心理干预对特发性脊柱侧弯患者围手术期医学应对方式的影响分析

发布时间：2018-07-27 21:08

【摘要】：[目的]探讨心理干预对特发性脊柱侧弯患者围手术期医学应对方式的影响,为脊柱侧弯患者围手术期护理提供依据。[方法]使用问卷调查法,对2014年12月~2015年12月本院骨科收住的脊柱侧弯患者50例[其中男8例,女42例;平均年龄(18.5±5.2)岁],采用焦虑自评量表(SAS)及医学应对方式问卷(MCMQ)进行心理状况调查,并根据患者焦虑产生的原因进行有效心理干预。[结果]入院时患者多存在焦虑、抑郁等负性情绪,多采用屈服、回避等的应对方式,经过心理干预后,患者的焦虑程度比入院时明显降低(P0.05),积极的应对方式明显提高,负性情绪明显减轻,手术心理适应度明显增加。[结论]心理干预可以使特发性脊柱侧弯围手术期患者有效转变应对方式,积极面对,促进了患者心理健康,对保证围手术期安全性具有积极的作用。
[Abstract]:Objective: to explore the effect of psychological intervention on perioperative medical coping style of idiopathic scoliosis patients, and to provide basis for perioperative nursing care of patients with scoliosis. [methods] A questionnaire survey was conducted in 50 patients with scoliosis received from orthopedic department of our hospital from December 2014 to December 2015, including 8 males and 42 females. The average age was (18.5 卤5.2) years. The psychological status was investigated by (SAS) and (MCMQ), and effective psychological intervention was carried out according to the causes of anxiety. [results] there were more negative emotions such as anxiety, depression and so on admission. After psychological intervention, the degree of anxiety of patients was significantly lower than that of admission (P0.05), and the positive coping style was obviously improved. The negative emotion was obviously alleviated, and the degree of psychological adaptation was obviously increased. [conclusion] Psychological intervention can effectively change the coping style of patients with idiopathic scoliosis during perioperative period, face it positively, promote the mental health of patients, and play a positive role in ensuring the safety of perioperative period.
【作者单位】：解放军第306医院骨科全军脊柱外科中心;
【分类号】：R473.6

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