术前系统心理行为干预对风湿性心脏病患者负性情绪的影响

摘要

Objective To study the effect of preoperative mental and behavioral intervention on negative emotion of patients with rheumatic heart diseases.Methods 50 cages of petients,suffering from rheumatic heart diseases from july 2007 to July 2008 in our hospital,were randomly divided into two groups:mental intervention group(n=25)and non-mental intervention group(n=25).Intervention group received mental and behavioral intervention,while non-intervention group received conventional therapy.Negative emotion of both groups was assessed on the third day,on the tenth day,and the last day in the haspital,respectively.Results Both groups all had anxious,depressed,or unsatisfied feeling on admission;the detection rate of negative emotion in each group Was 100%,while on the tenth day and the day prior to discharge,the cases with negative emotion in the intervention group Were fewer than those of the other group,and there Was no significant difference between the two groups(P<0.05).Conclusions Mental and behavioral intervention could improve the effect of mental nursing,cut down the incidence of negative emotion,decrease postoperative complications and medical cost,and help patients recover from illness.%目的 探讨术前系统心理行为干预对风湿性心脏瓣膜病患者负性情绪的影响.方法 选择入住我科风湿性心脏病患者50例,随机分为心理干预组和非心理干预组各25例.干预组给予系统心理行为干预,非心理干预组进行常规治疗护理,分别于入院3 d内、住院10 d、出院前1 d完成负性情绪的评定.结果 两组患者人院时均存在不同程度焦虑或抑郁、不满意,负性情绪检出率为100%.住院10d及出院前负性情绪的评定显示,干预组发生负性情绪的人数明显少于非干预组,差异有统计学意义(P<0.05).结论 通过系统心理行为干预,提高心理护理效果,降低围手术期患者负性情绪的反应,有利于减少并发症,降低医疗费用以及促进围手术期患者的康复.