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郑州市第七人民医院
纸质出版日期:2020,
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郭琳琳, 赵巧燕. 心理护理对心胸外科手术患者心理状态及护理质量的影响[J]. 保健医学研究与实践, 2020,17(1):66-69.
Guo Linlin, Zhao Qiaoyan. Influence of mental nursing on mental status and nursing quality in patients with thoracic surgery[J]. Health Medicine Research and Practice, 2020,17(1):66-69.
目的探讨心理护理对心胸外科手术患者心理状态及护理质量的影响。方法本研究选取2016年6月-2018年6月在郑州市某医院行心胸外科手术的60例患者为研究对象。采用随机数字表法
将患者分为常规护理组与心理护理组
每组30例。常规护理组患者接受常规护理
心理护理组患者在常规护理的基础上接受心理护理。比较2组患者护理前及出院时症状自评量表(SCL-90)及匹兹堡睡眠指数量表(PSQI)评分;比较2组患者手术时间、住院时间及出院时护理满意度。结果出院时
心理护理组患者SCL-90中焦虑、抑郁、恐惧、强迫、偏执、敌对、精神病性、人际关系评分分别为(1.40±0.11)分
(1.17±0.05)分
(1.01±0.10)分
(1.21±0.12)分
(0.71±0.04)分
(1.14±0.13)分
(0.81±0.04)分及(1.04±0.08)分
低于常规护理组的(1.50±0.21)分
(1.40±0.11)分
(1.21±0.08)分
(1.41±0.13)分
(1.10±0.20)分
(1.31±0.17)分
(1.15±0.03)分及(1.14±0.05)分
差异均有统计学意义(P<0.05)。出院时
心理护理组患者PSQI评分为(7.6±1.1)分
低于常规护理组的(9.6±1.2)分
差异有统计学意义(P<0.05)。心理护理组患者手术时间、住院时间分别为(225.1±38.8)min及(7.7±2.2)d
均短于常规护理组的(229.7±40.1)min及(10.0±2.3)d
差异均有统计学意义(P<0.05)。心理护理组患者总满意度为83.3%
高于常规护理组的56.7%
差异有统计学意义(P<0.05)。结论心理护理能够有效改善心胸外科手术患者心理状态及护理质量
值得临床推广应用。
Objective To investigate the influence of mental nursing on mental status and nursing quality in patients with thoracic surgery.Methods A total of 60 patients underwent thoracic surgery in a hospital in Zhengzhou from June 2016 to June 2018 were selected and divided into the mental nursing group(n=30)and the routine nursing group(n=30)according to random digits table.Patients in the routine group received routine nursing
while in the mental nursing group received routine nursing and mental nursing.Scores of symptom check list(SCL-90)and Pittsburgh sleep quality index(PSQI)of patients in two groups before admission and after discharge were compared;operating time
hospitalization time and nursing satisfaction of patients in two groups were compared.Results SCL-90 scores of anxiety
depression
fear
coercion
paranoia
hostility
psychosis and interpersonal relations in the mental nursing group when discharging were(1.40±0.11)
(1.17±0.05)
(1.01±0.10)
(1.21±0.12)
(0.71±0.04)
(1.14±0.13)
(0.81±0.04)and(1.04±0.08)
respectively.All were lower than those in the routine care group
which were(1.50±0.21)
(1.40±0.11)
(1.21±0.08)
(1.41±0.13)
(1.10±0.20)
(1.31±0.17)
(1.15±0.03)and(1.14±0.05)
respectively;all differences were statistically significant(P<0.05).When discharging
PSQI score in the mental nursing group was(7.6±1.1)
which was lower than that of(9.6±1.2)in the routine nursing group
with statistically significant differences(P<0.05).Operating time and hospitalization time in the mental nursing group were(225.1±38.8)min and(7.7±2.2)d
both of which were shorter than those of(229.7±40.1)min and(10.0±2.3)d in the routine nursing group
with statistically significant differences(P<0.05).Total satisfaction degree in the mental nursing group was 83.3%
which was higher than that of 56.7%in the routine group
with statistically significant differences(P<0.05).Conclusion Mental nursing can effectively improve mental status and nursing quality in patients with thoracic surgery
which is worthy of clinical promotion.
心理护理心胸外科手术心理状态护理质量医学模式呼吸功能
Mental nursingThoracic surgeryMental statusNursing qualityMedical modeRespiratory function
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