CAJ | 학술논문

目的探讨个体化心理干预对肝移植患者围手术期心理状态的影响.方法将行肝脏移植治疗的96例患者采用随机数字表法分为观察组和对照组各48例.对照组采用常规护理,观察组在常规护理的基础上采用个体化心理干预,比较两组患者围手术期心理状态、手术并发症发生率、住院时间、患者满意度等指标.结果术前两组患者SAS、SDS评分比较差异均无统计学意义(P＞0.05),术后3d两组SAS、SDS评分差异均有统计学意义(t分别为13.274,16.609;P ＜0.05)；观察组患者术后10d SAS评分为(38.82±11.13)分,对照组为(43.29±13.16)分,两组比较差异有统计学意义(t=18.931,P＜0.05).观察组患者术后10 d SDS评分为(36.75±12.20)分,对照组为(47.76±15.82)分,两组比较差异具有统计学意义(t=12.602,P＜0.05).观察组患者住院时间较对照组缩短,围手术期并发症发生率低于对照组,两组比较差异有统计学意义(t =16.201,x2=6.697;P ＜0.05)；观察组患者满意度(94.62±17.521)分,高于对照组(76.69±19.14)分,两组比较差异有统计学意义(t=29.641,P＜0.05).结论完善的心理干预有助于降低肝移植患者围手术期焦虑和抑郁水平,促进患者术后康复,值得临床推广.
목적 탐토개체화심리간예대간이식환자위수술기심리상태적영향.방법 장행간장이식치료적96례환자채용수궤수자표법분위관찰조화대조조각48례.대조조채용상규호리,관찰조재상규호리적기출상채용개체화심리간예,비교량조환자위수술기심리상태、수술병발증발생솔、주원시간、환자만의도등지표.결과 술전량조환자SAS、SDS평분비교차이균무통계학의의(P＞0.05),술후3d량조SAS、SDS평분차이균유통계학의의(t분별위13.274,16.609;P ＜0.05)；관찰조환자술후10d SAS평분위(38.82±11.13)분,대조조위(43.29±13.16)분,량조비교차이유통계학의의(t=18.931,P＜0.05).관찰조환자술후10 d SDS평분위(36.75±12.20)분,대조조위(47.76±15.82)분,량조비교차이구유통계학의의(t=12.602,P＜0.05).관찰조환자주원시간교대조조축단,위수술기병발증발생솔저우대조조,량조비교차이유통계학의의(t =16.201,x2=6.697;P ＜0.05)；관찰조환자만의도(94.62±17.521)분,고우대조조(76.69±19.14)분,량조비교차이유통계학의의(t=29.641,P＜0.05).결론 완선적심리간예유조우강저간이식환자위수술기초필화억욱수평,촉진환자술후강복,치득림상추엄.
Objective To explore the individual psychological intervention on the perioperative psychological state of liver transplantation patients.Methods Ninety - six liver transplantation patients in June 2008 to June 2011 were randomly divided into observation group and control group,each group 48 cases.Control group received routine care,the observation group received individual psychological nursing on the basis of routine care.Then patients' perioperative psychological status,surgery complications,length of hospital stay,patients' satisfaction in two groups were observed and compared.Results Before the operation,the SAS,SDS scores in two growps,there were no.statis tically significant differences ( P ＞ 0.05 ) ; Three days laror,the SAS,SDS scores in two groups,there were statis tically significant diffrernces ( P ＜ 0.05 ) ; Ten days later,the postoperative SAS score of observation group was ( 38.82 ± 11.13 ) significantly lower than (43.29 ± 13.16 ) of control group ( t =12.602,P ＜ 0.05 ).The average score of SDS in observation group was ( 36.75 ± 12.20) lower than (47.76 ± 15.82 ) in control group ( t =18.931,P ＜ 0.05 ).Surgery complications and length of hospital stay in observation group were significantly lower than that of control group ( t =16.201,x2 =6.697 ; P ＜ 0.05 ) and patients' satisfaction in observation group was significantly higher than that of control group[ (94.62 ± 17.52) vs (76.69 ± 19.14) ; t =29.641,P ＜ 0.05 ].Conclusions Psychological intervention can decrease the perioperative anxiety and depression of liver transplantation patients,and effectively promote postoperative rehabilitation and it is worth clinical spreading.