杨丽 储成美

[摘要] 目的 探討人性化护理干预对手术患者焦虑抑郁状况的影响。 方法 选择2016年1月～2017年1月在海安县人民医院行手术治疗的148例患者为研究对象，按照随机数字表法分为常规组和观察组，每组各74例。常规组给予基础护理措施，观察组在常规组基础上给予人性化护理干预。比较手术前后两组患者的心理状态变化情况、术后各项生命体征及护理满意度。 结果 术后观察组焦虑、抑郁自评量表评分低于常规组，差异有统计学意义（P < 0.05）。观察组呼吸、心率、舒张压及收缩压均低于常规组，差异有统计学意义（P < 0.05）。观察组护理总满意高于常规组，差异有统计学意义（P < 0.05）。 结论 手术患者进行人性化护理干预，有利于减轻焦虑抑郁程度，减少应激反应，提高手术耐受力，提高护理满意度。

[关键词] 手术；人性化护理干预；焦虑；抑郁

[中图分类号] R472.3 [文献标识码] A [文章编号] 1673-7210（2018）02（a）-0164-05

Effects of humanized nursing intervention on anxiety and depression in patients underwent surgery

YANG Li1 CHU Chengmei2

1.Department of Surgery， People′s Hospital of Hai′an County， Jiangsu Province， Hai′an 226600， China

2 Department of Gynecology， People′s Hospital of Hai′an County， Jiangsu Province， Hai′an 226600， China

[Abstract] Objective To explore the effects of humanized nursing intervention on anxiety and depression in patients underwent surgery. Methods From January 2016 to January 2017， 148 patients underwent surgical treatment in People′s Hospital of Hai′an County were selected as research objects and divided into the routine group and the observation group by random number table， with 74 cases in each group. The routine group was given basic care intervention and the observation group was given humanized nursing intervention on the bases of routine group. The changes of mental status were observed before and after operation， and the vital signs and nursing satisfaction were observed. The psychological status before and after operation was compared， the vital signs and the nursing satisfaction after the operation were compared between the two groups. Results After operation， the scores of self-rating anxiety scale and self-rating depression scale in the observation group were lower than those of routine group， with statistically significant differences （P < 0.05）. The respiration， heart rate， diastolic blood pressure and systolic blood pressure in the observation group were all lower than those of routine group， with statistically significant differences （P < 0.05）. The total nursing satisfaction rate was higher than that of routine group， with statistically significant difference （P < 0.05）. Conclusion Humanized nursing intervention can reduce the anxiety and depression in patients underwent surgery， reduce the stress responses， improve the surgical tolerance and promote the nursing satisfaction.

[Key words] Surgery； Humanized nursing intervention； Anxiety； Depression

手术属于一种创伤性治疗手段，会导致患者产生负性情绪，影响其神经系统、循环系统及内分泌系统功能，导致心率、脉搏、血压、呼吸等生命体征出现波动，干扰手术效果及术后康复进程[1-3]。故及时发现手术患者不良心理活动，并给予相应护理措施在决定手术成败中具有关键作用[4]。基于此，本研究将人性化护理干预（术前访视、术中舒适护理、术后细致护理等）应用于手术患者护理中，以期最大程度地改善患者各项生理、心理指标，为针对手术室患者的人性化护理提供一定的研究资料，为临床手术实施各项治疗措施提供充分保障。现报道如下：

1 资料与方法

1.1 一般资料

选择2016年1月～2017年1月在海安县人民医院（以下简称“我院”）行手术治疗的148例患者作为研究对象，本研究经我院伦理委员会通过，且所有患者知情同意并签署知情同意书。……