基于放松训练的心理护理对胸腔镜非小细胞肺癌手术患者疼痛的影响

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目的 探究为胸腔镜非小细胞肺癌手术患者实施基于放松训练的心理护理对疼痛的影响.方法 于本院2020年2月~2021年2月收治的胸腔镜非小细胞肺癌手术患者中随机抽取118例为研究对象,按照患者手术日期的先后顺序分为两组,即常规组(n=59)与心理组(n=59).常规组患者术中接受基础护理,心理组患者接受基于放松训练的心理护理.统计两组患者护理前后的焦虑情绪评分、抑郁情绪评分与疼痛程度评分、疼痛知识掌握评分以及临床神经卫生症状评分、护理依从性评分.结果 两组患者护理前的焦虑、抑郁情绪评分结果相比,差异无统计学意义(P>0.05).相较于常规组患者,心理组对象护理后焦虑、抑郁情绪的评分结果均明显更低(P<0.05).两组患者护理前的疼痛程度、疼痛知识掌握评分结果相比,差异无统计学意义(P>0.05).相较于常规组患者,心理组对象护理后的疼痛程度评分明显更低(P<0.05);且疼痛知识掌握程度明显更高(P<0.05).两组患者护理前的症状自评量表(SCL-90)评分结果相比,差异无统计学意义(P>0.05).相较于常规组患者,心理组对象护理后SCL-90评分显著更低(P<0.05);且护理依从性明显更高(P<0.05).结论 对于接受胸腔镜手术的非小细胞肺癌患者来说,基于放松训练为其实施心理护理,可引导患者以积极、放松的心态面对手术.也很好地缓解了患者的疼痛程度,加深患者对疾病相关知识的认识.构建良好医患关系,提升患者的护理依从性.“,”Objective To explore the effect of psychological care based on relaxation training on pain for patients undergoing thoracoscopic nonsmall cell lung cancer surgery. Methods From February 2020 to February 2021, 118 patients with thoracoscopic non-small cell lung cancer surgery were randomly selected as the research objects, and the patients were divided into two groups according to the order of the date of surgery, namely the conventional group (n=59) and the psychological group (n=59). Patients in the routine group received basic nursing during the operation, and patients in the psychological group received psychological nursing based on relaxation training. The anxiety score, depression score, pain degree score, pain knowledge master score, clinical neurohygiene symptom score, and nursing compliance score of the two groups of patients before and after nursing were counted. Results There was no significant difference in the scores of anxiety and depression before nursing between the two groups of patients(P>0.05). Compared with the patients in the routine group, the scores of anxiety and depression in the psychological group were significantly lower after nursing (P<0.05). There was no significant difference in the pain degree and pain knowledge mastery score between the two groups of patients before nursing (P>0.05). Compared with patients in the routine group, the pain degree score of the subjects in the psychological group after nursing was significantly lower (P<0.05); and the degree of pain knowledge mastery was significantly higher (P<0.05). There was no significant difference in the symptom check list-90 (SCL-90) score results of the two groups before nursing care (P>0.05). Compared with patients in the routine group, the SCL-90 scores of the subjects in the psychological group after nursing were significantly lower (P<0.05); and the nursing compliance was significantly higher (P<0.05). Conclusion For patients with non-small cell lung cancer undergoing thoracoscopic surgery, psychological care based on relaxation training can guide the patients to face the operation with a positive and relaxed attitude. It also relieves the patient\'\'s pain and deepens the patient\'\'s knowledge of the disease, build a good doctor-patient relationship and improve patient care compliance.
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