耳鼻咽喉科老年患者手术前心理护理的临床分析
关键词:老年患者
【摘要】目的探讨和分析耳鼻咽喉科老年患者手术前的心理障碍及心理需求。方法对160例耳鼻咽喉科老年患者手术前心理状况进行调查和评估,制定心理治疗计划。%,焦虑感94%,悲观失望50%,%,对医护人员过度要求25%。156例患者通过心理护理后能够积极配合,手术顺利完成。结论术前心理护理对耳鼻咽喉科老年患者手术有很重要的作用。
【关键词】老年患者;耳鼻咽喉科;手术;心理护理
Clinical analysis of preoperative psychological nursing for senile patients in department of ENT
【Abstract】 Objective To study the mental health state of preoperative senile patients of The preoperative mental health state of 160 senile patients were evaluated and psychological nursing was Among these senile patients,the occurence rate of preoprative fear,anxiety,depression,fear of operation pain and too muc
h requiring for doctors was %,94%,50%,% and 25% cases accepting psychological nursing were operated Psychological nursing have active promotion for those senile patients who would accept ENT operation.
【Key words】 senile patient;ENT operation;psychological nursing
随着医学模式的转变,人们健康意识的提高,病人对医疗质量的要求也越来越高。通过我院1998年5月~2004年5月对160例耳鼻咽喉科老年患者手术前心理状况的调查,分析老年患者的心理需求,并针对需求采取相应的心理护理及咨询,使老年患者在术前具有良好的心理准备,积极配合手术治疗,对手术效果及预后均起到良好的作用。现将该组病例术前心理调查的临床分析报告如下。
1 对象与方法
调查对象本组160例,男144例,女16例,年龄60~92岁,平均76岁。疾病种类:喉癌176例,鼻窦恶性肿瘤12例,中耳癌20例,鼻息肉52例。160例手术前全部做了临床及病理学检查确定诊断。
方法首先对本组老年患者心理状况进行评估[1],即:对患者术前恐惧感、焦虑感、悲观失望、害怕术中疼痛、对医护人员过
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