CAJ | 학술논문

目的探讨心理干预对肝豆状核变性脾切除术围手术期患者心理健康状况及生活质量的影响.方法将64例肝豆状核变性脾切除术围手术期住院患者随机分为干预组和对照组各32例,两组均给予常规舒适护理,干预组在此基础上联合心理干预,干预8周.干预前及干预8周末采用症状自评量表(SCL-90)和世界卫生组织生活质量测定量表(WHOQOL-100)评估两组患者心理状况及生活质量.结果干预前两组患者SCL-90评分比较,差异均无统计学意义(P＞0.05)；干预8周末干预组SCL-90中躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、偏执及精神病性因子评分分别为(1.26±0.43),(1.72±0.44),(1.74±0.45),(1.59±0.43),(1.58±0.52),(1.66±0.74),(1.61±0.68),(1.51±0.43)分,均低于对照组的(1.60±0.49),(2.06±0.50),(2.06±0.58),(1.85±0.49),(1.90±0.55),(2.07±0.66),(1.95±0.64),(1.82±0.56)分,差异均有统计学意义(t分别为2.950,2.888,2.466,2.256,2.386,2.339,2.060,2.484；P均＜0.05).干预前两组患者WHOQOL-100评分比较,差异均无统计学意义(P＞0.05)；干预8周末干预组WHOQOL-100各维度评分均高于对照组,差异均有统计学意义(t分别为4.401,4.694,3.242,5.410,4.576,4.847,3.834;P ＜0.01).结论心理干预可有效改善肝豆状核变性脾切除术围手术期患者心理健康状况及生活质量,应加强对患者的心理干预护理.
목적 탐토심리간예대간두상핵변성비절제술위수술기환자심리건강상황급생활질량적영향.방법 장64례간두상핵변성비절제술위수술기주원환자수궤분위간예조화대조조각32례,량조균급여상규서괄호리,간예조재차기출상연합심리간예,간예8주.간예전급간예8주말채용증상자평량표(SCL-90)화세계위생조직생활질량측정량표(WHOQOL-100)평고량조환자심리상황급생활질량.결과 간예전량조환자SCL-90평분비교,차이균무통계학의의(P＞0.05)；간예8주말간예조SCL-90중구체화、강박증상、인제관계、억욱、초필、활대、편집급정신병성인자평분분별위(1.26±0.43),(1.72±0.44),(1.74±0.45),(1.59±0.43),(1.58±0.52),(1.66±0.74),(1.61±0.68),(1.51±0.43)분,균저우대조조적(1.60±0.49),(2.06±0.50),(2.06±0.58),(1.85±0.49),(1.90±0.55),(2.07±0.66),(1.95±0.64),(1.82±0.56)분,차이균유통계학의의(t분별위2.950,2.888,2.466,2.256,2.386,2.339,2.060,2.484；P균＜0.05).간예전량조환자WHOQOL-100평분비교,차이균무통계학의의(P＞0.05)；간예8주말간예조WHOQOL-100각유도평분균고우대조조,차이균유통계학의의(t분별위4.401,4.694,3.242,5.410,4.576,4.847,3.834;P ＜0.01).결론 심리간예가유효개선간두상핵변성비절제술위수술기환자심리건강상황급생활질량,응가강대환자적심리간예호리.
Objective To explore the effects of psychological intervention on the mental status and life quality of hepatolenticular degeneration patients during the perioperative period of splenectomy.Methods 64 cases hepatolenticular degeneration patients during the perioperative period of splenectomy were randomly divided into two groups,the intervention group and the control group,each with 32 cases.Both groups received conventional comfortable nursing,and the intervention group had psychological intervention for eight weeks in addition.Symptom checklist (SCL-90) was used to assess their changes of mental health,while the World Health Organization Quality of Life Scale (WHOQOL-100) was used to assess their quality of life before and after psychological intervention.Results Before psychological intervention,there was no statistically siguificant difference between two groups' SCL-90 scores (P ＞ 0.05).After eight weeks of psychological intervention,the sores of somatization,force,interpersonal relationship,depression,anxiety,hostility,paranoid and psychotic factors in SCL-90 of the intervention group were respectively (1.26 ± 0.43),(1.72 ± 0.44),(1.74 ± 0.45),(1.59±0.43),(1.58±0.52),(1.66±0.74),(1.44±0.57),(1.61±0.68),(1.51±0.43),all of which were lower than those of the control group [(1.60 ± 0.49),(2.06 ± 0.50),(1.74 ± 0.45),(1.85 ±0.49),(1.90±0.55),(2.07±0.66),(1.71 ±0.57),(1.95 ±0.64),(1.82 ±0.56)],and the differences were statistically significant (t =2.950,2.888,2.466,2.256,2.386,2.339,2.060,2.484,respectively; P ＞ 0.05).Before psychological intervention,there was also no statistically significant difference between two groups' WHOQOL-100 scores (P ＞ 0.05).And after eight weeks of psychological intervention,the score of every dimension was higher in the intervention group than in the control group,and the differences were statistically significant (t =4.401,4.694,3.242,5.410,4.576,4.847,3.834,respectively;P ＜0.01).Conclusions Psychological intervention can effectively improve the mental health and quality of life of hepatolenticular degeneration patients during the perioperative period of splenectomy,and thus should be strengthened.