心理干预对无痛人流患者临床效果的影响

目的探讨心理干预对无痛人流患者的影响。方法将400例行无痛人流术患者随机分为实验组和对照组各200例，两组均给予无痛人流术常规护理，实验组术前进行心理护理干预。记录两组患者手术出血量及平均手术时间，于术后4h采用自拟满意度问卷调查表评定两组患者的满意度，于心理干预前后采用状态焦虑量表评定两组患者应急情况下的焦虑状况，对两组测评结果进行对比分析。结果实验组患苦平均手术时间较对照组显著缩短，术中平均出血量显著少于对照组（t=10．817、3．98，P〈0．01）．而患者对手术知识的了解情况以及对医护人员等方面的满意度显著高于对照组（Χ^2=4．81，P〈0．05）。两组心理干预后状态焦虑量表评分均较干预前有显著下降（P〈0．01），但实验组较对照组下降更显著（P〈0．01）。结论术前心理干预能有效缓解无痛人流手术患者的焦虑情绪，提高机体对手术适应能力，缩短手术时间、减少手术中出血量，有利于提高手术质量及医护工作的满意度。

The clinical effect of mental intervention on patients with painless induced abortion

Objective To explore the influence of psychological intervention on the patients with painless induced abortion. Methods 400 patients with painless induced abortion were randomly divided into study and control group equally. The 2 groups were given usual care of painless induced abortion operation, and the study group given mental nursing pro-operation. Anxiety status were accessed with State Anxiety Scale（SAS） before and after mental nursing, the satisfaction level were evaluated by Self-designed Satisfaction Questionnaire（SSQ） 4 hours after operation, and the amount of bleeding and average operation time were recorded. Results The amount of bleeding, average operation time and satisfaction level in study group was less, shorter and higher than those in control group respectively. The scores of anxiety scale in both group decreased significantly, and the study group decreased more obvious than the control group. Conclusion Mental intervention pro-operation can relieve anxious mood of the induced abortion patients and enhance the adaptability to operation, shorten operation time, decrease amount of bleeding, and improve satisfaction to doctors and nurses.