探讨主动性个性化心理干预在成人腹股沟疝围手术期患者中的护理应用效果。

使用简单随机抽样的方法选取2020年1月至2022年1月，南京市高淳人民医院收治的300例腹股沟疝患者作为研究对象，行前瞻性研究。应用随机数字法分为对照组（150例）和观察组（150例）。对照组行常规护理，观察组在对照组基础上联合主动性个性化心理干预，2组均干预至患者出院。比较2组患者手术配合度，干预前、麻醉开始前5 min患者的心率、收缩压、舒张压水平，术后恢复情况，干预前后患者的心理状态及生活质量。

观察组手术总配合率高于对照组；与干预前比，麻醉开始前5 min对照组心率、收缩压、舒张压水平均升高，且高于观察组；观察组术后首次排气、首次下床活动、术后住院、术后恢复进食各个时间均短于对照组；干预后2组焦虑、压力、抑郁评分均降低，观察组低于对照组；2组生活质量各项评分均升高，与对照组比，观察组相对更高，差异均有统计学意义（P<0.05）。

主动性个性化心理干预可有效缩短成人腹股沟疝行手术治疗患者的术中配合程度，对患者术中心率、血压影响较小，促进术后恢复，改善患者心理状态，提高其术后生活质量。

Explore the nursing application effect of proactive personalized psychological intervention in adult inguinal hernia patients during the perioperative period.

A simple random sampling method was used to select 300 patients with inguinal hernia admitted to Nanjing Gaochuan People's Hospital from January 2020 to January 2022 as the research objects for a prospective study. All of the patients were divided into a control group (150 cases) and an observation group (150 cases) by the random number method. Routine care was given to the control group. On the basis of the above, the observation group was combined with proactive and personalized psychological intervention. The patients in both groups were intervened until they were discharged. Compare the surgical coordination, heart rate (HR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) levels between the two groups of patients before and 5 minutes before anesthesia, postoperative recovery, psychological status, and quality of life of patients before and after intervention.

The total operative coordination rate in the observation group was higher than that in the control group. Compared with those before intervention, the levels of HR, SBP, and DBP in the control group increased and were higher than those in the observation group 5 min before anesthesia began. The time of first flatus, first getting out of bed and moving, postoperative hospitalization and postoperative recovery of food intake in the observation group were shorter than those in the control group. After intervention, the anxiety, stress and depression scores of the two groups decreased, which were lower in the observation group than in the control group. However, various scores of the quality of life increased, which was relatively higher in the observation group than in the control group, the differences were statistically significant (all P<0.05).

Active and personalized psychological intervention can effectively shorten the postoperative recovery time of adult inguinal hernia patients undergoing surgical treatment, improve their psychological state, have little impact on the intraoperative physiological changes of patients, and can also improve their intraoperative cooperation and postoperative quality of life.