心理护理对泌尿外科术前患者焦虑症状干预效果的研究

摘要

Objectives To evaluate the intervention effect of psychological care to patients'preoperative anxiety in urinary surgery.Methods We conducted a randomized control trial.396 urology patients were randomly divided in-to control and intervention group.Patients in control group were given routine clinical care.The intervention cases were provided with psychological care apart from routine clinical care.We compared the difference between these two groups in score of preoperative anxiety,blood pressure and heart rate.Results There were no significant differences in patients'age,education level,disease condition between these two groups (P >0.05).Average anxi-ety score of intervention group and control group was 7.46 and 7.69 respectively one day after being hospitalized, and no significant difference were found (P >0.05).Average anxiety score of these two groups 10 minutes before operative was 1 1.87 and 1 5.89,respectively,statistical difference existed (P <0.001).The increase in blood pres-sure and heart rate of these two groups were significant different (P <0.05).Conclusions Many urology patients will be anxiety before operative.Psychological interventions have obvious effects to alleviate patients'anxiety.%目的：评价心理护理对泌尿外科患者术前焦虑情绪的干预效果。方法采用随机对照试验的方法,选择396名泌尿外科病人随机分为对照组和干预组,对照组进行常规护理,干预组在常规护理的基础上增加心理护理,比较其术前焦虑评分、血压和心率的变化。结果两组患者的年龄、文化程度、病情及手术种类分布差异无统计学意义(P >0.05)；干预组和对照组患者入院后1天平均焦虑评分分别为7.46和7.69,P >0.05,两组患者术前10分钟的平均焦虑评分为11.87和15.89,P <0.001；干预组病人术前收缩压、舒张压和心率的增加值均低于对照组病人,差异有统计学意义(P <0.05)。结论泌尿外科病人术前容易发生焦虑心理,心理干预对缓解病人术前焦虑有较好效果。