切换至 "中华医学电子期刊资源库"
高级检索
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
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

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/OL]. 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/OL]. 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)
[1]
Pucheril D, Chun B, Dalela D, et al. Robot-assisted laparoscopic repair of extraperitoneal ureteral inguinal hernia with mesh placement[J]. J Endourol Case Rep, 2017, 3(1): 97-100.
[2]
Yamamoto M, Urushihara T, Itamoto T, et al. Utility of single-incision totally extraperitoneal inguinal hernia repair with intraperitoneal inspection[J]. World J Gastrointest Surg, 2017, 9(12): 264-269.
[3]
孙叶飞，陈晓晨. 腹腔镜下腹股沟嵌顿疝修补术全程护理干预效果[J]. 中国医科大学学报, 2020, 49(1): 84-87.
[4]
焦传东，朱熠林，陶凯, 等. 成人腹股沟疝合并隐睾治疗效果的多中心回顾性研究[J]. 腹腔镜外科杂志, 2020, 25(1): 70-74
[5]
Gu D, Zhou M, Han C, et al. Preoperative anxiety induces chronicpostoperative pain by activating astrocytes in the anterior cingulatecortex region[J]. Rev Assoc Med Bras, 2019, 65(9): 1174-1180.
[6]
Nixon DC, Schafer KA, Cusworth B, et al. Preoperative anxietyeffect on patient-reported outcomes following foot and anklesurgery[J]. Foot Ankle Int, 2019, 40(9): 1007-1011.
[7]
张蕾，陆剑嵘，毛莉娟, 等. 跨理论模型及动机性访谈干预对起搏器囊袋感染移除术患者负性情绪及生活质量的影响[J]. 中国临床研究, 2020, 33(6): 860-862
[8]
宋霈，王孟赞. 耳穴压豆配合五行音乐疗法对冠状动脉介入患者术前焦虑的影响[J]. 中华现代护理杂志, 2017, 23(29): 3775-3779.
[9]
Pisanu A, Podda M, Saba A, et al. Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair[J]. Hernia, 2015, 19(3): 355-366.
[10]
王丽双. 音乐疗法联合术前疼痛教育对慢性硬膜下血肿患者术前焦虑的影响[J]. 齐鲁护理杂志, 2013, 19(20): 74-75.
[11]
李亚楠. 自拟补益肝肾汤与左旋多巴联用对帕金森病患者焦虑评分、睡眠评分的影响[J]. 实用临床医药杂志, 2020, 24(11): 44-47.
[12]
王晨光，徐臣炎，谢昊玮, 等. 腹股沟嵌顿疝无张力修补疗效观察[J]. 腹部外科, 2017, 30(6): 475-478.
[13]
Antoniou SA, Antoniou GA, Bartsch DK, et al. Transabdominal preperitoneal versus totally extraperitoneal repair of inguinal hernia: a meta-analysis of randomized studies[J]. AmJ Surg, 2013, 206(2): 245-252.
[14]
Lundstrm KJ, Holmberg H, Montgomery A, et al. Patient-reported rates of chronic pain and recurrence after groin hernia repair[J]. Br JSurg, 2018, 105(1): 106-112.
[15]
岑云云，孙岩波，许青文, 等. 改良开放TEP术入路治疗腹股沟疝30例治疗体会[J/OL]. 中华疝和腹壁外科杂志(电子版), 2016,(3). 217-218.
[16]
Lemaître S, González CM. Evaluation of anxiety and pain in eyelidsurgery patients: a pilot study[J]. Can J Ophthalmol, 2019, 54(6): 723-726.
[17]
Socea SD, Abualhasan H, Magen O, et al. Preoperative anxietylevels and pain during cataract surgery[J]. Curr Eye Res, 2019, 96(18): 1-6.
[18]
周美玲，许秀君，沈华娟, 等. 动机性访谈对维持性血液透析患者自我管理能力及生活质量的影响[J]. 中国血液净化, 2020, 19(1): 25-28.
[19]
李春静，刘雪珍，欧阳琳娜, 等. 中药联合音乐疗法对新型冠状病毒肺炎患者药物不良反应的干预效果观察[J]. 护理管理杂志, 2020, 20(4): 261-263, 289.
[20]
赖春燕，马建林. 动机性访谈对冠脉介入术后患者服药依从性的影响[J]. 现代预防医学, 2020, 47(1): 185-188.
[1] 张熙东, 贾贺杰, 冯锐, 李路亚, 乔永志, 郑颖. 急诊患者家属焦虑的影响因素[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(05): 319-324.
[2] 高金红, 陈玉梅, 郭韵. 基于King互动达标理论的心理疏导在腹腔镜肝癌切除术患者的应用效果分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(05): 517-520.
[3] 宋连奎, 王建成, 王竹林, 王春生, 木洪伟, 季洪阁. TAPP和TEP治疗腹股沟疝临床效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(04): 445-447.
[4] 马东扬, 李斌, 陆安清, 王光华, 雷文章, 宋应寒. Gilbert 与单层补片腹膜前疝修补术疗效的随机对照研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 629-633.
[5] 周正阳, 陈凯, 仇多良, 邵乐宁, 吴浩荣, 钟丰云. 腹腔镜腹股沟疝修补术后出血原因分析及处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 660-664.
[6] 顾熙, 徐子宇, 周澍, 张吴楼, 张业鹏, 林昊, 刘宗航, 嵇振岭, 郑立锋. 腹股沟疝腹膜前间隙无张力修补术后补片感染10 例报道[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 665-669.
[7] 宋俊锋, 张珍珍. 单侧初发性腹股沟斜疝老年患者经腹腹膜前疝修补术中残余疝囊腹直肌下缘固定效果评估[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 670-674.
[8] 高娟, 徐建庆, 闫芳, 丁盛华, 刘霞. Rutkow、TAPP、TEP 手术治疗单侧腹股沟疝患者的临床疗效及对血清炎症因子水平的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 675-680.
[9] 于新峰, 曾琦, 后强, 徐浩, 操谢芳. 腹腔镜经腹腹膜前疝修补术和腹腔镜完全腹膜外疝修补术对成人腹股沟疝治疗效果及预后分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 681-686.
[10] 方辉强, 黄杰, 随冰琰. 腰方肌阻滞与腹横肌平面阻滞对腹股沟疝腹腔镜手术患者术后镇痛效果的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 697-702.
[11] 张晋伟, 董永红, 王家璇. 基于GBD2021 数据库对中国与全球老年人疝疾病负担和健康不平等的分析比较[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 708-716.
[12] 王玲, 樊文彬, 倪嘉淳, 蔡增进. 功能性便秘与焦虑抑郁共病的研究进展[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(05): 411-416.
[13] 唐小久, 胡曼, 许必君, 肖亚. 肥胖合并胃食管反流病患者严重程度与其焦虑抑郁及营养状态的相关性研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(04): 360-364.
[14] 马云霞, 于金勇, 魏淑凤, 韩臣子. 耳穴疗法对肝气郁结型甲状腺结节合并焦虑抑郁的临床疗效观察[J/OL]. 中华临床医师杂志(电子版), 2024, 18(04): 348-354.
[15] 王丽娜, 吕书霞, 李亚男. 脑卒中偏瘫患者健康焦虑元认知与疾病接受度、恐惧疾病进展的相关性[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 434-440.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号