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心理干预对前列腺增生患者围手术期舒适度、睡眠质量及并发症的影响 被引量:28

EFFECT OF PSYCHOSOCIAL INTERVENTION ON PERIOPERATIVE COMFORT,SLEEP QUALITY AND COMPLICATION IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA
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摘要 目的探讨心理干预对前列腺增生患者围手术期舒适度、睡眠质量及并发症的影响。方法选取2015年5月—2017年3月我院泌尿外科收治的124例前列腺增生患者为研究对象,按照随机数表法将患者分为对照组、观察组,每组62例;对照组采用常规护理,观察组在围术期进行心理干预,比较二组患者干预前后舒适度、睡眠质量,焦虑抑郁情况以及术后并发症发生率和护理满意度。结果 (1)干预前二组匹兹堡睡眠质量指数(PSQI)评分以及舒适度评分差异无统计学意义(P>0.05);干预后观察组PSQI评分以及舒适度评分明显优于对照组(P<0.05);(2)干预前二组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分差异无统计学意义(P>0.05);干预后观察组SAS、SDS评分明显优于对照组(P<0.05);(3)观察组术后并发症发生率为4.84%,对照组术后并发症发生率为16.13%,观察组明显低于对照组(P<0.05);(4)观察组护理满意度明显高于对照组(96.78%vs.80.65%)(P<0.05)。结论对前列腺增生患者围手术期进行心理干预,可有效改善患者睡眠质量,提高患者舒适度,减轻患者负性情绪,降低患者术后并发症发生率,同时提高患者的护理满意度。 Objective To investigate the effect of psychosocial intervention on perioperative comfort,sleep quality and complication in patients with benign prostatic hyperplasia.Methods A total of 124 patients with benign prostatic hyperplasia admitted to author's hospital from May 2015 to March 2017 were divided into control group and observation group according to random number table,each with 62 cases.The control group was treated with routine nursing,while the observation group received psychosocial intervention during the perioperative period.Then the comfort,sleep quality,anxiety and depression,postoperative complications and nursing satisfaction were compared before and after the intervention of the two groups.ResultsThe PSQI score and comfort score showed no significant difference before intervention(P〉0.05),and the scores in the observation group were significantly higher than those in the control group after intervention(P〈0.05).The scores of SAS and SDS had no difference before intervention(P〉0.05),and the scores in the observation group were significantly higher than those in the control group after intervention(P〈0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(4.84% vs 16.13%,P〈0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group(96.78% vs 80.65%,P〈0.05).Conclusion Psychological intervention for patients with benign prostatic hyperplasia can effectively improve the patient's sleep quality,comfort and nursing satisfaction,reduce the negative emotions and the postoperative complications.
作者 陈霞 姚世凯 吴小文 Chen Xia;Yao Shikai;Wu Xiaowen(Department of Urology, Qionghai People's Hospital, Qionghai 571400, China)
出处 《中国煤炭工业医学杂志》 2018年第2期218-221,共4页 Chinese Journal of Coal Industry Medicine
基金 琼海市医学科研项目(编号:2013-57)
关键词 前列腺增生 心理干预 舒适度 睡眠质量 并发症 Benign prostatic hyperplasia Psychosocial intervention Comfort Sleep quality Complication
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