| 蒋林君,段吉霏,陈素钦.个性化心理指导联合耳穴压豆对妇科腹腔镜手术患者术后恢复及心理状况的影响[J].中国医药导报,2024,21(4):196-200 |
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| 个性化心理指导联合耳穴压豆对妇科腹腔镜手术患者术后恢复及心理状况的影响 |
| Effects of personalized psychological guidance combined with ear point pressure beans on postoperative recovery and psychological status of gynecological laparoscopic surgery patients |
| 收稿日期： 修订日期：2023-05-26 |
| DOI：10.20047/j.issn1673-7210.2024.04.45 |
| 关键词: 妇科 腹腔镜手术 个性化心理指导 耳穴压豆 心理 并发症 |
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| 摘要:目的 研究个性化心理指导联合耳穴压豆对妇科腹腔镜手术患者术后恢复及心理状况的影响。 方法 便利抽取安徽省亳州市人民医院妇一科2021年1月至2022年8月接诊的82例妇科腹腔镜手术住院患者进行研究。按数字奇偶法分为对照组与研究组各41例。对照组采用常规护理干预，研究组采用耳穴压豆联合个性化心理指导干预。两组在住院期间记录并比较肠鸣音恢复时间、肛门排气时间、住院时间、干预前后焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、视觉模拟评分法（VAS）评分及并发症发生率。 结果 研究组术后肛门排气时间、肠鸣音恢复时间、住院时间均短于对照组，差异有统计学意义（P＜0.05）。干预后，两组SAS、SDS、VAS评分低于干预前，且研究组低于对照组，差异有统计学意义（P＜0.05）。研究组术后并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。 结论 个性化心理指导联合耳穴压豆有助于妇科腹腔镜手术患者术后恢复，能有效地改善患者的心理状况，减轻疼痛，具有临床应用价值。 |
| Abstract:Objective To study the effects of personalized psychological guidance combined with ear point pressure beans on postoperative recovery and psychological status of gynecological laparoscopic surgery patients. Methods A total of 82 inpatients with gynecological laparoscopic surgery received from the First Department of Obstetrics and Gynecology of the People’s Hospital of Bozhou from January 2021 to August 2022 were studied. They were divided into control group and study group with 41 cases respectively by digital parity method. The control group was treated with routine nursing intervention, while the study group was treated with ear point pressure bears and personalized psychological guidance intervention. Bowel sound recovery time, anal exhaust time, length of stay, self-rating anxiety scale (SAS) score, self-rating depression scale (SDS) score, visual analogue scale (VAS) score before and after intervention, and complication rate were recorded and compared between the two groups during hospitalization. Results The postoperative anal exhaust time, bowel sound recovery time, and hospital stay in the study group were shorter than those in the control group, and the differences were statistically significant (P＜0.05). After intervention, SAS, SDS, and VAS scores of the two groups were lower than those before intervention, and those of the study group were lower than those of the control group, the differences were statistically significant (P＜0.05). The total incidence of postoperative complications in the study group was lower than that in the control group, and the difference was statistically significant (P＜0.05). Conclusion Individualized psychological guidance combined with earpoint pressure can help patients recover after gynecological laparoscopic surgery, effectively improve their psychological status, relieve pain, and have clinical application value. |
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