首页> 中文期刊> 《浙江中医药大学学报》 >心理护理干预在腰椎间盘突出症患者围手术期的应用

心理护理干预在腰椎间盘突出症患者围手术期的应用

         

摘要

Objective] To assess the clinical efficiency of psychological care on the lumbar disc herniation in the early stage. [Methods] Patients of lumbar disc herniation were randomly divided into experimental and control groups. Psychological care was used in experiment group and routine nursing was used in control group. Then through comparing the score of JOA with VAS to evaluate effect. [Result] After treatment, the scores of anxiety and depression were decreased more than control group(P<0.05), the score of JOA in experiment group was statistically significant higher than control group(P<0.05); the score of VAS was decreased, compared with control group(P<0.05). [Conclusion] The clinical efficiency of Psychological care on the patient of lumbar disc herniation in the early stage is effective and it is worthy of promotion and application for the future.%[目的]观察心理护理干预在腰椎间盘突出症(lumbar disc herniation, LDH)患者围手术期中的应用效果。[方法]纳入手术治疗的LDH患者60例,随机分为试验组与对照组,对照组(n=30)采取常规围手术期护理,试验组(n=30)在常规围手术期护理基础上,实施全程心理护理干预。通过抑郁自评量表(self-rating depression scale, SDS)、焦虑自评量表(self-rating anxiety scale, SAS),测评患者干预前后的心理状态,同时采用日本骨科学会评分(japanese orthopaedic association scores, JOA)及视觉模拟评分(visual analogue scale, VAS)评分,比较两组患者对疼痛的耐受性及术后恢复情况。[结果]试验组患者接受心理护理干预后,术后焦虑、抑郁评分明显低于对照组(P<0.05),VAS评分明显降低(P<0.05),JOA评分明显增高(P<0.05)。[结论]腰椎间盘突出症患者围手术期应用全程心理护理干预,能帮助患者减轻焦虑、抑郁等负性情绪,提高对手术及疼痛的耐受性。

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