目的 探讨腰椎椎管狭窄症患者围手术期采用心理调适能力干预的效果。方法 选取我院2022年1月至2022年12月92例腰椎椎管狭窄症患者作为研究对象,以护理方案不同分组,每组46例。对照组实施常规心理护理,观察组实施心理调适能力干预。比较2组干预前后的情绪状态[正性情绪(PA)、负性情绪(NA)]、术后疼痛程度、自我效能感[一般自我效能感评分(GSES)]、生活质量。结果 干预后观察组PA评分高于对照组,NA评分低于对照组(P＜0.05)；观察组术后3d的疼痛程度轻于对照组(P＜0.05)；干预后观察组GSES评分高于对照组(P＜0.05)；干预后观察组躯体功能评分、社会功能评分、心理功能评分高于对照组(P＜0.05)。结论 围手术期腰椎椎管狭窄症患者实施心理调适能力干预能改善患者的负性情绪,减轻其术后疼痛,同时能增强患者自我效能感,提高其生活质量。

Objective To investigate the effect of psychological adjustment ability intervention in patients with lumbar spinal stenosis during perioperative period. Methods A total of 92 patients with lumbar spinal stenosis from January 2022 to December 2022 in our hospital were selected as research objects, 46 cases in each group were divided into different nursing programs. The control group received routine psychological nursing, and the observation group received psychological adjustment ability intervention. The emotional state [positive emotion (PA), negative emotion (NA)], postoperative pain degree, self-efficacy [general self-efficacy score (GSES)] and quality of life of the two groups were compared before and after intervention. Results After intervention, PA score of observation group was higher than control group, NA score was lower than control group (P < 0.05). The postoperative pain degree of the observation group was less than that of the control group (P < 0.05). After intervention, the GSES score of observation group was higher than that of control group (P < 0.05). After intervention, the physical function score, social function score and psychological function score of the observation group were higher than those of the control group (P < 0.05). Conclusion Psychological adjustment ability intervention can improve negative emotions, reduce postoperative pain, enhance self-efficacy and improve quality of life of patients with perioperative lumbar spinal stenosis.