阶段性心理干预对复杂性肾结石患者焦虑、疼痛负性情绪的改善效果

目的:研究阶段性心理干预对复杂性肾结石患者负性情绪的改善效果。方法:选取2012年8月—2016年8月我科室诊治的复杂性肾结石患者86例,按照数字表法分为研究组和对照组各43例,所有患者行单通道微创经皮肾镜联合输尿管软镜治疗,对照组给予常规护理干预,研究组在此基础上给予阶段性心理干预,比较两组患者焦虑、疼痛负性情绪的改善情况。结果:手术前1d两组患者患者自评量表(SAS)评分较入院时升高,对照组评分高于研究组,但是组间比较差异无统计学意义(P0.05);出院时两组患者SAS评分均下降,组间比较差异有统计学意义(t=-2.637,P0.05);两组患者VAS评分均明显下降,研究组患者评分低于对照组,组间比较差异有统计学意义(t=-16.065,P0.05),手术后研究组止痛药使用率为13.95%,明显低于对照组,组间比较差异有统计学意义(χ~2=4.17,P0.05)。结论:阶段性心理干预对复杂性肾结石患者焦虑、疼痛负性情绪具有明显的改善效果,促进手术康复,值得广泛推广应用。

Effect of stage Psychological Intervention on Anxiety and Negative Emotion of Patients with Complex Renal Calculi

Objective:To study on the effect of stage psychological intervention on anxiety and negative emotion of patients with complex renal calculi.Methods:We selected 86 patients with complex renal calculi treated in our department from August 2012 to August 2016.according to the digital table method,the patients were randomly divided into study group and control group,each group had 43 patients.All patients were treated with minimally invasive percutaneous nephrolithotomy combined with ureteroscopy,The control group was given routine nursing intervention,and the study group was given psychological intervention on this basis,We compared two groups of patients with anxiety,pain,negative mood improvement.Results:The SAS scores of the two groups were higher than those of the patients on the day before surgery,But there was no significant difference between the two groups(P ＞0.05);When the patient was discharged,the SAS scores of the two groups were decreased,the difference between the two groups was statistically significant(t =-2.637,P＜0.05);The VAS scores of the two groups were significantly decreased,the scores of the study group were lower than those of the control group,the difference was statistically significant(t =-16.065,P＜0.05);After operation,the analgesic use rate of the study group was 13.95 ％,which was significantly lower than that of the control group (x2-4.17,P ＜ 0.05).Conclusion:The effect of stage psychological intervention on anxiety and negative emotions of patients with complex renal calculi is obvious,and it can promote the recovery of operation,which is worthy of wide application.