舒适护理干预对手血管吻合术患者术后疼痛、情绪及健康状态影响的研究
Chinese Journal of Primary Medicine and Pharmacy(2015)
Abstract
目的:评价舒适护理干预对手血管吻合术患者术后情绪、疼痛及健康状态的影响,为患者术后康复提供指导。方法选择手血管吻合术术后患者186例,采用数字表法随机分成舒适护理干预(n =93)、常规干预组(n =93),舒适护理干预组采用专门制定的舒适护理干预+常规措施,常规干预组采用常规措施,分别采用视觉模拟疼痛评分法、Zung 焦虑自评量表、抑郁自评量表、健康状况量表 SF-36评估术后两组患者疼痛、负面情绪、健康状况的差异性。结果舒适护理干预组较常规干预组0级、I 级疼痛率高[0级:舒适护理干预组36(29.89%),常规干预组15(16.48%);I 级:舒适护理干预组34(39.08%),常规干预组21(23.08%)],差异有统计学意义(0级:χ2=13.485,P =0.000;I 级:χ2=5.335,P =0.024);舒适护理干预组较常规干预组焦虑、抑郁得分低[焦虑:舒适护理干预组(52.38±5.16)分,常规干预组(57.28±6.14)分;抑郁:舒适护理干预组(58.19±5.78)分,常规干预组(62.31±6.43)分],差异有统计学意义(焦虑:t =5.571, P =0.000;抑郁:t =4.481,P =0.024);舒适护理干预组较常规干预组在躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性维度得分低[舒适护理干预组:躯体化(1.41±0.32)分,人际关系敏感(1.68±0.51)分,抑郁(1.51±0.42)分,焦虑(1.66±0.41)分,敌对(1.51±0.46)分,恐怖(1.44±0.37)分,偏执(1.52±0.42)分,精神病性(1.34±0.35)分;常规干预组:躯体化(1.58±0.41)分,人际关系敏感(1.86±0.50)分,抑郁(1.66±0.43)分,焦虑(1.57±0.40)分,敌对(1.76±0.44)分,恐怖(1.64±0.38)分,偏执(1.77±0.41)分,精神病性(1.58±0.33)分],差异有统计学意义(舒适护理干预组与常规干预组健康状况比较:躯体化:t =3.074,P =0.002;强迫:t =1.060,P =0.291;人际关系敏感:t =2.378,P =0.019;抑郁:t =2.353,P =0.020;焦虑:t =3.459,P =0.001;敌对:t =3.706,P =0.000;恐怖:t =3.555,P =0.001;偏执:t =4.018,P =0.000;精神病性:t =4.709,P =0.000)。结论舒适护理干预对手血管吻合术患者术后情绪、疼痛及健康状态影响有积极影响,值得临床应用推广。
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