摘要
目的探讨颅脑肿瘤患者手术后的心理康复护理。方法选取2012年4月至2013年5月间收治的颅脑肿瘤患者70例,采用随机数字表法分为观察组和对照组,每组各35例。观察组患者采用常规心理护理和心理康复护理,对照组患者采用常规心理护理。比较两组患者术前、手术日早晨及术后第3天焦虑、生理指标、疼痛变化和术后心理恢复状况。结果手术日旱晨观察组患者焦虑评分低于对照组,差异有统计学意义(P=0.041)。两组疼痛评分差异无统计学意义(P>0.05)。术后3d,观察组患者焦虑、疼痛评分均明显低于对照组,差异有统计学意义(P<0.05);手术日早晨观察组患者心率、舒张压均低于对照组,差异均有统计学意义(均P<0.05);观察组患者手术焦虑、预后焦虑和手术创伤应激过渡疼痛发生率均明显低于对照组,差异均有统计学意义(均P<0.05)。结论围术期心理康复护理可显著降低颅脑肿瘤患者术前焦虑和疼痛水平,有助于稳定患者生理指标,改善其术后总体心理状况。
Objective To explore the effect of psychological rehabilitation nursing on brain tumor patients underwent surgery. Methods A total of 70 brain tumor patients were selected between April 2012 and May 2013,and they were divided into observation group and control group,with 35 cases in each group. Patients in the observation group were treated with routine psychological care and psychological rehabilitation nursing,and the control group was treated with routine psychological nursing. Before and after surgery,and 3 days after surgery,the anxiety,physiological indicators,pain and postoperative psychological recovery of patients in two groups were compared. Results In the morning of operation day,the anxiety of the patients in the observation group was significantly lower than that in the control group（ P = 0. 041）;There was no significant difference in the pain score between the two groups（ P 〉 0. 05）. On the 3 days after surgery,the anxiety and pain scores of the observation group were significantly lower than those in the control group,and the difference was statistically significant（ P 〈 0. 05）. In the morning of operation day,the heart rate and diastolic blood pressure in the observation group were significantly lower than those in the control group,and the difference was statistically significant（ P 〈 0. 05）. The anxiety,anxiety,and surgical trauma of the patients in the observation group were significantly lower than those of the control group,and the difference was statistically significant（ P 〈 0. 05）. Conclusion Perioperative psychological rehabilitation nursing can significantly reduce the preoperative anxiety and pain level of patients with brain tumor,and help to stabilize the physiological index of patients,improve the overall psychological status of the patients.
出处
《中国肿瘤临床与康复》
2016年第4期509-512,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
脑肿瘤
心理干预
手术
焦虑
疼痛
Brain neoplasms
Psychological intervention
Surgery
Anxiety
Pain
