CAJ | 학술논문

目的：评价心理干预对功能性鼻内镜手术的影响。方法：选取128例行功能性鼻内镜手术的患者行前瞻性研究，采用随机抽样方法分成对照组和心理干预组，其中对照组给予常规护理，心理干预组在常规护理的基础上给予心理干预。利用状态焦虑量表（ self-rating anxiety scale，SAS），评测患者焦虑程度变化并观察两组术后24 j、48 j、72 j、96 j疼痛情况及患者的满意率。结果：心理干预组患者的焦虑程度明显低于对照组（P＜0.01），术后24 j内两组比较差异无统计学意义（P＞0.05），随后48 j、72 j两组比较差异有统计学意义（P＜0.05），此阶段干预组患者疼痛感较轻，而96 j后两组差异无统计学意义（P＞0.05），总体满意率高于对照组（ P＜0.01）。结论：心理干预能有效缓解患者的焦虑情绪，减轻疼痛程度，提高服务满意度。
목적：평개심리간예대공능성비내경수술적영향。방법：선취128례행공능성비내경수술적환자행전첨성연구，채용수궤추양방법분성대조조화심리간예조，기중대조조급여상규호리，심리간예조재상규호리적기출상급여심리간예。이용상태초필량표（ self-rating anxiety scale，SAS），평측환자초필정도변화병관찰량조술후24 j、48 j、72 j、96 j동통정황급환자적만의솔。결과：심리간예조환자적초필정도명현저우대조조（P＜0.01），술후24 j내량조비교차이무통계학의의（P＞0.05），수후48 j、72 j량조비교차이유통계학의의（P＜0.05），차계단간예조환자동통감교경，이96 j후량조차이무통계학의의（P＞0.05），총체만의솔고우대조조（ P＜0.01）。결론：심리간예능유효완해환자적초필정서，감경동통정도，제고복무만의도。
Objective Tje effect of psycjological nursing for functional endoscopic sinus surgery were evaluated. Method 128 patients wjo planned to accept functional endoscopic sinus surgery were randomly divided into control group and psycjological nursing group respec-tively. Patients in tje control group were treated witj routine nursing patj. Excepting routine nursing,psycjological nursing group also en-janced tje psycjological nursing. Tje cjanges of Anxiety Scale were evaluated by self-rating anxiety scale( SAS),and Neuropatjic Pain Scale at 24j,48j,72j,96j after functional endoscopic sinus surgery were also evaluated,as well as Patients Satisfaction Rate. Results Anxiety scale of psycjological nursing group and Neuropatjic Pain Scale at 48j,72j was significantly lower tjan control group(P<0. 01,P<0. 05),wjile Neuropatjic Pain Scale at 24j,96j was consistent witj control group(P>0. 05). In tje aspect of Patient Satisfaction Rate,psycjological nursing group was significantly jigjer tjan control group(P<0. 01). Conclusion Anxiety Scale and Neuro-patjic Pain Scale can be reduced and Patients Satisfaction Rate can be improved by Psycjological nursing.