外科择期手术患者心理状态调查及心理护理

目的调查外科择期手术患者心理状态并探讨心理护理方法。方法采用贝克忧郁量表-Ⅱ(BDI-Ⅱ)评估340例择期手术患者心理状态,BDI-Ⅱ评分大于或等于14为抑郁症诊断标准。对明显抑郁或焦虑患者采取针对性心理护理。结果择期手术患者抑郁症发病率较高(达45%),且女性高于男性(P<0.05)。对明显心理障碍患者进行围术期心理护理获得明显效果。结论外科择期手术患者抑郁症发病率较高,针对性的心理护理有助于提高患者对手术的适应性,促进术后康复。

Mental state investigation and psychological care in patients with elective surgery

Objective To investigate the psychological state of patients undergoing elective surgery and to take appropriate psychological care. Methods Beck Depression Inventory-Ⅱ （BDI-Ⅱ ） was used to survey mental state of 340 patients with elective surgery,BDI-Ⅱ score equal to or higher than 14 was considered as diagnostic criteria of de- pression. Targeted psychological care was performed in patients with obvious depression or anxiety. Results The in- cidence of depression in of patients with elective surgery was 45 %, and the incidence in female patients was higher than that in male patients. Perioperative psychological care was with significant effect on patients with obvious psy- chological disorders. Conclusion The incidence of depression in patients with elective surgery might be high. The im- plementation of targeted psychological care could be helpful to increase the surgery adaptability and for postoperative rehabilitation.