Effect of psychological nursing on critically ill patients in department of thoracic surgery
10.3760/cma.j.issn.1674-2907.2013.24.013
- VernacularTitle:心理护理在胸外科重症患者中的应用效果观察
- Author:
Shu-Qin ZHENG
1
;
Xue-Ying WANG
Author Information
1. 江苏省灌南县人民医院普胸外科
- Keywords:
Psychological nursing;
Thoracic surgery;
SF-36 scale;
Incidence of complication;
Nursing disputes
- From:
Chinese Journal of Modern Nursing
2013;19(24):2926-2928
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of psychological nursing on critically ill patients in department of thoracic surgery.Methods Totals of 56 critically ill patients after thoracic surgery were randomly divided into theexperimental group (29 cases) and the control group (27 cases).The control group received conventional nursing care while the experimental group received psychological nursing in addition.SF-36 was used before and after nursing in both groups,and incidence rates of complications and medicaldisputes were investigated and compared.Results There was no statistically significant difference in SF-60 score between two groups before nursing.After nursing,the score of role physical,physical function,body pain,vitality,social function,role emotional,psychological health and total health in SF-36 scale was respectively (87.3 ± 1.2),(84.8 ±1.0),(85.2 ±0.7),(83.2 ±0.6),(85.1 ±1.2),(74.8 ±1.0),(86.4 ±0.5) and (79.2 ±l.2)in the experimental group,higher than (86.1 ± 1.1),(78.9 ± 1.2),(74.2 ± 1.1),(73.4 ± 0.9),(79.4 ± 1.4),(65.9 ± 1.4),(77.3 ± 0.9) and(73.6 ± 1.3)in the control group,and the differences were statistically significant (t =21.051,28.903,37.812,20.962,30.873,26.761,31.080,19.050,respectively; P < 0.05).The incidence rate of complications including postoperative blooding,infection and heart disorder,and medical disputes was respectively 3.4%,6.9%,6.9% and 3.4% in the experimental group,lower than 7.4%,11.1%,14.8% and 29.6% in the control group,and the differences were statistically significant (x2 =2.10,2.76,3.42,4.78,respectively; P < 0.05).Conclusions Psychological nursing should fit the needs of patients' conditions,and its application can reduce the incidence of complications and disputes,so as to guarantee patients' nursing quality.