苏云波　王美萍　周任妹

[摘要]目的 探讨优质护理干预对腹腔镜胆囊切除（LC）患者健康知识认知及心理状态的影响。方法 选取2015年6月～2017年5月我院收治的LC患者120例，将2015年6月～2016年5月行常规护理的60例患者设为对照组，将2016年6月～2017年5月行优质护理干预的60例患者设为观察组。比较分析两组患者的健康知识认知和心理状态的改变情况。结果 出院时观察组患者的健康认知评分均高于对照组，差异均有统计学意义（P<0.05）。干预前，两组患者SAS、SDS评分的比较，差异无统计学意义（P>0.05）；干预后，两组患者的SAS、SDS评分均低于干预前，且观察组患者SAS 、SDS评分均低于对照组，差异均有统计学意义（P<0.05）。结论 对LC患者实施优质护理干预，能明显提升患者的疾病认知水平，有利于改善心理状态。

[关键词]优质护理干预；腹腔镜胆囊切除术；健康知识认知；心理状态

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2018）8（a）-0209-03

Influence of high quality nursing intervention on health knowledge cognition and psychological state of patients undergoing laparoscopic cholecystectomy

SU Yun-bo WANG Mei-ping ZHOU Ren-mei

Department of Nursing， Yichun Hospital of Traditional Chinese Medicine in Jiangxi Province， Yichun 336000， China

[Abstract] Objective To explore the influence of high quality nursing intervention on health knowledge cognition and psychological state of patients undergoing laparoscopic cholecystectomy（LC）. Methods A total of 120 LC patients admitted to our hospital from June 2015 to May 2017 were selected， 60 patients who received routine nursing from June 2015 to May 2016 were selected as the control group， and 60 patients who received high-quality nursing intervention from June 2016 to May 2017 were selected as the observation group. The changes of health knowledge cognition and psychological state of patients of the two groups were compared and analyzed. Results The health cognition scores of patients in the observation group were higher than those in the control group at the time of discharge， and the difference was statistically significant （P<0.05）. Before the intervention， there was no significant difference in SAS and SDS scores between the two groups （P>0.05）. After the intervention， the scores of SAS and SDS in the two groups were lower than those before the intervention， and the scores of SAS and SDS in the observation group were lower than those in the control group， the difference was statistically significant （P<0.05）. Conclusion High quality nursing intervention for LC patients can significantly improve patients′ negative emotion and increase health knowledge cognition.

[Key words] High quality nursing intervention； Laparoscopic cholecystectomy； Health knowledge cognition； Mental state

腹腔鏡胆囊切除术（LC）是治疗胆囊结石、胆囊炎等疾病的最佳方法，该手术具有创口较小、出血量少、术后恢复快等优势，且治疗效果显著，但切除胆囊给患者的心理造成了很大的影响，出现恐惧、焦虑、紧张等负性心理，加上患者对LC手术较为陌生，相关健康知识认知情况较低，均对手术效果、安全性以及术后的康复造成了一定的影响[1-3]。相关研究显示，有效的护理能够有效调节LC患者的负面情绪，促进术后胃肠功能恢复，提升患者术后生活质量[3]，因此，如何做好LC围术期的护理措施，降低患者的负性心理、提高其对LC健康知识认知已成为目前护理工作的重点问题[4]。本研究主要探讨优质护理干预对LC患者健康知识认知及心理状态的影响，现报道如下。

1 资料与……