强化心理干预护理模式对子宫内膜异位症手术患者负性情绪的改善效果研究

目的探讨强化心理干预护理模式改善子宫内膜异位症手术患者负性情绪的效果。 方法选择2020年3月至2021年2月在新疆医科大学第一附属医院接受腹腔镜下子宫内膜异位症手术治疗的116例患者作为研究对象。根据随机数字表法将全部患者分为对照组以及观察组，每组均有58例病例，两组年龄分别为（45.95±8.01）岁和（46.01±7.54）岁。对照组患者入院后使用常规护理干预，观察组在对照组干预方法的基础上联合使用强化心理干预护理模式。对比2组的手术相关指标（术后进食时间、术后排气时间、术后下床活动时间）。对比2组术前24 h以及术后7 d的负性情绪情况［焦虑自评量表（SAS）、抑郁自评量表（SDS）］、自我效能、生活质量［中文版健康调查简表（SF-36）］。 结果观察组的术后进食时间、术后排气时间、术后下床活动时间均低于对照组，差异均有统计学意义（均P＜0.05）。观察组术后7 d的SAS评分［（37.28±5.22）分 vs （60.14±7.82）分］、SDS评分［（40.39±5.65）分 vs （62.71±8.15）分］均低于对照组（t=5.713、6.210、均P＜0.05）。观察组术后7d的自我效能水平评分均高于对照组（均P＜0.05）。观察组术后7d的生活质量评分均高于对照组（均P＜0.05）。 结论强化心理干预护理模式有利于改善接受腹腔镜治疗的子宫内膜异位症患者的负性情绪，提升自我效能以及生活质量的水平，促进术后短期的恢复效果。

Effect of intensive psychological intervention nursing in improving negative emotions in patients with endometriosis after surgery

ObjectiveTo explore the effect of intensive psychological intervention nursing in improving negative emotions in patients with endometriosis. MethodsA total of 116 patients who underwent laparoscopic surgery for endometriosis at the First Affiliated Hospital of Xinjiang Medical University from March 2020 to February 2021 were selected as the research subjects. Using a random number table, all patients were divided into either a control group or an observation group, with 58 cases in each group; the mean age of patients in the two groups was (45.95±8.01) years and (46.01±7.54) years, respectively. The patients in the control group received routine nursing intervention after admission, and the observation group was given intensive psychological intervention nursing on the basis of the routine nursing intervention in the control group. The operation related indexes (time to postoperative intake, time to postoperative exhaust, and time to postoperative ambulation) were compared between the two groups. The negative emotions evaluated using the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS)], self-efficacy, and quality of life evaluated using the Chinese version of short form of Health Survey (SF-36)] were compared between the two groups 24 hours before operation and 7 days after the operation. ResultThe time to postoperative intake, time to postoperative exhaust, and time to postoperative ambulation in the observation group were all significantly shorter than those in the control group (P＜0.05). The SAS score (37.28±5.22 vs 60.14±7.82) and SDS score (40.39±5.65 vs 62.71±8.15) in the observation group were both lower than those in the control group (t=5.713 and 6.210, respectively, P＜0.05). The self-efficacy scores of the observation group on the 7th day after operation were all higher than those in the control group (P＜0.05). The quality of life scores of the observation group on the 7th day after operation were all higher than those in the control group (P＜0.05). ConclusionIntensive psychological intervention nursing is conducive to improving the negative emotions of patients with endometriosis treated by laparoscopy, improving the level of self-efficacy and quality of life, and promoting the short-term recovery effect after operation.