摘要目的 探讨心理干预对全麻后女性患者留置尿管焦虑情绪及适应性的影响.方法 将160例全麻后进行腹部手术、术后留置尿管女性患者,随机分成干预组和对照组各80例,对照组给予常规留置尿管护理,干预组在此基础上,同时在全麻前给予系统的心理干预.观察两组患者麻醉前和麻醉清醒后SAS评分,麻醉清醒后焦虑症的发生率以及尿管留置期间的舒适度.结果 干预组与对照组在麻醉前SAS评分比较差异无统计学意义(P＞0.05),而麻醉清醒后24h内两组比较差异有统计学意义(P＜0.05)；干预组术后尿管留置焦虑症的发生率为16.25％,对照组术后焦虑症的发生率为43.75％,差异有统计学意义(P＜0.05)；干预组在麻醉清醒后12h内尿管留置期间的舒适度明显高于对照组(P＜0.05).结论 对术后留置尿管的女性患者进行麻醉前的心理干预护理,能有效减轻其焦虑情绪,提高尿管留置期间的舒适度,促进康复.

abstractsObjective To explore the effect of psychological intervention on anxiety of female patients with indwelling catheter after general anesthesia.Methods A total of 160 female patients who were received abdominal surgery after general anesthesia and indwelling catheter after operation were randomly divided into intervention group ( n =80 ) and control group ( n =80).Both of the two groups were received normal nursing of indwelling catheter,intervention group received systemic psychological intervention before general anesthesia in addition.All the subjects were evaluated by SAS before and after general anesthesia,the incidence of anxiety and the level of comfort.Results Before general anesthesia,there was no significant difference between two groups in basic SAS value ( P ＞ 0.05 ).But after general anesthesia,the difference was significant ( P ＜ 0.05 ).The prevalence of anxiety in 24 hours after operation was 16.25％ ( 13/80 ) in intervention group,and 43.75％ (45/80) in control group,the difference was significant ( P ＜ 0.05 ).The comfort of indwelling catheter in 12hours after operation in intervention group was significantly higher than that of control group ( P ＜ 0.05 ) Conclusions Psychological intervention can effectively ease the anxiety of female patients with indwelling catheter after operation,and improve the comfort for the period of indwelling catheter.