胰十二指肠切除术患者的心理干预等个性化护理效果分析

摘要

Objective : To implement individualized nursing care including psychological interventions for panereatieoduodeneetomy patients with depression during hospitalizationand and evaluate the effect of it. Methods: 56 cases of pancreatoduodenectomy patients treated in our hospital from 2009 March to 2012 March were randomly divided into control group and intervention group, each 28 examples. The control group received conventional care, and the intervention group received individualized nursing care including psychological intervention during hospitalization. In the day of admission, the day before surgery and 1 day before discharge, made Self-rating Depression Scale (SDS) for the two groups and compared SDS and scores of the patients of the two groups , made the statistics of hospitalization time and complications of the two groups patients. Results:The SDS score of patients in the intervention group decreased signifi- cantly compared with the control group ; and the differences showed statistically significant ( P 〈 0.05 ). The hospitalization time, complications of the former with high rates of satisfaction were less than the latter. Conclusion: individualized nursing care including psychological interventions can effectively improve the depressed mood of patients during operation period, reduce complications, and is helpful in the early rehabilitation. 2tabs. , lOrefs.%目的：对胰十二指肠切除术抑郁症患者住院期间实施包括心理干预在内的个性化护理并评价其效果.方法：将我院2009年3月至2012年3月收治胰十二指肠切除术患者56例后随机分成对照组和干预组各28例,对照组接受常规护理,干预组住院期间接受心理干预在内的个性化护理.在入院当天、术前天和出院前1天对两组患者进行抑郁自评量表（SDS）并比较两组患者的SDS和分值,统计两组患者住院时间和并发症.结果：干预组患者SDS分值的降低幅度较对照组明显;差异有统计学意义（P〈0.05）前者住院时间、并发症要少于后者,且满意率高.结论：心理干预等个性化护理能有效改善患者围手术期的抑郁情绪,减少并发症,有助于早期康复.表2,参10.