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全盆腔脏器切除后并发心理障碍相关因素及对策研究

  • 蒋素琼

* 通信作者: 蒋素琼, 单位:四川省绵阳市中心医院 621000

摘要

【摘要】
目的 探讨全盆腔脏器切除后并发心理碍障原因分析及护理对策。

方法:采用状态-特质焦虑量表(STAI)148例院行全盆腔脏器切除术患者进行调查分析,并采用自制调查问卷对患者手术前后进行为期7天观察。

结果 盆腔脏器切除患者术后焦虑明显高于术前,尤其状态焦虑升高更明显,差异具有统计学意义(t=-3.028、-3.231,P<0.05);而特质焦虑与术前无明显区别(P>0.05);经Logistic回归分析,年龄、疾病知识评分、失血量、疼痛评分是盆腔切除患者术后发生心理障碍的危险因素,OR值分别为0.947,0.945,0.291,1.026,0.994,1.103,有统计学意义(P<0.05)。

结论 盆腔脏器切除患者多存在抑郁、焦虑心理,应采取必要的护理措施,以减轻患者不良的心理状态,提高患者的手术效果。

关键词:【关键词】全盆腔脏器切除术;心理碍障;护理对策

ABSTRACT

【Abstract】
Objective To investigate the related factors of pelvic exenteration companion psychological obstacles and countermeasure.

Methods 148 cases of pelvic exenteration were investigated relatively with STAI questionnaire, while those were observed by the self-made questionnaire in postpartum 7 days.

Results The postoperative anxiety of patients was significantly higher than that of the patients, especially in the S-AI, the difference was statistically significant (-3.231, t=-3.028, P<0.05); TAI was not significantly different (P>0.05).The age, disease knowledge score, blood loss and pain score were the risk factors of postoperative psychological obstacles in patients with pelvic resection, in which OR values were 0.947, 0.945, 0.291, 1.026, 0.994, 1.103, respectively (P<0.05).

Conclusion  s Many patients had depression and anxiety with pelvic organ resection. It’s necessary to take measure to reduce the psychological state and improve the operation effect.

Key words: 【Key word】Pelvic exenteration; Psychological obstacles; Countermeasure

引用本文 / How to Cite This Article

蒋素琼.全盆腔脏器切除后并发心理障碍相关因素及对策研究[J]. 国际精神病学杂志, , (): -

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