心理护理对泌尿外科患者术前心理焦虑症状的影响观察

刘岩

【摘要】 目的：分析心理護理对泌尿外科患者术前心理焦虑症状的影响。方法：选取2016年8月-2019年8月本院收治的泌尿外科患者90例。借助双盲随机抽样法将其分为对照组和试验组，每组45例。对照组予以传统护理干预，试验组予以心理护理干预。比较两组护理满意度、心理焦虑、抑郁症状评分、应激反应指标、生活质量评分、术后舒适性、术后康复时间、术后下床活动时间及住院时间。结果：试验组护理满意度为95.56%，显著高于对照组的82.22%，差异有统计学意义（P<0.05）。术前，试验组焦虑、抑郁症状评分均低于对照组，差异均有统计学意义（P<0.05）。术前，试验组的收缩压、舒张压、心率均优于对照组，差异均有统计学意义（P<0.05）。术前，试验组的社会功能、躯体功能、情感职能及总体健康评分均高于对照组，差异均有统计学意义（P<0.05）。试验组舒适度为97.78%，高于对照组的77.78%，差异有统计学意义（P<0.05）。试验组的术后下床活动时间及住院时间均短于对照组，差异均有统计学意义（P<0.05）。结论：对泌尿外科患者予以心理护理干预优势显著，更易于提升患者的护理满意度，提高其术后舒适性，改善应激反应指标、生活质量，缩短术后下床活动时间及住院时间，值得临床推广与采纳。

【关键词】 心理护理 泌尿外科 术前 心理焦虑症状

[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.