摘要
目的:探讨心理干预对眼袋整形患者负性情绪及术后转归的影响。方法:2020年3—7月,空军军医大学西京医院整形外科收治眼袋整形患者60例为对照组,男25例、女35例,年龄36~62(45.95±5.86)岁,用常规护理。2020年8—12月收治眼袋整形患者60例为试验组,男23例、女37例,年龄37~66(45.85±5.18)岁,在常规护理基础上增加心理干预。比较两组患者焦虑抑郁水平、体象障碍水平、疼痛缓解、创面愈合时间、并发症以及患者满意度。结果:试验组心理干预后焦虑评分(38.98±3.24)低于对照组(43.08±4.33),抑郁评分(39.51±4.03)低于对照组(45.78±4.26),体象障碍评分(6.62±1.46)低于对照组(10.96±2.22),差异均有统计学意义(t=4.01、4.12、4.31,均P<0.05)。试验组心理干预后疼痛缓解时间(0.51±0.11)d低于对照组(1.03±0.23)d,创面愈合时间(5.01±1.32)d低于对照组(7.22±1.18)d(t=4.33、3.10,均P<0.05)。并发症发生率(3.34%,2/60)低于对照组(6.67%,4/60)(χ^(2)=4.66,P<0.05)。患者满意度评分(97.25±4.36)高于对照组(85.01±3.33)(t=3.62,P<0.05)。结论:心理干预能够缓解患者的焦虑抑郁情绪,降低体象障碍水平,缓解疼痛,促进切口愈合,减少并发症,提高患者满意度。
Objective To explore the effect of psychological intervention on negative emotion and postoperative outcome of patients with blepharoplasty.Methods Sixty patients with blepharoplasty admitted to the Department of Plastic Surgery of Xijing Hospital from March to July 2020 were selected as the control group:there were 25 males and 35 females,aged 36-62 years,with an average age of(45.95±5.86)years who received routine nursing.60 patients with blepharoplasty admitted from August to December 2020 were selected as the study group:there were 23 males and 37 females,aged 37-66 years,with an average age of(45.85±5.18)years;psychological intervention was added on the basis of routine nursing in this group.The vital signs,anxiety and depression levels,body image disorder level,pain relief,recovery time,complications,and patient satisfaction were compared between the two groups.Results After psychological intervention,the anxiety score of the experimental group(38.98±3.24)was lower than that of the control group(43.08±4.33),with a t-value of 4.01.The depression score in the study group(39.51±4.03)was lower than that of the control group(45.78±4.26),with a t-value of 4.12.The body image disorder score(6.62±1.46)in the study group was lower than that in the control group(10.96±2.22),with a t-value of 4.31.The differences were statistically significant(P<0.05).The pain relief time after psychological intervention in the study group was(0.51±0.11)days,which was lower than that in the control group(1.03±0.23)days,with a t value of 4.33.The wound healing time was(5.01±1.32)days in the study group,lower than the control group(7.22±1.18),with a t value of 3.10.The complication rate(3.34%)in the study group was lower than that of the control group(6.67%),with aχ^(2) value of 4.66.The patients’satisfactory score(97.25±4.36)in the study group was higher than that of the control group(85.01±3.33),with a t/χ^(2) value of 3.62.The differences were statistically significant(P<0.05).Conclusions Psychological intervention can effectively stabilize the vital signs of patients with blepharoplasty,relieve their anxiety and depression,reduce the level of body image disorder level,relieve pain,promote wound healing,reduce complications,and improve patients′satisfaction.
作者
王钠
王娟
张兆祥
Wang Na;Wang Juan;Zhang Zhaoxiang(Department of Plastic Surgery,Xijing Hospital,the Air Force Medical University,Xi′an 710032,China)
出处
《中华医学美学美容杂志》
2023年第5期389-392,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
外科
整形
心理干预
眼袋整形
负性情绪
体象障碍
Surgery,plastic
Psychological intervention
Blepharoplasty
Negative emotions
Body image disorder
