术前护理干预对ACTH-非依赖性双侧肾上腺大结节增生症腹腔镜手术患者负性情绪的影响

摘要

目的 探讨护理干预减轻ACTH-非依赖性双侧肾上腺大结节增生症(AIMAH)患者负性情绪的效果.方法 对40例预行腹腔镜手术治疗的(AIMAH)患者,应用术前健康教育、心理干预等措施进行干预,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)在干预前后进行心理评估,并测定睡眠时间.结果 40例AIMAH患者入院初期均存在不同程度的消极情绪.实施护理干预后,患者SAS及SDS得分较干预前明显降低[(40.68±7.42)分比(51.56±10.16)分；(42.63±7.98)分比(58.64±11.14)分],干预前后比较,差异有统计学意义(t=4.212,P＜0.05)；实施护理干预后,患者睡眠时间延长[(6.96±0.42)h比(5.82±0.31)h].干预前后比较,差异有统计学意义(t=3.305,P＜0.01).结论 对AIMAH患者实施有针对性的护理干预,可减轻患者焦虑、抑郁、恐惧等负性情绪,可提高患者的依从性,使其更好的配合治疗,促进其早日康复.%Objective To discuss the effect of preoperative nursing care on the patients with AIMAH.Methods Totals of 40 patients with AIMAH received the nursing intervention such as health education,psychological nursing,etc.They were investigated with SAS and SDS,and sleep time was measured before and after the intervention.Results Totals of 40 patients were in different degree of negative mood when enrolled to hospital.Before and after nursing intervention,the SAS and SDS scores of patients were lower [(51.56±10.16) vs (40.68±7.42),(58.64±11.14) vs (42.63±7.98)],and their sleep time was extended [(5.82±0.31 ) h vs (6.96±0.42) h],and the difference was statistically significant ( t=4.212,3.305,respectively ;P＜0.05).Conclusions Nursing intervention for the patients with AIMAH is very useful,it can improve the patients' negative mood,compliance,and promote their recovery.