探讨基于罗森塔尔效应的心理健康教育在腹腔镜手术患者中的应用

摘要/Abstract

摘要： 目的探讨基于罗森塔尔效应的心理健康教育在腹腔镜手术患者中的应用效果。方法纳入2020年3月—2022年3月在枣庄市立医院进行腹腔镜手术的120例患者作为研究对象,根据不同护理干预方式分为试验组和对照组,每组60例。对照组则接受常规护理,试验组在对照组的基础上接受罗森塔尔效应心理健康教育。采用状态焦虑量表（STAI-S）和特质焦虑量表（STAI-T）评估患者焦虑水平,采用视觉模拟量表（VAS）评分评估手术后患者的疼痛程度,记录观察两组患者手术并发症发生情况,包括腹腔感染、肠梗阻、肺炎、心肺功能不全、出血、肺部感染、肺栓塞等。结果干预后,试验组STAI评分显著低于对照组,差异有统计学意义（P<0.05）;干预后,试验组VAS评分显著低于对照组,差异有统计学意义（P<0.05）;试验组在腹腔镜手术过程中出现的并发症发生率低于对照组（P<0.05）。结论罗森塔尔效应的心理健康教育可以有效地改善腹腔镜手术患者的心理状况和减少手术并发症的发生。,有助于医疗工作者更好地选择适当的干预方法,提高患者的手术效果和生活质量。

关键词: 罗森塔尔效应, 心理健康教育, 腹腔镜手术, 术前焦虑, 手术后恢复

Abstract: Objective To explore the effectiveness of psychological health education based on the Rosenthal effect in patients undergoing laparoscopic surgery Methods: 120 patients undergoing laparoscopic surgery in our hospital from March 2020 to March 2022 were included as the study subjects. According to different nursing interventions, 120 patients with laparoscopic surgery were assigned to the experimental group and the control group, with 60 patients in each group. The experimental group received Rosenthal effect mental health education, while the control group received traditional preoperative psychological preparation. State anxiety scale (STAI-S) and trait anxiety scale (STAI-T) were used to assess the anxiety level of patients, and visual analogue scale (VAS) was used to assess the degree of pain experienced by patients after surgery. The occurrence of surgical complications in the two groups was recorded and observed, including abdominal infection, intestinal obstruction, pneumonia, cardiopulmonary insufficiency, hemorrhage, pulmonary infection, pulmonary embolism, etc. Results: Results: After the intervention, the STAI scores of the experimental group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The VAS scores of the experimental group were significantly lower than those of the control group, and the difference was statistically significant (P<0.05). The probability of complications during laparoscopic surgery in the experimental group was lower than that in the control group (P<0.05). Conclusion Psychological health education based on the Rosenthal effect can effectively improve the psychological status of patients and reduce the incidence of surgical complications. These results can help medical professionals to choose appropriate interventions and improve the surgical outcomes and quality of life of patients.

Key words: rosenthal effect, mental health education, laparoscopic surgery, preoperative anxiety, postoperative recovery

中图分类号:

R473.7

张玉平. 探讨基于罗森塔尔效应的心理健康教育在腹腔镜手术患者中的应用[J]. 中华养生保健, 2023, 41(22): 137-141.

ZHANG Yu-ping. To Explore the Application of Psychological Health Education Based on Rosenthal Effect in Patients Undergoing Laparoscopic Surgery[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(22): 137-141.

参考文献

[1] CHEN X, LI H, WANG S, et al.Effects of Quantitative Nursing Combined with Psychological Intervention in Operating Room on Stress Response, Psychological State, and Prognosis of Patients Undergoing Laparoscopic Endometrial Cancer Surgery[J]. Comput Math Methods Med, 2022:6735100.
[2] 孙怡,王元元,许燕萍.基于罗森塔尔效应的心理健康教育对结肠癌患者腹腔镜术后负性情绪及胃肠功能恢复的影响[J].中国肿瘤临床与康复,2020,27(3):367-370.
[3] 郭飏. 罗森塔尔效应在焦虑护生基础护理技能实践教学中的应用[J].护理学杂志,2011,26(5):13-14.
[4] 张小英,车云琼.罗森塔尔效应干预对腹腔镜手术治疗结肠癌患者负面情绪、自理状况及并发症的影响[J].海军医学杂志,2019,40(6):533-536.
[5] 孙玲,温萌,杨茜,等.基于罗森塔尔效应的护理干预对抑郁症病人负性情绪的影响[J].全科护理,2018,16(32):4026-4027.
[6] LI Y, CHEN S, XU M, LIU J.Effect of crisis intervention nursing on perioperative psychological state and self-efficacy of patients undergoing laparoscopic radical hysterectomy[J]. Am J Transl Res, 2021,13(11):12988-12995.
[7] 高学军,叶春花,赵会荣,等.罗森塔尔效应对住院孕早期流产风险妇女心理状况的影响[J].中国实用护理杂志,2017,33(31):2401-2404.
[8] 孙玲,陶敏,许洪英,等.罗森塔尔效应在脑卒中病人负性情绪管理中的应用[J].护理研究,2016,30(36):4592-4594.
[9] 孙琳. 基于罗森塔尔效应的护理干预对脊柱骨折伴脊髓损伤术后患者功能康复及心理状况的影响[J].反射疗法与康复医学,2022,3(10):111-114.
[10] 王晓晓,王小帅,王小伟,等.罗森塔尔效应干预在50例结直肠癌永久性肠造口患者护理应用中的效果分析[J].结直肠肛门外科,2022,28(6):629-634.
[11] 黄丽秋,林鸿斌.心理护理对阑尾炎腹腔镜手术患者心理状况、睡眠质量影响分析[J].世界睡眠医学杂志,2022,9(8):1484-1487.
[12] 黄福琴,胡晓艳,王思琪,等.心理护理干预对泌尿外科腹腔镜手术后提高患者生存质量及心理状态的临床效果分析[J].饮食保健,2021,27:247.
[13] 朱燕梅,王开秀,谭金梅.心理护理干预对宫外孕腹腔镜手术患者负性情绪及术后康复的影响[J].健康必读,2021(16):170-171.
彭雪莲,王桂兰,赵淑萍,等. 手术室心理护理对异位妊娠患者腹腔镜术中情绪状况的影响[J].中国当代医药,2021,28(36):223-225,229.
[15] 王洪艳,李加庆.腹腔镜手术及心理护理治疗妇科良性肿瘤的临床疗效研究[J]. 心理月刊,2020,15(18):131-132.
[16] 覃春媚. 心理护理干预对改善腹腔镜阑尾炎手术患者负性情绪的效果观察[J]. 基层医学论坛,2020,24(3):385-387.

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