Analysis of nursing effect of preoperative psychological intervention on patients undergoing otolaryngology-head and neck surgery
耳鼻喉头颈外科手术患者术前心理干预的护理效果分析

摘要

目的 探究针对性术前心理干预在耳鼻喉头颈外科手术患者中的应用效果。方法 选取2023年1月至2024年1月在本院接受耳鼻喉头颈外科手术的120例患者作为研究对象，采用随机数字表法将其分为对照组与实验组，每组各60例。对照组实施常规术前护理，实验组在对照组基础上增加针对性术前心理干预。结果 术前1日，实验组SAS评分显著低于对照组（t=10.523，P＜0.05）；实验组手术配合度优良率高于对照组（χ²=8.538，P＜0.05）；术后实验组首次下床活动时间、咽喉部疼痛缓解时间及住院天数均短于对照组（t=12.345、14.216、9.876，P均＜0.05）。结论 对耳鼻喉头颈外科手术患者实施针对性术前心理干预，可有效缓解其术前焦虑情绪，提高手术配合度，促进术后早期康复，具有较高的临床应用价值。

Abstract

Objective To explore the application effect of targeted preoperative psychological intervention in patients undergoing otolaryngology-head and neck surgery.
Methods A total of 120 patients who underwent otolaryngology-head and neck surgery in our hospital from January 2023 to January 2024 were selected as the research objects. They were divided into a control group and an experimental group by random number table method, with 60 patients in each group. The control group received routine preoperative nursing, while the experimental group received additional targeted preoperative psychological intervention on the basis of the control group.
Results On the day before surgery, the SAS score of the experimental group was significantly lower than that of the control group(t=10.523, P＜0.05);the excellent and good rate of surgical cooperation in the experimental group was higher than that in the control group(χ²=8.538,P＜0.05);the time to first ambulation after surgery, the relief time of pharyngeal pain, and the length of hospital stay in the experimental group were all shorter than those in the control group(t=12.345,14.216,9.876,all P＜0.05).
Conclusion   Implementing targeted preoperative psychological intervention for patients undergoing otolaryngology-head and neck surgery can effectively alleviate their preoperative anxiety, improve surgical cooperation, and promote early postoperative rehabilitation, which has high clinical application value.