探讨个性化心理干预联合健康教育在急诊清创缝合术患者中的应用效果

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目的 探析个性化心理干预联合健康教育在急诊清创缝合术患者中的应用效果及对其心理应激的影响.方法 选取2018年1月~2020年12月本院急诊科收治的88例行急诊清创缝合术患者为研究对象,采取数字单双号分为两组(对照组、观察组),各44例.对照组采用常规护理,观察组患者给予个性化心理干预联合健康教育,对比两组护理效果,以心理应激反应、疼痛程度、焦虑、抑郁评分及护理满意度作为研究分析指标.结果 护理干预后,心理应激指标上,观察组舒张压、收缩压、肾上腺素以及心率更低,差异显著(P<0.05);疼痛程度上,观察组视觉模拟量表(VAS)评分明显更低,同时创面缝合时间更短,差异显著(P<0.05);观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分显著低于对照组,差异显著(P<0.05);观察组护理满意度明显高于对照组,差异显著(P<0.05).结论 针对急诊清创缝合术患者,在临床护理上采取个性化心理干预联合健康教育,能够发挥出确切效果,对患者心理应激反应和疼痛程度改善作用明显,降低患者焦虑、抑郁程度,提高护理满意度,有临床推广应用价值.“,”Objective To analyze the application effect of personalized psychological intervention combined with health education in patients with emergency debridement and suture surgery and the impact on their psychological stress. Methods Eighty-eight patients who underwent emergency debridement and suture who were admitted to the emergency department of our hospital from January 2018 to December 2020 were selected as the research objects. They were divided into two groups (control group and observation group) with single and double numbers, with 44 cases in each group. The control group was given conventional nursing care, and the patients in the observation group were given personalized psychological intervention combined with health education. The nursing effects of the two groups were compared, and the psychological stress response, pain degree, anxiety, depression scores and nursing satisfaction were used as the research analysis indicators. Results After nursing intervention, on psychological stress indicators, the observation group had lower diastolic blood pressure, systolic blood pressure, adrenaline, and heart rate, and the difference was significant (P<0.05); in terms of pain degree, the visual analog scale (VAS) score of the observation group was significantly higher Low, meanwhile the wound suture time is shorter, the difference is significant (P<0.05); the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group are significantly lower than those of the control group, the difference is significant (P<0.05); the nursing satisfaction of the observation group was significantly higher than that of the control group, and the difference was significant (P<0.05). Conclusion For patients undergoing emergency debridement and suture surgery, personalized psychological intervention combined with health education in clinical nursing can produce definite results, significantly improve patients\'\'psychological stress response and pain, reduce patient anxiety and depression, and improve nursing care Satisfaction has clinical application value.
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