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中华疝和腹壁外科杂志(电子版)

中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 621 -624. doi: 10.3877/cma.j.issn.1674-392X.2021.06.019

临床论著

动机性访谈联合音乐放松疗法对老年腹股沟疝患者术前等待期焦虑及术后恢复效果的影响
郑萍1,†()   
  1. 1. 246000　安庆市立医院手术室
  • 收稿日期:2020-12-17 出版日期:2021-12-20
  • 通信作者: 郑萍

Effect of motivational interviewing combined with music relaxation therapy on preoperative waiting period anxiety and postoperative recovery in elderly inguinal hernia patients

Ping Zheng1,†()   

  1. 1. Operating Room, Anqing City Hospital, Anqing 246000, Anhui, China
  • Received:2020-12-17 Published:2021-12-20
  • Corresponding author: Ping Zheng
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郑萍. 动机性访谈联合音乐放松疗法对老年腹股沟疝患者术前等待期焦虑及术后恢复效果的影响[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(06): 621-624.

Ping Zheng. Effect of motivational interviewing combined with music relaxation therapy on preoperative waiting period anxiety and postoperative recovery in elderly inguinal hernia patients[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(06): 621-624.

目的

探讨老年腹股疝患者术前等待期采取动机性访谈联合音乐放松疗法对其焦虑情绪及术后恢复效果的影响。

方法

选取2017年7月至2020年7月安庆市立医院普外科收治的140例老年腹股沟疝患者为研究对象。按照随机数表法将患者分为观察组和对照组，每组各70例。对照组患者术前给予常规护理，观察组在术前常规护理的基础上进行动机性访谈联合音乐放松疗法。记录2组患者在不同时间点的焦虑自评量表（SAS）及抑郁自评量表（SDS）评分；比较2组患者手术情况及术后恢复情况；比较2组患者临床疗效及并发症发生率。

结果

观察组SAS与SDS评分均低于对照组，差异均有统计学意义（P<0.05）；观察组患者术后术中出血量、肛门排气时间、下床活动时间及住院时间均低于对照组（P<0.05）；观察组临床总有效率高于对照组（P<0.05）。而观察组术后并发症总发生率则显著低于对照组（P<0.05）。

结论

动机性访谈联合音乐放松疗法应用于老年腹股疝患者，能有效减轻其焦虑，有助于手术的顺利进行，改善治疗效果并减少并发症的发生。

关键词: 疝，腹股沟, 动机性访谈, 音乐放松, 焦虑
Objective

To investigate the effect of motivational interviewing combined with music relaxation therapy during the waiting period before surgery on anxiety and postoperative recovery of elderly patients with inguinal hernia.

Methods

Participants were 140 elderly inguinal hernia patients admitted in the general surgery department of Anqing City Hospital from July 2017 to July 2020. Patients were randomly divided into observation group and control group according to the random number table, with 70 patients in each group. Patients in the control group were given routine nursing before surgery, while patients in the observation group were given motivational interview combined with music relaxation therapy on the basis of routine nursing before surgery. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) of the two groups were recorded at different time points. The operation and postoperative recovery of the two groups were compared. The clinical efficacy and complication rates of the two groups were compared.

Results

SAS and SDS scores of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). Postoperative and intraoperative blood loss, anal exhaust time, time of getting out of bed activity and hospital stay in the observation group were significantly lower than those in the control group (P<0.05). The total clinical effective rate of the observation group was significantly higher than that of the control group (P<0.05). The total incidence of postoperative complications in the observation group was significantly lower than that in the control group (P<0.05).

Conclusion

The application of motivational interviewing combined with music relaxation therapy in elderly inguinal hernia patients can effectively reduce their anxiety, contribute to the smooth operation, improve the treatment effect and reduce complications.

Key words: Hernia, inguinal, Motivational interviewing, Relaxing music, Anxiety
表1 2组患者干预前后的SAS及SDS评分的比较（分，±s）
组别 例数 SAS SDS
入院时 准备间 入院时 准备间
观察组 70 47.32±4.32 52.65±3.28 46.09±3.67 55.37±5.34
对照组 70 47.39±5.03 56.47±2.89 45.95±4.45 57.99±4.39
t值   0.088 7.310 0.203 3.180
P值   >0.05 <0.05 >0.05 <0.05
表2 2组患者手术情况及术后恢复情况的比较（±s）
组别 例数 术中出血量(ml) 肛门排气时间(h) 下床活动时间(h) 住院时间(d)
观察组 70 9.05±1.69 16.86±1.67 23.87±2.65 5.38±0.57
对照组 70 14.56±2.98 24.98±2.29 35.79±2.63 7.04±0.47
t值   13.456 23.969 26.711 18.799
P值   <0.05 <0.05 <0.05 <0.05
表3 2组患者临床疗效比较[例（%）]
组别 例数 显效 有效 无效 总有效率
观察组 70 41(58.57) 27(38.57) 2(2.86) 68(97.14)
对照组 70 34(48.57) 28(40.00) 8(11.43) 60(85.71)
χ2值         4.892
P值         <0.05
表4 2组患者的并发症发生情况对比[例（%）]
组别 例数 血肿 切口血肿 尿潴留 疝复发 总发生率
观察组 70 1(1.43) 1(1.43) 0 1(1.43) 3(4.29)a
对照组 70 3(4.29) 4(5.71) 4(5.71) 2(2.86) 13(18.57)
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