个体化心理干预对肝移植患者围手术期心理状态的影响

目的探讨个体化心理干预对肝移植患者围手术期心理状态的影响。方法将行肝脏移植治疗的96例患者采用随机数字表法分为观察组和对照组各48例。对照组采用常规护理，观察组在常规护理的基础上采用个体化心理干预，比较两组患者围手术期心理状态、手术并发症发生率、住院时间、患者满意度等指标。结果术前两组患者SAS、SDS评分比较差异均无统计学意义（P〉0．05），术后3d两组SAS、SDS评分差异均有统计学意义（t分别为13．274，16．609；P〈0．05）；观察组患者术后10dSAS评分为（38．82±11．13）分，对照组为（43．29±13．16）分，两组比较差异有统计学意义（t=18．931，P〈0．05）。观察组患者术后10dSDS评分为（36．75±12．20）分，对照组为（47．76±15．82）分，两组比较差异具有统计学意义（t=12．602，P〈0．05）。观察组患者住院时间较对照组缩短，围手术期并发症发生率低于对照组，两组比较差异有统计学意义（t：16．201，x2=6．697；P〈0．05）；观察组患者满意度（94．62±17．521）分，高于对照组（76．69±19．14）分，两组比较差异有统计学意义（t=29．641，P〈0．05）。结论完善的心理干预有助于降低肝移植患者围手术期焦虑和抑郁水平，促进患者术后康复，值得临床推广。

Effect of individual psychological intervention on the perioperative psychological state of liver transplantation patients

Objective To explore the individual psychological intervention on the perioperative psychological state of liver transplantation patients. Methods Ninety - six liver transplantation patients in June 2008 to June 2011 were randomly divided into observation group and control group, each group 48 cases. Control group received routine care, the observation group received individual psychological nursing on the basis of routine care. Then patients＇ perioperative psychological status, surgery complications, length of hospital stay, patients＇ satisfaction in two groups were observed and compared. Results Before the operation,the SAS, SDS scores in two growps, there were no. statistically significant differences （ P 〉 0.05 ） ; Three days laror, the SAS, SDS scores in two groups, there were statis tieally significant diffrernees （ P 〈 0. 05 ） ; Ten days later, the postoperative SAS score of observation group was （ 38.82 ± 11.13 ） significantly lower than （43.29 ± 13.16 ） of control group（ t = 12. 602, P 〈 0. 05 ）. The average score of SDS in observation group was （36.75 ± 12.20）lower than （47.76 _＋ 15.82 ）in control group（ t = 18.931, P 〈 0. 05 ）. Surgery complications and length of hospital stay in observation group were significantly lower than that of control group（ t = 16. 201 ,X2 = 6. 697 ;P 〈 0. 05 ） and patients＇ satisfaction in observation group was significantly higher than that of control group （94.62 ± 17.52 ）vs （76.69 ± 19. 14） ; t = 29. 641 ,P 〈 0. 05 ]. Conclusions Psychological intervention can decrease the perioperative anxiety and depression of liver transplantation patients, and effectively promote postoperative rehabilitation and it is worth clinical spreading.