Effects of short-term structural psychoeducational intervention on pain, compliance, and resilience of microtia patients undergoing external ear reconstruction
ZHAO Feifei ZHU Xingyan CAI Yanli▲#br#
Department of Plastic Surgery, the First Affiliated Hospital of Air Force Military Medical University of Chinese People’s Liberation Army, Shaanxi Province, Xi’an 710032, China
Abstract：Objective To explore the effect of short-term structured psychoeducational intervention on pain, compliance, and resilience of microtia patients undergoing external ear reconstruction. Methods A total of 120 patients with microtia treated in the First Affiliated Hospital of Air Force Military Medical University of the People’s Liberation Army from June 2020 to June 2021 were selected as the research objects. According to the random number table method, they were divided into observation group and control group, with 60 cases in each group. The perioperative control group received routine nursing intervention; the observation group used short-term structured psychological education intervention. The degree of pain at different time points was compared between the two groups; the pain degree of the two groups at different postoperative points was compared. The psychological situation and compliance of the two groups were compared before and after intervention. Results Visual analog scale (VAS) scores at 2, 24, and 36 h after surgery were compared between intra-subject effect and inter-subject effect, the differences were statistically significant (P ＜ 0.05); comparison of postoperative VAS scores between the two groups, the difference was statistically significant (P ＜ 0.05); the VAS scores of the observation group were lower than those of the control group at 2, 24, and 36 h after surgery, and the differences were statistically significant (P ＜ 0.05), the psychological resilience scale (CD-RISC) scores of the two groups were higher than before the intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were lower than before the intervention; CD-RISC score of observation group was higher than control group, SAS and SDS scores were lower than control group, the differences were statistically significant (P ＜ 0.05); the compliance of observation group was better than control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Short-term structured psychological education intervention can significantly alleviate the postoperative pain of patients with microtia and improve their psychological elasticity and compliance.
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