咳嗽训练促进颈脊髓损伤伴不全瘫患者排痰

【 abstract 】 objective To explore the effects of cough training on intercostals muscles strength and sputum excretion ability in acute cervical spinal cord injury patients with incomplete paralysis. Methods 127 acute cervical spinal cord injury with incomplete paralysis cases treated in changzheng hospital from January 2012 to December 2015 were admitted into study. They had been divided into experimental group and control group randomly by the method of throwing a coin.Experimental group started cough training from 1 d postoperative and the control group only treated by routine sputum nursing measures.The effect of sputum excretion ability, intercostals muscles strength and the rate of sputum suction,lung infection and atelectasis had been compared 8 days after surgery.Results The sputum excretion ability and intercostals muscles strength of the experimental group were significantly better than the control group 8 days after surgery.The rate of sputum suction,lung infection and atelectasis in experimental group was significantly lower than the control group.There were no complications of early cervical fixation turning up in both groups.Conclusion The cough training can strengthen intercostals muscles of CSCI patients with incomplete paralysis, promote their sputum excretion ability .Futhermore ,It can reduce the rate of sputum suction and the incidence of respiratory complications such as lung infection, atelectasis.     

阴茎癌患者围手术期心理障碍临床观察与对策

目的 探讨阴茎癌患者围手术期心理状态与护理对策.方法 采用焦虑自评量表(SAS)、抑郁自评量表(SDS)作为工具,对105例拟行阴茎癌根治术患者进行心理调查,并将调查结果与常模对照分析研究.对存在抑郁、焦虑患者进行自行设计问卷调查,了解他们围手术期最主要的心理问题,据此制定实施针对性护理计划和方案,并于出院时使用SAS、SDS作为工具对他们进行心理调查,与术前对比.结果 67%以上阴茎癌患者术前存在抑郁情绪,同时焦虑情绪的SAS量表总分均值超过40分,明显高于中国常模总分均值的上限.合并焦虑、抑郁阴茎癌患者心理护理前后SAS及SDS评分比较,P<0.01,差异显著.81%患者存在最主要心理障碍为性心理障碍,实施针对性护理干预后,仍具有心理障碍的患者下降至20%,P<0.01,差异显著.结论 阴茎癌患者围手术期存在明显的心理障碍,按患者的心理需求实施针对性的护理对策能有效消除或改变患者心理障碍,提高生活质量.

Abstract：

Objective To explore the mental state and nursing countermeasures of perioperative patients with carcinoma of penis.Methods The self-rating anxiety scale(SAS) and self-rating depressive scale(SDS) were used to investigate the mental state of 105 patients selected radical operation carcinoma of penis. Questionnaire survey was used in the patients with anxiety or depression, to find out their most psychological problems in perioperative period of surgery, in order to design and carry out focused nursing programs and strategies.Results Over 67% patients with carcinoma of penis appeared depression before surgery, and average value of SAS total score of anxiety passed 40, the value was significantly higher than that of upper limit of China norm. The SAS and SDS scores were statistical differences between before and after carrying out mental nursing to the patients with anxiety or depression, P<0.01. There were 81% of patients with most psychological problem was psychosexual disorder, and the rate fell to 20% P<0.01, the difference was significant.Conclusions The patients with carcinoma of penis in perioperative period of surgery had obvious psychological problem, carrying out focused nursing strategies on demand can effectively eliminate or change psychological problem, improve the quality of life.     

运动疗法治疗脊髓损伤35例

Background: It is significant how to reserve residual myodynamia of patients with spinal cord injury, increase the ability of self care and make them return to the family and society.We adopted kinesitherapy to treat 35 patients with spinal cord injury and reported the results as follows.     

慢性前列腺炎患者焦虑和抑郁现况调查分析及心理护理

目的 了解慢性前列腺炎患者的焦虑和抑郁状况及影响因素,为制定相应对策提供依据.方法 采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)对360例慢性前列腺炎患者进行现况调查,对结果进行统计分析.结果 慢性前列腺炎患者焦虑和抑郁发生率、得分均高于中国常模,患者焦虑和抑郁情绪与文化程度、收入和病程具有相关性.结论 慢性前列腺炎患者存在明显的焦虑和抑郁现象且和多因素相关,有必要进行心理干预和综合治疗,以提高其治疗效果.

Abstract：

Objective To provide therapeutic strategy by investigating the anxiety and depression status as well as the correlated impact factors in patients with chronic prostatitis. Methods The self-rating anxiety scale (SAS)and self-rating depression scale (SDS)were employed to evaluate psychological response of 360 patients with chronic prostatitis. Results Both the average scores of SAS and SDS in patients with chronic prostatitis were higher than normal levels of Chinese population. The impact factors for anxiety included income status, educational level and disease course. Conclusions The mental health status of chronic prostatitis patients is poor and certain factors affect the occurrence of anxiety and depression. Therefore, it is necessary to treat the patients with supportive psychotherapeutic intervention and with combined approaches.     

理性情绪疗法对血液透析患者抑郁焦虑的影响

目的 探讨理性情绪疗法对血液透析患者抑郁焦虑的影响.方法 将60例血液透析患者随机分为干预组和对照组各30例.对照组接受常规的血液透析治疗,干预组在接受常规的血液透析治疗基础上,给予系统化、规范化的理性情绪疗法,采用抑郁量表和焦虑量表对两组患者干预前后抑郁和焦虑状态进行评定.结果 两组干预前评分比较(P>0.05),差异无统计学意义;干预后两组患者抑郁及焦虑评分比较(P<0.05),差异有统计学意义.结论 理性情绪疗法对提高血液透析患者的心理健康水平、增加其健康行为具有积极作用.

Abstract：

Objective To study the effect of rational emotive therapy on depression and anxiety of patients with hemodialysis.Methods Sixty patients with hemodialysis were divided into intervention group and control group. The number of patients in each group was 30.The patients in control group were treated with routine hemodialysis therapy, while in intervention group on the basis of routine hemodialysis therapy, the patients received systematic and normative rational emotive therapy. Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS) were adopted to assess depression and anxiety of two groups patients before and after the psychotherapy.Results The scores between two groups were no diffirence before intervention (P>0.05); After the psychotherapy, there were significant differences in each factor of SDS and SAS (P<0.01).Conclusions Rational emotive therapy is proved to be effective to mental health and can promote healthy behaviors of patients.     

综合康复干预对肠易激综合征患者心理状况的影响

目的 探讨肠易激综合征(IBS)患者焦虑、抑郁的发生率及综合康复干顶对IBS患者心理状况的影响.方法 采用Zung焦虑自评量表(SAS)及抑郁自评量表(SDS)对100例门诊及20例住院的肠易激综合征患者进行问卷调查,了解其焦虑、抑郁的发生率;并对存在焦虑、抑郁的患者进行综合康复护理干预3个月,并对干预前后焦虑、抑郁情况进行评价.结果 120例肠易激综合征患者焦虑发生率为26.7%、抑郁的发生率为25.0%;对存在焦虑、抑郁的患者,干预后与干预前比较,SAS及SDS评分明显降低(P＜0.05).结论 肠易激综合征患者焦虑、抑郁的发生率高,给予综合康复干预,可明显降低患者焦虑、抑郁症状,有利于肠易激综合征患者康复,提高其生活质量.

Abstract：

Objective To study the incidence rate of anxiety and depression about the IBS, and the psychological effect of comprehensive rehabilitation intervention for IBS. Methods A questionnaire survey was conducted among 100 outpatients and 20 inpatients with IBS by using SAS and SDS. The incidence rate of anxiety and depression was studied, then the patients suffering from anxiety and depression were treated with comprehensive rehabilitation intervention for three months. The scores of SAS and SDS were recorded before and after treatment Results Of all the 120 IBS, the incidence rate of anxiety was 26.7%, and the incidence rate of depression was 25.0%. To the anxiety and depression ones, the SAS and SDS scores were reduced obviously (P＜0.05) . Conclusions Comprehensive rehabilitation intervention can enhance the quality of life by reducing the incidence rate of anxiety and depression of IBS.     

认知行为干预与白血病患者负性情绪的相关性研究

目的 探讨认知行为干预与白血病患者负性情绪的相关性.方法 120例患者按入院单双号顺序分为治疗组和对照组各60例,对照组采用常规治疗护理,在白血病常规治疗护理基础上,治疗组采用认知行为干预,通过SAS和SDS评分比较2组的焦虑、抑郁症状.结果 治疗组治疗前后SAS、SDS分值改变显著,对照组治疗前后比较,SAS、SDS分值无显著改变.结论 认知行为干预可有效改善白血病患者的焦虑、抑郁情绪,提高生活质量,值得进一步探讨推广.

Abstract：

Objective To explore the mutual relationship of cognitive behavioral intervention and negative emotion of leukaemia patients. Methods According to hospital dual order, 120 patients were divided into the treatment group and the control group with 60 cases in each group, the control adopted routine treatment and nursing, upon this basis, the treatment group received cognitive behavioral intervention.Anxiety and depression of two groups were compared with SAS and SDS scale. Results SAS and SDS score changed significantly in the treatment group before and after the treatment, while in the control group,the SAS, SDS score did not changed statistically. Conclusions cognitive behavioral intervention can effectively improve the anxiety and depression of leukaemia patients, and improve the quality of life and deserves further clinical promotion.     

音乐干预对髋关节置换术老年患者抑郁症及血压的影响

目的 观察音乐干预对髋关节置换术老年患者抑郁症及血压的影响.方法 50例髋关节置换术老年患者随机分为对照组和观察组.对照组给予常规骨科护理;观察组在常规骨科护理的基础上加用音乐干预.观察两组患者在干预前和干预3个月后的抑郁情况及血压波动.应用抑郁自评量表(SDS)、焦虑自评量表(SAS)对患者进行抑郁情况评定.结果 两组患者干预前的抑郁发生率为44.5%,明显高于正常人群;血压均有升高现象.观察组辅以音乐干预疗法3个月后,血压波动较干预前及对照组明显降低,其SDS和SAS评分也较干预前及对照组显著改善.结论 音乐干预能改善髋关节置换术患者的抑郁情况及血压波动.

Abstract：

Objective To observe the affection of the depression and blood pressure for 1 music interference to elderly patients suffered from replacement operation of coxa arthrosis.Methods Fifty cases of elderly patients suffered from replacement operation of coxa arthrosis were separately divided into the control group and observation group at random.The control group was used normal nursing of the orthopaedics but the observation group was used music interference based on the normal nursing of the orthopaedics. The depression situation and wave change of the patients of two groups were observed before and after the treatment of 3 months.SDS and SAS were used to assess the patients' depression situation.Results The occurrence rate of the depression of two groups of the patients was 44.5% before and after the operation, which was higher than the normal crowd evidently. The blood pressure of the patients was higher totally. The blood pressure wave of the patients was found to be lower than that of the post-treatment and control group after the observation group was observed by the music interference for 3 months. The SDS and SAS were evidently improved to be better than that of before treatment and control group.Conclusions The music interference could improve the depression situation and blood pressure wave of the patients suffered from the replacement operation of coxa arthrosis.     

Effects of Epidural Spinal Cord Stimulation and Treadmill Training on Locomotion Function and Ultrastructure of Spinal Cord Anterior Horn after Moderate Spinal Cord Injury in Rats

Objective:To investigate the effects of epidural spinal cord stimulation (ESCS) and treadmill training on the locomotion function and ultrastructure of spinal cord anterior horn after moderate spinal cord injury in rats.Method:Nine adult female Sprague-Dawley rats were randomly distributed into three groups: ①spinal cord injury group (SI, n=3). ②spinal cord injury plus ESCS group (SE, n=3). ③spinal cord injury plus treadmill training group (TT, n=3). All rats received a moderate spinal cord injury surgery. Four weeks after surgery, rats in SE group received an electrode implantation procedure, with the electrode field covering spinal cord segments L2—S1. Four weeks after electrode implantation, rats received subthreshold ESCS for 30 min/d. Rats in TT group received 4cm/s treadmill training for 30min/d. Rats in SI group received no intervention, as a control group. All procedures in these three groups lasted four weeks.The open field Basso,Beattie and Bresnahan(BBB) scale was used before and after intervention to evaluate rats′ hindlimb motor function. Result:After four weeks intervention, rats in TT group improved their open field locomotion scores to 20. In contrast, no significant improvement was observed in groups SI and SE. The morphology of synapses and neurons were similar regardless of whether rats had undergone ESCS, treadmill training or not. Conclusion:ESCS alone was not sufficient to improve the walking ability of spinal cord injured rats. ESCS or treadmill training alone might not contribute to the changes of ultrastructure in anterior horn of spinal cord that underlie the recovery of walking ability. Further research is needed to understand the contributions of combination of ESCS and treadmill training to the rehabilitation of spinal cord injured rats.     

肺高压患者焦虑、抑郁心理状况与社会支持的相关性研究

目的 探讨社会支持干预对肺高压(pulmonary hypertension,PH)患者焦虑、抑郁状况的影响,为临床护理肺高压患者提供科学的理论依据.方法 采用自行设计的PH一般状况调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS),对131例住院PH患者进行问卷调查,对患者的焦虑、抑郁状况与社会支持水平进行统计分析.结果 PH患者焦虑、抑郁心理状况明显高于国内正常人群,差异显著;131例患者中16例患者存在焦虑占12.21%,21例患者存在抑郁占16.03%.28例患者处于高水平社会支持,92例患者处于中等水平社会支持,11例患者处于低水平社会支持,处于中等水平及以上社会支持的患者占91.6%.焦虑、抑郁评分分别与社会支持总分、客观支持分、主观支持分存在显著负相关;不同类型PH患者的焦虑、抑郁得分差异显著.特发性肺动脉高压患者的焦虑、抑郁评分与先天性心脏病所致肺动脉高压患者的焦虑、抑郁评分差异显著.肺静脉闭塞病抑郁得分与先天性心脏病所致肺动脉高压抑郁得分差异显著.结论 护理人员在护理PH患者时,对不同类型的PH患者应给予针对性的社会支持力量,注意调动患者的社会支持源泉,帮助其采取积极的态度面对疾病,增加对治疗护理的依从性.

Abstract：

Objective To investigate the effects of social support intervention on anxiety and depression of pulmonary hypertension(PH)patients,then provide a scientific basis for nursing of patients with pulmonary hypertension.Methods The general condition of PH questionnaire,self-rating anxiety scale (SAS),self-rating depression scale(SDS),social support rating scale(SSRS)were distributed to 131 patients with PH.Then make statistical analysis of patients'anxiety,depression and social support conditions.Results The score of anxiety and depression psychological conditions of patients with pulmonary hypertension was significantly higher than normal population,the difference wag statistically significant.Among 131 patients,16 patients with anxiety,accounting for 12.21% ;21 cases of patients with depression,accounting for 16.03% .28 patients at a high level of social support,92 patients at a medium level of social support,11 patients at a low level of social support,a total of 91.60% of the patients in the middle and higher levels of social support.Anxiety and depression scores had significant negative correlation with social support,objective support points and subjective support points.The anxiety,depression difference among different types of pulmonary hypertension was statistically significant.The difference of anxiety and depression scores between patients with idiopathic pulmonary arterial hypertension and patients with pulmonary hyper tension caused by congenital heart disease were significant.The depression scores between pulmonary hy pertension caused by pulmonary veno-occlusive disease and congenital heart disease were significantly different.Conclusions When nurses care pulmonary hypertension patients.those with different types of PH should be given targeted social support.Attention should be paid to transfer the source of social support to help them adopt a positive attitude to face the diseabe,then improve the treatment and care compliance of patients.     

脊髓损伤并瘫痪患者心理护理探讨

目的:探讨脊髓损伤并瘫痪患者的心理护理。方法:对18例脊髓损伤并瘫痪患者不同时期出现的恐惧、焦虑、愤怒、抑郁等心理状况进行了相应的心理护理。结果:18例脊髓损伤并瘫痪患者能消除恐惧、焦虑、愤怒、抑郁等不良情绪,积极配合治疗和护理,无不良事件发生。结论:心理护理是脊髓损伤患者正确面对新生活,战胜疾病的有力保障。     

以弛缓性瘫痪为特点的高位置脊髓损伤临床特征探讨

目的分析以弛缓性瘫痪为特点的高位置脊髓损伤发生原因。方法在1014例创伤性脊髓损伤患者中对以弛缓性瘫痪为特点的高位置脊髓损伤（骨折水平在T₁₀或以上）患者进行分析。结果6例患者被确认为以弛缓性瘫痪为特点的高位置脊髓损伤,其中男性5例,女性1例,平均年龄（42±12）岁。脊髓损伤水平分布在C₇～T₈水平,脊柱骨折水平在T₃～T₁₀。参考骨折水平,4例脊髓损伤水平上升超过3个脊髓节段,其中3例脊髓损伤水平上升出现在外科手术后;1例无明显诱因,伤后48 h出现神经损伤平面进行性上升至C₇水平,伴随胸部严重疼痛。伤后6个月MRI检查,5例患者显示广泛胸段脊髓萎缩变细。结论以弛缓性瘫痪为特点的高位置脊髓损伤非常罕见。其重要特点是病理上存在广泛胸段脊髓萎缩变细。发生原因尚不清楚。     

Decrease of hypertonia after continuous passive motion treatment in individuals with spinal cord injury

OBJECTIVE: To examine the effect of ankle continuous passive motion on the reflex excitability and overall hypertonia of calf muscles in individuals with chronic spinal cord injury and without physical disabilities. DESIGN: Two-way repeated measure experimental design. SETTING: Inpatient rehabilitation department in general hospital. SUBJECTS: The spinal cord injury group comprised eight individuals with chronic complete spinal cord injury and the control group comprised eight healthy people without physical disabilities. An additional eight healthy people were recruited as the sham group. INTERVENTIONS: Each subject received 60 min of continuous passive motion on the ankle joint. MAIN MEASURES: The H-reflex of the soleus muscle was elicited by tibia nerve stimulation just before, immediately after, and 10 min after continuous passive motion. The Modified Ashworth Scale (MAS) score at the ankle joint was recorded for the spinal cord injury group just before and 10 min after continuous passive motion therapy. RESULTS. After 60 min of continuous passive motion of the ankle joint, the H-reflex amplitude at the soleus muscle was depressed in individuals with and without spinal cord injury (77.46 +/- 32.64%, P = 0.047 and 51.76 +/- 26.74% of initial, P<0.0001, respectively). This depression persisted up to 10 min after continuous passive motion only in individuals without spinal cord injury. In individuals with spinal cord injury, the median of MAS scores decreased from 2 to 1.25 after continuous passive motion. CONCLUSION: Sixty minutes of continuous passive motion of the ankle joint decreased reflex excitability and overall hypertonia in people with or without spinal cord injury. The depression of overall hypertonia persisted longer than the reflex excitability in people with spinal cord injury.     

腹泻型肠易激综合征患者的生活质量和心理特征分析

目的探讨腹泻型肠易激综合征（D-IBS）患者的生活质量和心理特征及两者之间的关系。方法在我院门诊连续选取160例D-IBS患者,应用汉化版简明健康调查量表（SF-36）、Zung焦虑自评量表（SAS）和抑郁自评量表（SDS）对其进行评分,分别与国内常模进行比较,并分析生活质量评分与焦虑抑郁评分之间的关系。结果 D-IBS患者SAS和SDS得分比国内常模均明显升高（P〈0.05）,生活质量方面生理功能、心理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等各个维度分值比国内常模均有明显降低（P〈0.05）。160例患者中78例合并焦虑状态,93例合并抑郁状态,焦虑状态发生率48.8%,抑郁状态发生率58.1%,D-IBS患者SAS和SDS得分比国内常模均明显升高（P〈0.05）。经Pearson相关分析显示：生活质量评分与焦虑抑郁评分之间呈负相关（P〈0.05）。结论 D-IBS患者存在焦虑抑郁心理障碍,生活质量明显受损,焦虑抑郁等不良精神心理因素是影响其生活质量主要因素之一。     

自我护理训练对脊髓损伤患者情绪及生活活动能力的影响

目的探讨自我护理训练对脊髓损伤患者情绪及生活活动能力的影响。方法 2014年6月至2015年6月,便利抽样选取本院收治的84例脊髓损伤患者为研究对象,根据抽签法将患者分为观察组及对照组各42例,对照组应用常规护理,观察组应用自我护理训练,对比分析两组患者干预前后负性情绪及生活活动能力的变化。结果观察组干预1个月、3个月、6个月时康复评分均高于对照组(均P0.05);观察组干预后焦虑自评量表、抑郁自评量表评分均低于对照组(均P0.05),而总体健康、生理功能、生理职能、社会功能、健康精神、情感职能等方面评分均高于对照组(均P0.05)。结论自我护理训练能有效改善脊髓损伤患者负性情绪,促进患者康复,提高患者生活质量。     

心理应激性失眠患者情绪特征及其与个性行为的相关性分析

目的初步探讨心理应激性失眠患者焦虑抑郁情绪特征及其与个性行为的相关性。方法采用焦虑自评量表(SAS)与抑郁自评量表(SDS)及A型行为类型问卷(TABP)对56例心理应激性失眠患者的焦虑抑郁情绪及个性行为进行评估。结果心理应激性失眠患者的SAS及SDS评分明显高于常模(P<0.01);按SAS、SDS分级标准,中度以下焦虑患者54例(96.4%),中度以下抑郁患者50例(89.3%),但焦虑抑郁情绪严重程度总体分布情况无统计学意义(P>0.05);56例患者中属于A-型人格22例,明显多于A型(8例)、M型(5例)、B-型(13例)及B型(8例)。结论心理应激性失眠患者存在明显的焦虑抑郁情绪。     

急性心肌梗死患者经皮冠状动脉介入术后心理状态调查与分析

目的了解急性心肌梗死患者经皮冠状动脉介入术后的心理状态。方法采用焦虑自评量表和抑郁自评量表对80例急性心肌梗死患者经皮冠状动脉介入术后24h内进行问卷调查,并与常模对比分析。结果急性心肌梗死患者经皮冠状动脉介入术后24h内焦虑评分平均（39．3±10．0）分、抑郁评分平均（35．9士10．9）分,与全国常模比较有统计学意义（P〈O．05）,其中焦虑合并抑郁34例（占42．50％）,单纯焦虑33例（占41．50％）,单纯抑郁5例（占6．25％）,无焦虑抑郁8例（占10．00％）。结论急性心肌梗死患者经皮冠状动脉介入术后存在较严重的焦虑、抑郁情绪,要对患者进行心理干预。     

脊髓损伤患者康复初期的焦虑抑郁和残疾程度关系研究

目的探讨脊髓损伤患者康复初期的焦虑抑郁和残疾程度,为进一步了解脊髓损伤患者康复干预时机对焦虑抑郁状况和残疾程度的影响提供理论依据。方法采用一般资料问卷、医院焦虑抑郁量表和世界卫生组织的“残疾评定方案2.0”对温州市某三级甲等医院康复科的123例患者进行问卷调查。结果脊髓损伤患者的抑郁分量表得分为(7.69±2.68)分、焦虑分量表得分为(8.37±2.63)分、“残疾评定方案2.0”量表总均分为(15.41±2.57)分。伤害等级、焦虑和抑郁是患者康复初期残疾程度的显著影响因素(P<0.05)。结论脊髓损伤患者在康复初期焦虑抑郁和残疾程度均处于较高水平,且残疾程度受伤害等级、焦虑和抑郁的影响。提示临床治疗时应该关注患者的情绪状态及残疾程度,鼓励患者增加康复信心,促使其早日回归社会。     

情感支持在脊髓损伤伴功能障碍病人中的应用

[目的]探讨情感支持在脊髓损伤伴功能障碍病人中的应用效果。[方法]将脊髓损伤伴功能障碍病人44例随机分成两组,对照组实施常规护理,实验组在实施常规脊柱护理的基础上重点加强病人及家属的情感支持,调查入院第1天和出院前1 d病人的焦虑、抑郁情况及病人、家属的满意度情况。[结果]入院时两组病人焦虑和抑郁比较差异均无统计学意义,而出院时实验组焦虑、抑郁得分明显低于对照组,差异有统计学意义（P〈0.05）,且满意度明显高于对照组。[结论]对脊髓损伤伴功能障碍的病人实施情感支持,能减轻焦虑和抑郁情绪,减少并发症,提高满意度。     

人性化手术室护理对脊髓损伤手术患者焦虑抑郁情绪的影响

目的探讨人性化手术室护理在脊髓损伤患者治疗中的作用。方法将60例接受手术治疗的脊髓损伤患者随机分成2组。干预组在围术期护理的基础上,由手术室护士实施人性化手术室护理,对照组则按传统方式对患者进行常规的围术期护理。2组分别在术前访视前1d和术后第7天采用焦虑自评量表（SAS）和抑郁自评量表（SDs）测评患者心理状况。结果术后SAS、SDS测评结果显示,2组负性情绪均有不同程度的下降,但干预组2次测评结果均明显低于对照组（P〈0．05）,且实施人性化手术室护理后患者及家属满意度提高。结论人性化手术室护理可以缓解脊髓损伤患者焦虑、抑郁情绪,提高生活后旨．