56例自发性气胸的心理护理体会.docVIP

精品论文 参考文献 56例自发性气胸的心理护理体会 （重庆医科大学附属第一医院胸心外科 重庆 400016）【摘要】目的：探讨自发性气胸的心理干预措施。方法：选取56例在本院就诊的自发性气胸患者作为研究对象，将其随机分成对照组和观察组，每组各28例，对照组采取常规护理，而观察组在对照组基础上加用心理干预措施。评估两组在入院、出院时的SCL-90各因子评分结果。结果：观察组除了敌对性一项因子与对照组无差异性外，其他得分均显著低于对照组（Plt;0.05），且与我国正常人常模得分无差异(Pgt;0.05)。结论：良好的心理护理可以显著改善自发性气胸患者的心理问题。 　　【关键词】自发性气胸；心理；护理；SCL-90评分 　　【中图分类号】R471 【文献标识码】A 【文章编号】1007-8231（2016）11-0009-03 　　Psychological nursing experience of 56 cases of spontaneous pneumothorax 　　Gong Jun. 　　Department of thoracic and cardiovascular surgery, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016,China 　　【Abstract】Objective To explore the psychological intervention measures of spontaneous pneumothorax. Methods A total of 56 cases of spontaneous pneumothorax patients in our hospital as the research object, were randomly divided into control group and observation group, each with 28 cases in each, routine nursing care was taken in control group, while the observation group in the control group and psychological interventions. Evaluation of the SCL-90 scores of the two groups at admission and at discharge. Results In the observation group, the other scores were significantly lower than that of the control group (plt;0.05), and there was no difference between the scores of the control group () and normal subjects (Pgt;0.05). Conclusion Good psychological nursing can significantly improve the psychological problems of patients with spontaneous pneumothorax. 　　【Key words】Spontaneous pneumothorax; Psychology; Nursing; SCL-90 score 　　自发性气胸(Spontaneous pneumothorax，SP)是指多种原因导致肺组织与脏层胸膜破裂，或肺表面的肺大疱破裂以及支气管内空气逸入胸膜腔。多发生于男性青壮年，发病率约为7.4～18/10万人，病情发展迅速，如未得到及时救治可发展为窒息甚至死亡[1]。由于自发性气胸起病突然、疼痛明显等，给患者造成了极大的心理负担，表现为精神紧张、焦虑不安及惊慌恐惧等情绪反应[2]。自发性气胸患者的心理问题是多方面的：如对疾病的恐惧，担心手术的安全性和引流管脱落，晕血，担心气胸的复发和未来生活质量的影响、疼痛引起的焦虑等[3]。本文就本科室的56例自发性气胸患者的心理护理体会简述如下。 　　1.资料与方法 　　1.1 一般临床资料 　　选取2014年1月至2016年1月在本院就诊的自发性气胸患者56例，诊断均符合气胸的诊断标准[4]。其中男性48例，女性8例，年龄（32.65plusmn;4.90）岁。主要症状有胸痛、呼吸困难、咳嗽、发绀