需求满足对下肢静脉曲张日间手术患者术后心理的影响
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陕西省科学技术厅科研项目(961201370738)


Effect of need gratification on the mental state of patients after day surgery for lower extremity varicose veins
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    摘要:

    目的探讨需求满足干预对行下肢静脉曲张日间手术患者术后心理的影响。方法按照入院先后顺序将行日间手术的115例下肢静脉曲张患者分为对照组57例与观察组58例,对照组给予常规护理干预,观察组在对照组基础上加以需求满足干预,对两组患者需求满足情况、术前、出院时(术后)焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、出院时疾病相关知识掌握程度及满意度进行比较。结果两组在心理、舒适度、获得支持、沟通交流需求满足方面差异有统计学意义(P<0.05)。观察组出院时(术后)SDS、SAS评分比较,差异有统计学意义(P<0.05);观察组术后SDS评分、SAS评分分别为(30.3±6.5)分和(31.2±5.8)分,均显著低于对照组的(36.5±6.3)分和(38.6±6.2)分,差异有统计学意义(P<0.05)。观察组出院时患者疾病知识总掌握率、护理总满意率分别为93.3%、96.7%,显著高于对照组的80.0%、85.5%,差异有统计学意义(P<0.05)。结论根据患者需求采取相应措施满足其心理、并发症防治等方面需求,能显著缓解患者焦虑、抑郁心理,明显提高患者对护理下肢静脉曲张知识掌握程度及满意度。 更多

    Abstract:

    Objective To explore the effect of need gratification intervention on the mental state of patients after day surgery for lower extremity varicose veins.Methods According to the order of admission,115 patients with lower extremity varicose veins underwent day surgery were divided into the control group and observation group.The control group was given routine nursing intervention.On this basis,the observation group was additionally given need gratification intervention.The status of need gratification,scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before operation and on discharge(after operation),mastery of knowledge about disease on discharge and satisfaction were compared between the two groups.Results There were significant differences in need gratification of mental state,comfort,acquisition of support and communication between the two groups(P<0.05).There were significant differences in SDS and SAS scores of the observation group on discharge(after operation)(P<0.05).The postoperative SDS and SAS scores of the observation group[(30.3±6.5)and(34.2±5.8)]were significantly lower than those of the control group[(40.5±6.3),(41.6±6.2)](P<0.05).On discharge,the mastery rate of knowledge about the disease and total satisfaction rate in the observation group(93.3%,96.7%)were significantly higher than those in the control group(80.0%,85.5%)(P<0.05).Conclusion According the needs of patients,to adopt corresponding measures to satisfy their mental needs and needs of controlling complications can significantly relieve anxiety and depression,improve the mastery of knowledge about lower extremity varicose veins and satisfaction

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  • 在线发布日期: 2016-12-02
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