早期支持性心理干预对胸外科患者术前应激状态的影响

目的：探讨早期支持性心理干预对胸外科手术患者术前应激状态的影响。方法将62例胸外科手术患者按贯序法分为干预组和对照组，每组31例。对照组采取一般术前护理，干预组在此基础上进行支持性心理干预。采用状态焦虑特质问卷（STAI）对两组患者手术预约时、术前1 d的心理指标进行评价，并对患者预约手术时至入室15 min的收缩压、舒张压、脉搏变化进行监测。结果所有患者预约手术时平均STAI评分均显著高于国内常模（P＜0.05），提示患者术前存在明显的心理应激反应。术前1 d干预组平均STAI评分显著低于对照组（P＜0.05），预约手术时至入室15 min的收缩压、舒张压、脉搏变化明显优于对照组。结论早期支持性心理干预对降低胸外科患者术前心理应激水平，稳定生命体征具有重要价值。

Inlfuence of Early Supportive Psychological Intervention on Preoperative Stress State of Patients in Department of Thoracic Surgery

Objective To explore the inlfuence of early supportive psychological intervention on preoperative stress state of patients who would undergo thoracic surgeries.Methods 62 patients were divided into intervention group （31 cases） and control group （31 cases） with sequential method. The patients in control group were nursed with general preoperative nursing method while the patients in intervention group were nursed with early supportive psychological intervention method based on general preoperative nursing method. The psychological indicators of all the patients during the process of surgery appointment and 1 d before operation were evaluated with state-trait anxiety inventory （STAI） while the changes of systolic pressure, diastolic pressure and pulse of all the patients during the period from surgery appointment to 15 min after entering into the operating room were monitored.ResultsThe average STAI scores of psychological indicators of all the patients during the process of surgery appointment were signiifcantly higher than that of national norm （P〈0.05）, which indicated that patients who would undergo thoracic surgeries had obvious preoperative psychological stress reactions. The average STAI scores of psychological indicators of patients at 1d before operation in intervention group were signiifcantly lower than that of patients in control group （P〈0.05） and the changes of systolic pressure, diastolic pressure and pulse of patients during the period from surgery appointment to 15 min after entering into the operating room in intervention group were signiifcantly better than that of patients in control group.Conclusion Early supportive psychological intervention plays an important role in reducing the psychological stress levels and stabilizing the vital signs of patients who would undergo thoracic surgeries.