Analysis of the influence of perioperative psychological nursing on plastic surgery patients
围术期心理护理对整形美容患者的影响分析

摘要

目的 探究整容美容患者在围术期经心理护理干预，患者的心理乃至生理、满意度受其影响程度。方法 纳入2021年2月-2022年2月之间有整容美容意向并自主接受手术的患者80例，将患者进行随机分组并展开研究，围术期40例患者在常规的整形美容护理下接受手术（对照组），对其他40例患者则在围术期行心理护理干预（观察组），对比患者经干预前后的心理SAS量表评分以及SDS量表评分；统计患者术前一天、麻醉前的生理体征数值：血压（mmHG）、心率（次/分）；统计患者术后对于整形美容的护理满意度。结果 护理前，两组患者SAS量表评分以及SDS量表评分普遍略高，但处于平稳水平，无明显的差异，护理后，观察组的SAS量表评分以及SDS量表评分明显降低，对照组的SAS量表评分以及SDS量表评分在护理前的基础上略低；术前一天对患者进行生理上的血压、心率评估，两组数值差异不明显，麻醉前进行二次评估时，观察组的血压、心率正常，对照组生理指标略偏高；观察组满意率偏高，（P<0.05）。结论 整形美容患者存在不同程度的心理恐惧感，通过心理护理可打消患者的顾虑，有利于患者心理、生理健康的维护。

Abstract

Objective To explore the degree of psychological and even physiological and satisfaction effects of cosmetic surgery patients undergoing psychological nursing intervention during the perioperative period.
Methods A total of 80 patients who had the intention of cosmetic surgery and underwent surgery between February 2021 and February 2022 were enrolled. The patients were randomly divided into groups and the study was carried out. During the perioperative period, 40 patients received surgery under routine cosmetic surgery care. (control group), the other 40 patients received psychological nursing intervention in the perioperative period (observation group), and the psychological SAS scale and SDS scale scores of the patients before and after the intervention were compared; Physiological sign values: blood pressure (mmHG), heart rate (beats/min); patients' satisfaction with plastic surgery after surgery was counted.
Results Before nursing, the SAS and SDS scores of the two groups of patients were generally slightly higher, but at a stable level, with no significant difference. After nursing, the SAS and SDS scores of the observation group were significantly decreased, and the control group The SAS scale score and SDS scale score of the patients were slightly lower than those before nursing; the physiological blood pressure and heart rate of the patients were evaluated the day before surgery, and there was no significant difference in the values between the two groups. The blood pressure and heart rate were normal in the control group, and the physiological indicators in the control group were slightly higher; the satisfaction rate in the observation group was higher (P<0.05).
Conclusion   There are different degrees of psychological fear in patients with plastic surgery and beauty. Through psychological nursing, the concerns of patients can be dispelled, which is beneficial to the maintenance of patients' psychological and physical health.