摘要
目的观察术前访视中心理干预对老年手术患者焦虑、抑郁的影响,以积累经验,指导临床工作。方法选取我院行择期全身麻醉的200例老年患者分为观察组100例与对照组100例,观察组在手术前进行床旁术前访视时予以心理干预。对照组只进行术前访视而不进行心理干预。采用焦虑及抑郁自评量表评价患者的心理状况。结果观察组心理干预后患者焦虑及抑郁评分明显下降,但是观察组焦虑及抑郁评分下降值显著高于对照组。术前心理干预前无配偶组焦虑及抑郁评分下降值显著高于有配偶组,术前心理干预后二组评分均降低,但是无配偶组焦虑及抑郁评分下降值显著高于有配偶组。结论术前访视中心理干预能明显改善全身麻醉老年手术患者的心理状态,缓解围手术期焦虑及抑郁情绪,尤其对无配偶的老年患者,临床应用效果更理想。
Objective To study the anxiety and depression changes by psychological intervention in operative aged patients before operation.Methods 200 operative aged patients were divided into two groups.100 cases which were intervened by psychological intervention were observation group.100 cases were control group.We analyzed the anxiety by SAS Questionnaires,the depression by SDS Questionnaires.Results The scores of anxiety and depression were lower in the observation group after psychological intervention.The decrease value of scores were higher in the observation group than in the control group.The decrease value of scores were higher in the no-spouse group than in the spouse group.Conclusion The psychological intervention can improve the anxiety and depression to operative aged patients before operation,espically to patients of no-spouse.Psychological intervention should be recommended in clinical treatment.
出处
《四川医学》
CAS
2010年第5期617-619,共3页
Sichuan Medical Journal
关键词
老年手术患者
心理干预
术前访视
麻醉
焦虑
抑郁
operative aged patients
psychological intervention
pre-operation visit
anesthesia
anxiety
depression
