陆华群 邹惠娟 何灼彬

[摘要]目的 探讨心理护理联合磺胺嘧啶银脂质水胶敷料（优拓SSD）对包皮环切术后患者负面情绪及并发症的影响。方法 选取2017年12月～2018年12月我院84例行包皮环切术患者，按照护理方法的不同分为两组，每组各42例。观察组给予心理护理联合优拓SSD，对照组给予一般护理，且对两组焦虑评分、疼痛评分及并发症总发生率进行观察及评估。结果 干预前两组焦虑评分比较，差异无统计学意义（P>0.05）;干预后观察组焦虑评分低于对照组，差异有统计学意义（P<0.05）。干预前两组疼痛评分比较，差异无统计学意义（P>0.05）;干预后观察组疼痛评分低于对照组，差异有统计学意义（P<0.05）。观察组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 心理护理联合优拓SSD应用于包皮环切术后患者有利于减轻负面情绪及降低并发症发生率，值得临床应用及推广。

[关键词]心理护理;磺胺嘧啶银脂质水胶敷料;包皮环切术;负面情绪

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0250-03

[Abstract] Objective To investigate the effect of psychological nursing combined with Sulfadiazine silver lipid water gel dressing （excellent SSD） on negative emotion and complications in patients after circumcision. Methods Eighty-four patients undergoing circumcision from December 2017 to December 2018 were enrolled in the study. They were divided into two groups according to the different nursing methods， 42 cases in each group. The observation group was given psychological care combined with the excellent SSD， and the control group was given general nursing. The anxiety score， pain score and total complication rate of the two groups were observed and evaluated. Results There was no significant difference in anxiety score between the two groups before intervention （P>0.05）. The anxiety scores of the observation group were lower than those of the control group after intervention， the difference was statistically significant  （P<0.05）. There was no significant difference in the pain score between the two groups before intervention （P>0.05）. The pain score in the observation group was lower than that in the control group after intervention， the difference was statistically significant （P<0.05）. The total incidence of complications in the observation group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Psychological nursing combined with excellent SSD is beneficial to alleviate negating emotions and reducing the incidence of complications in patients after circumcision. It is worthy of clinical application and  promotion.

[Key words] Psychological nursing; Sulfadiazine silver lipid water gel dressing; Circumcision; Negative emotions

包皮環切术是临床治疗泌尿科及男性科疾病常见手术，部分患者在手术治疗期易产生强烈的负面情绪，继而对手术治疗效果造成不利影响，针对以上情况，临床建议在手术治疗期实施心理护理干预，即在满足患者生理、心理需求的同时提供优质服务，便于帮助患者减轻负面情绪，对保证手术治疗顺利具有积极作用[1]。该类患者手术治疗结束一般采用传统换药方法，即选择无菌纱布与凡士林纱布……