Effect of positive psychological intervention on psychological status and quality of life in patients undergoing thoracic surgery operation
10.3760/cma.j.issn.1674-2907.2018.16.014
- VernacularTitle:积极心理干预对改善胸外科手术患者心理状态及生活质量的影响
- Author:
Xiaodan ZHAO
1
;
Jianmin CHEN
;
Yi SHEN
;
Weihong HUANG
Author Information
1. 325000,浙江省温州市中心医院胸外科
- Keywords:
Thoracic surgery operation;
Quality of life;
Psychological state;
Psychological nursing;
Positive psychological intervention
- From:
Chinese Journal of Modern Nursing
2018;24(16):1915-1918
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish the screening condition of psychological intervention for patients in department of chest surgery and to explore the effect of psychological intervention on mental status and quality of life of patients undergoing operation. Methods Firstly, 30 healthy citizens and 30 patients undergone thoracic surgery were selected used simple random sampling method from October 2015 to December 2016. The Quality of Life Assessment Table (SF-36) and 90 Symptom Self-assessment Tables (SCL-90) were used respectively to obtain the ROC curve analysis of each total score. The respective values of them were obtained. Secondly, according to the cut-off value, 90 eligible patients were selected and randomly divided into control group and observation group, 45 cases in each group. The control group was given general care, and the intervention group received positive psychological intervention nursing for 2 weeks. Before and after intervention, all patients underwent SF-36 and SCL-90 scores, and the nursing satisfaction survey was done before the end of the study. Results The ROC curve analysis showed that the patients with SF-36 total score less than 570.55 had poorer quality of life, and the patients with SCL-90 total score more than 13.21 had poor mental status. After the intervention, the SF-36 score in emotional function, social function, the overall health of the two groups had no statistical difference (P>0.05), other indicators of the intervention group were better than the control group, and there were statistical differences (P<0.05); the SCL-90 score of patients in obsessive-compulsive symptoms, depression, psychotic were no significant difference (P>0.05), other indicators of the intervention group were better than the control group, and there were statistical differences (P<0.05). Conclusions The patients undergoing chest surgery with SF-36 total score less than 570.55 and SCL-90 total score more than 13.21 need positive psychological nursing intervention, and positive nursing intervention has a positive impact on the quality of life and psychological status of such patients.
