍵詞】 心理護(hù)理 泌尿外科 術(shù)前 心理焦慮癥狀

[Abstract] Objective： To analyze the effect of psychological nursing on preoperative psychological anxiety symptoms in urological patients. Method： A total of 90 urological patients admitted to our hospital from August 2016 to August 2019 were selected. They were divided into control group and experimental group by double-blind random sampling method， 45 cases in each group. The control group was given traditional nursing intervention， the experimental group was given psychological nursing intervention. Nursing satisfaction， psychological anxiety and depression symptom score， stress response index， quality of life score， postoperative comfort， postoperative rehabilitation time， postoperative ambulation time and hospital stay time were compared between the two groups. Result： The nursing satisfaction in the experimental group was 95.56%， significantly higher than 82.22% in the control group， the difference was statistically significant （P<0.05）. Preoperative， the scores of anxiety and depression in the experimental group were lower than those in the control group， the differences were statistically significant （P<0.05）. Preoperative， the systolic blood pressure， diastolic blood pressure and heart rate of the experimental group were better than those of the control group， the differences were statistically significant （P<0.05）. Preoperative， the scores of social function， physical function， emotional function and overall health in the experimental group were higher than those in the control group， the differences were statistically significant （P<0.05）. The comfort level of the experimental group was 97.78%， higher than 77.78% of the control group， the difference was statistically significant （P<0.05）. The postoperative ambulation time and hospitalization time in the experimental group were shorter than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： Psychological nursing intervention for urological patients has significant advantages， which is easier to improve the nursing satisfaction of patients， improve their postoperative comfort， improve stress response indicators， quality of life， shorten the postoperative ambulation time and hospital stay time， worthy of clinical promotion and adoption.