摘要
目的探讨双环节协同心理护理对接受腹腔镜胆囊切除术(LC)治疗的老年患者术后康复及心理状态的影响。方法选取2019年9月至2021年9月商水县人民医院收治的行LC治疗的108例老年患者。根据入院顺序分为对照组和观察组,各54例。给予对照组患者常规护理。观察组在此基础上接受双环节协同心理护理。比较两组康复情况、护理满意度以及护理前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、简易应对方式问卷(SCSQ)、生活质量综合评定问卷-74(GQOL-74)评分。结果与对照组相比,观察组离床活动、肛门排气、住院时间均较短(P<0.05)。护理后,两组SAS、SDS评分均降低,观察组SAS、SDS评分低于对照组(P<0.05)。护理后,两组消极应对评分降低,积极应对评分升高(P<0.05);护理后,观察组积极应对评分较对照组高,消极应对评分较对照组低(P<0.05)。护理后,两组GQOL-74评分升高,且观察组GQOL-74评分高于对照组(P<0.05)。结论双环节协同心理护理可改善接受LC治疗的老年患者的负性情绪,加快康复进程,提升生活质量和护理满意度。
Objective To explore the effect of dual-link collaborative psychological nursing on postoperative rehabilitation and psychological state of elderly patients undergoing laparoscopic cholecystectomy.Methods A total of 108 elderly patients who received laparoscopic cholecystectomy in Shangshui County People’s Hospital from September 2019 to September 2021 were selected.They were divided into control group and observation group according to different admission orders,with 54 cases in each group.The control group was given routine nursing.On this basis,the observation group received dual-link collaborative psychological nursing.The rehabilitation,nursing satisfaction,and the scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS),simple coping style questionnaire(SCSQ),and generic quality of life inventory-74(GQOL-74)before and after nursing were compared between the two groups.Results Anal exhaustion,out-of-bed activity,and hospital stay in observation group were shorter than those in control group(P<0.05).After nursing,the SAS and SDS scores of the two groups were decreased,and the SAS and SDS scores of observation group were lower than those of control group(P<0.05).After nursing,the scores of positive coping in the two groups were increased,and the scores of negative coping were decreased(P<0.05).After nursing,the positive coping score of observation group was higher than that of control group,and the negative coping score was lower than that of tcontrol group(P<0.05).After nursing,the GQOL-74 scores of the two groups increased,and the GQOL-74 score of observation group was higher than that of control group(P<0.05).Conclusion Dual-link collaborative psychological nursing can improve the negative emotions of elderly patients undergoing laparoscopic cholecystectomy,speed up the rehabilitation process,and improve the quality of life and nursing satisfaction.
作者
王秋阁
位艳茹
赵云辉
张亚荣
WANG Qiuge;WEI Yanru;ZHAO Yunhui;ZHANG Yarong(Department of Nursing,Shangshui County People’s Hospital,Zhoukou 466100,China;Hepatobiliary Surgery,Shangshui County People’s Hospital,Zhoukou 466100,China;Urology Department,Shangshui County People’s Hospital,Zhoukou 466100,China;Department of Hepatobiliary Surgery,Zhoukou Central Hospital,Zhoukou 466000,China)
出处
《河南医学研究》
CAS
2022年第13期2481-2485,共5页
Henan Medical Research
关键词
腹腔镜胆囊切除术
双环节协同心理护理
术后康复
心理状态
laparoscopic cholecystectomy
dual-link collaborative psychological nursing
postoperative rehabilitation
psychological state
