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目的研究综合干预对痔疮患者围手术期焦虑情绪的影响。方法根据焦虑自评量表(SAS),将有术前焦虑的82例痔疮患者随机分为干预组(41例)和对照组(41例)。对照组行常规治疗和干预,干预组在此基础上加用围手术期综合干预,记录并评估患者术前24 h和0.5 h的SAS评分、睡眠效果和术后并发症发生率等指标。结果围手术期综合干预后,干预组患者SAS评分分别为43.33±3.92分和52.55±2.95分和匹茨堡睡眠质量指数量表评分分别为4.21±1.12分和8.15±1.87分,明显优于对照组术前24 h和0.5 h的SAS评分(53.15±3.64,59.45±4.13)和匹茨堡睡眠质量指数量表评分(4.21±1.12分和8.15±1.87),干预组的术后并发症发生率明显低于对照组患者(P<0.05)。结论围手术期综合干预能有效改善痔疮患者术前的焦虑情绪。
Objective To study the effect of comprehensive intervention on the patients with hemorrhoids during perioperative anxiety. Methods According to SAS, 82 hemorrhoids patients with preoperative anxiety were randomly divided into intervention group (41 cases) and control group (41 cases). The control group received routine treatment and intervention. On the basis of this, the intervention group combined with perioperative comprehensive intervention to record and evaluate the SAS score, sleep effect and postoperative complication rate at 24 h and 0.5 h before operation. Results After perioperative intervention, the scores of SAS in the intervention group were 43.33 ± 3.92 and 52.55 ± 2.95 respectively, and the Pittsburgh Sleep Quality Index Scale was 4.21 ± 1.12 and 8.15 ± 1.87 respectively, which was significantly better than the control The SAS scores (53.15 ± 3.64, 59.45 ± 4.13) and the Pittsburgh Sleep Quality Index Scale (4.21 ± 1.12 and 8.15 ± 1.87) at 24 h and 0.5 h before surgery were significantly higher in the intervention group than those in the intervention group Significantly lower than the control group patients (P <0.05). Conclusion Perioperative comprehensive intervention can effectively improve the preoperative anxiety in patients with hemorrhoids.