眼部整形美容手术患者心理疏导中的沟通艺术探讨

目的:探讨将沟通艺术应用于眼部整形美容患者的心理疏导的干预效果。方法:选取86例眼部整形美容手术患者为研究对象,根据随机数表分为联合组与对照组各43例,对照组在围术期开展心理疏导干预,联合组在其基础上联合沟通艺术进行干预。比较术前1d、1h及术后7d两组患者焦虑、抑郁情绪及希望水平变化,分析术后7d两组患者体像障碍、人格障碍及自尊水平。结果:术前1h,两组HAMA、HAMD评分均较术前1d时有显著提升,联合组明显低于同一时间对照组,差异有统计学意义(P<0.05);两组HHI评分均较术前1d时有显著下降,联合组明显高于同一时间对照组(P<0.05)。术后7d,两组HAMA、HAMD评分均较术前1d时有显著下降,且联合组明显低于同一时间对照组(P<0.05);两组HHI评分均较术前1d时有显著提升,且联合组明显高于同一时间对照组(P<0.05)。术后联合组MBSRQ、PDQ-4+评分均明显低于对照组,而RSES评分则明显高于对照组,差异有统计学意义(P<0.05)。结论:将沟通艺术应用于眼部整形美容手术患者心理疏导中能有效改善心理状态,可提高其治疗配合度、护理满意度,对减少医疗纠纷有利。

Discussion on the Art of Communication in Psychological Counseling of Patients Undergoing Ocular Plastic Surgery

Objective To explore the intervention effect of applying communication art to the psychological counseling of patients with ocular plastic and aesthetic surgery.Methods 86 patients with ocular plastic and cosmetic surgery were selected as subjects.According to the random number table method,the patients were divided into the combined group and the control group,with 43 cases in each group.The control group was given psychological counseling intervention during perioperative period,and the combined group was combined with communication art for intervention on this basis.Compared the changes of anxiety,depression and hope level between the two groups at 1d and 1h before operation and at 7d after operation.Analysis of body image disorder,personality disorder and self-esteem level of the two groups 7d after operation.Results At 1h before operation,the scores of HAMA and HAMD in the two groups were significantly improved compared with those at 1d before operation,and the scores in the combined group were significantly lower than those in the control group at the same time,the differences were statistically significant (P<0.05).The HHI scores in the two groups were significantly decreased compared with those at 1d before operation,and the score in the combined group was significantly higher than that in the control group at the same time(P<0.05).At 7d after operation,the scores of HAMA and HAMD in the two groups were significantly lower than those at 1d before operation,and the scores in the combined group were significantly lower than those in the control group at the same time(P<0.05).The HHI scores in the two groups were significantly higher than those at 1d before operation,and the score in the combined group was significantly higher than that in the control group at the same time(P<0.05).The scores of MBSRQ and PDQ-4+ in the combined group were significantly lower than those in the control group while the RSES score was significantly higher than that in the control group (P<0.05).Conclusion The application of communication art in ocular plastic surgery can effectively improve the psychological state of patients,improve their treatment cooperation,nursing satisfaction,and reduce medical disputes.