The influence of improved preoperative psychological care on postoperative recovery of general surgery patients
加强术前心理护理对普外科患者术后恢复的影响

摘要

目的 探究加强术前心理护理对普外科患者术后恢复的影响，明确有效的心理护理措施在促进患者术后康复、减少并发症方面的作用，为优化普外科围手术期护理方案提供依据。方法 于2022年10月至2023年10月，选取某医院普外科收治的100例患者作为研究对象，随机分为对照组和实验组，每组50例。对照组采用常规术前护理模式，实验组在常规护理基础上加强术前心理护理。结果 实验组术后24小时疼痛视觉模拟评分（VAS）为（3.2±0.8）分，低于对照组的（4.8±1.2）分；术后首次排气时间为（28.5±3.5）小时，短于对照组的（35.2±4.2）小时；术后并发症发生率为8%，低于对照组的22%，差异均具有统计学意义（P<0.05）。结论 加强术前心理护理能够有效减轻普外科患者术后疼痛程度，缩短术后首次排气时间，降低术后并发症发生率，对促进患者术后恢复、提高患者康复质量具有积极意义，值得在普外科临床护理中推广应用。

Abstract

Objective To investigate the impact of enhanced preoperative psychological care on postoperative recovery in general surgery patients, to clarify the role of effective psychological care measures in promoting postoperative rehabilitation and reducing complications, and to provide a basis for optimizing perioperative care plans in general surgery.
Methods From October 2022 to October 2023,100 patients admitted to the general surgery department of a hospital were selected as research subjects, randomly divided into a control group and an experimental group, with 50 cases in each group. The control group received routine preoperative care, while the experimental group received enhanced preoperative psychological care in addition to routine care.
Results The visual analog scale (VAS) for pain in the experimental group at 24 hours postoperatively was (3.2±0.8), lower than the control group's (4.8±1.2); the time for the first postoperative bowel movement was (28.5±3.5) hours, shorter than the control group's (35.2±4.2) hours; the incidence of postoperative complications was 8%, lower than the control group's 22%, with all differences being statistically significant (P<0.05).
Conclusion   Enhanced preoperative psychological care can effectively reduce postoperative pain in general surgery patients, shorten the time for the first postoperative bowel movement, and lower the incidence of postoperative complications. It has positive implications for promoting postoperative recovery and improving patient rehabilitation quality, and is worthy of promotion and application in clinical nursing in general surgery.