心理护理干预对颅骨修补术后患者抑郁焦虑水平和生存质量的影响

摘要

目的：探讨心理护理干预对颅骨修补术后患者抑郁、焦虑水平及生存质量的影响。方法2012年6月至2014年9月在我院神经外科行颅骨修补术的患者68例，其中32例给予常规护理干预（对照组），36例在此基础上实施心理护理干预（治疗组），采用抑郁自评量表（ SDS）、焦虑自评量表（ SAS）和生存质量量表对两组患者手术治疗前后的焦虑、抑郁和生活质量进行比较。结果护理后两组患者SDS和SAS评分均较之前下降，且治疗组评分低于对照组（ P＜0．05）。生存质量各项领域评分除环境领域外，治疗组在生理领域、心理领域、社会关系领域评分均明显高于对照组（ P＜0．05）。结论对行颅骨修补术患者实施个体化心理护理干预，可以改善患者术后心理状态，缓解患者的抑郁、焦虑情绪，有效改善患者的生存质量。%Objective To study the effects of psychological nursing on depression,anxiety levels and quality of life in patients with skull repair surgery.Methods A total of 68 cases were selected in the study,which were divided into the control group (n=32) and the intervention group (n=36).The control group was given routine treatment andcare,while the intervention group was given psy-chological care on the basis of conventional treatment and care.The SDS (self-rating depression scale),SAS (self-rating anxiety scale) and quality of life were taken to compare between the two groups before and after the surgery.Results After the intervention,the SDS and SAS scores in the intervention group were significantly lower than those in the control group ( P<0.05 ) .Except for the environ-mental domain,the scores of the quality of life including the Physical health,Psychological,and Social relationships,intervention group were significantly higher than those of controls (P<0.05).Conclusion The individualized psychological nursing intervention can ef-fectively reduce patients’anxiety and depression in patients with skull repair surgery;thereby it improves their psychological status and quality of life.