术前心理干预对白内障手术患者术中配合和术后效果的影响

目的对行白内障手术患者实施术前心理干预措施,并对患者术中配合以及术后效果进行研究。方法选取本院2012年1月～2013年1月收治的68例白内障手术患者,随机将其分成观察组与对照组,每组34例。对照组34例患者采用常规护理,观察组34例患者在常规护理的基础上实施术前心理干预,并对两组患者术前24h、15min焦虑自评量表（SAS）以及对手术室护士护理满意度进行观察比较。结果两组患者术前24hSAS得分差异无统计学意义（P〉0.05）,而术前15min观察组SAS得分明显比对照组低（P〈0.01）。同时对照组34例患者中27例对服务态度满意,28例对技术水平满意,29例对手术治疗满意;观察组34例患者中33例对服务态度满意,32例对技术水平满意,33例对手术治疗满意。观察组患者的满意度明显高于对照组（P〈0.01）。结论术前对白内障手术患者实施心理干预措施,可以有效缓解其紧张、焦虑情绪,从而降低患者心理、生理出现应激反应的概率,增强患者的治愈信心,提升治疗效果,促进患者快速恢复。

Study on influence of psychological intervention before operation to coordination for operation and the effect after operation of patients with cataract operation

Objective To implement preoperative psychological intervention measures against cataract operation patients, and carry out research and discussion on patients and postoperative effect. Methods Sixty eight cases of cataract operation were selected in our hospital from January 2012 to January 2013, they were randomly divided into observation group and control group, each group had 34 cases. The control group was given conventional nursing of 34 patients, 34 patients in observation group were carried out operation on the basis of routine nursing of psychological intervention, SAS scores at 24 hours and 15 min before operation and satisfaction of the patients in the two groups were observed and compared. Results Two groups of patients before 24 hours SAS scores had no significant difference （P 0.05）, and 15 minutes before operation were observed in observation group SAS were significantly lower than the control group （P 0.01）. At the same time, the control group of 34 patients in 27 cases of the attitude of service satisfaction, 28 cases of technical level of satisfaction, 29 cases with operation treatment; the observation group of 34 patients in 33 cases of the attitude of service satisfaction, 32 cases of technical level of satisfaction, 33 cases of operation treatment satisfaction. The results could be seen in the observation group satisfaction was significantly higher than the control group （P 0.01）. Conclusion Psychological intervention on patients with cataract operation can effectively alleviate the tension, anxiety, and reduce the probability of psychological, physiological stress reaction of patients, enhance the patient＇s cure confidence, improve the therapeutic effect, promote the patient quick reply.