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Effect of psychological education intervention on acute pain, anxiety, and quality of life after laparoscopic cholecystectomy |
PAN Kefang1 XIA Dengzhi2 |
1.Department of Hepatobiliary Surgery, Chaohu Hospital of Anhui Medical University, Anhui Province, Hefei 238000, China;
2.Department of Outpatient, Chaohu Hospital of Anhui Medical University, Anhui Province, Hefei 238000, China |
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Abstract Objective To analyze the effect of psychological education intervention on acute pain, anxiety, and quality of life after laparoscopic cholecystectomy. Methods A total of 112 patients with laparoscopic cholecystectomy were selected from the Department of Hepatobiliary Surgery, Chaohu Hospital of Anhui Medical University from July 2020 to February 2021. They were divided into observation group and control group by random number table method, with 56 cases in each group. The control group received general health education, and the observation group received psychological education intervention on this basis. Numeric rating scale (NRS), self-rating anxiety scale (SAS), self-rating depression scale (SDS), 36-item short-form (SF-36) scores, analgesia, opioid side effects and postoperative adverse reactions were compared between the two groups. Results After intervention, SAS, SDS, and NRS scores in both groups were lower than before intervention, SF-36 scores were higher than before intervention, and SAS, SDS, and NRS scores in observation group were lower than control group, SF-36 scores were higher than intervention group, the differences were statistically significant (P < 0.05). The postoperative supplementary analgesia rate and the incidence of drug side effects in the observation group were lower than those in the control group, and the differences were statistically significant (P < 0.05). There was no significant difference in postoperative adverse reactions between the two groups (P > 0.05). Conclusion Psychological education intervention for patients after laparoscopic cholecystectomy can reduce postoperative acute pain and opioid-related side effects and improve patients’ anxiety and quality of life.
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