瘿病手术患者情志护理的效果观察

目的分析瘿病手术患者的情志状态,探讨中医情志护理的临床效果.方法 60例瘿病手术病人随机分为观察组和对照组,观察组在术前、术后均实施情志护理,对照组按外科常规护理.采用SCL-90症状自评量表评定两组在入院时、手术前、手术后的分值.结果入院时两组SCL-90总均分及恐怖、焦虑等6项分值高于中国成人常模(P＜0.01),入院时两组各分值比较,无统计学差异(均P＞0.05;两组术后SCL-90总均分、焦虑等5项分值存在显著性差异(P＜0.01);观察组术前、术后的SCL-90总均分及恐怖、焦虑等因子分值较入院时降低(P＜0.01);对照组手术前与入院时相比,变化不大(P＞0.05),但手术后恐怖、抑郁2项分值较入院时明显降低(P＜0.01或P＜0.05).结论瘿病手术患者情志呈现中医学认为的"怫郁"和"过激"状态,情志护理可以有效地改善之.

Perioperative emotional nursing of patients with thyroid disease

Objective To probe into the clinical effect of TCM emotional nursing by analyzing thyroid patients' moods at perioperation. Methods 60 patients with thyroid disease were evenly divided into 2 groups at random: 30 in observational group and the other 30 in control group. The patients in the former group were nursed emotionally and the controls nursed conventionally. SCL-90 Symptom Self-evaluation Scale was used to evaluate the scales at admission before and after operation. Results The scores at admission in 6 terms such as horror and anxiety were higher than those of normal standards of Chinese adults (P<0. 01), but there was no significant difference between the groups (P>0. 05). After operation, significant differences were found in 5 terms including SCL-90 total average scores and anxiety (F<0. 01). Comparisons of preoperative and postoperative SCL-90 total average scores, horror and anxiety in the observational group showed a significant decrease (P <0. 01). In the controls there were no statistical differences in comparisons of preoperative and postoperative conditions (P> 0.05), but after operation there was significant drop in terms of horror and anxiety (P<0. 01, P<0. 05). Conclusion Perioperative moods are recognized as gloomy and overanxious' in TCM and thus TCM emotional nursing helps patients to relieve tension.