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| Impacts of structured psychological intervention for treating patients with laparoscopic surgery of ectopic pregnancy on their anxiety and depression, stress response, and postoperative recovery |
| People's Hospital of Taihe County, Anhui Province, 236600 |
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Abstract To explore the impacts of structured psychological intervention for treating patients after laparoscopic surgery of ectopic pregnancy on their anxiety and depression, stress response, and postoperative recovery. Methods: From January 2021 to October 2022, 100 patients with laparoscopic surgery (LS) of ectopic pregnancy were selected and were randomlydivided into control group (n=50) and study group (n=50). The patients in the control group received routine care, and the patients in the study group received structured psychological intervention based on the routine care. Self-rating anxiety (SAS) and self-depression scales (SDS) were used to evaluate the psychological status of the patients in the two groups at the time of admission and before entering the operating room. The stress indexes, such as mean arterial pressure (MAP) and heart rate (HR) of the patients in the two groups were measured at the time of admission, when entering the operating room, and before anesthesia. The postoperative recovery indicators of the patients in the two groups were recorded. Results: The scores of SAS and SDS (48.64±4.19 points and 51.02±4.25 points) of the patients in the study group before entering the operating room were significantly lower than those (54.89±6.13 points and 57.84±5.23 points) of the patients in the control group. The values of MAP and HR of the patients in the two groups at the time of entering the operating room and before anesthesia were significantly higher than those of the patients at admission. The MAP value (90.14±10.42 mmHg or 88.57±9.24 mmHg) and the HR value (75.52±6.18 times/min and 75.81±6.29 times/min) of the patients in the study group at the time of entering the operating room or before anesthesia were significantly lower than those (99.42±8.56 mmHg or 97.35±8.03 mmHg, and 83.33±5.85 times/min or 84.52±5.47 times /min) of the patients in the control group. The first exhaust time (23.8±5.3h), the feeding time (7.3±2.4h), the defecation time (1.7±0.5d), and the duration of hospitalization (3.5±0.8d) of the patients in the study group were significantly shorter than those (52.47±5.31h, 9.0±3.2h, 2.2±0.6d, and 4.0±0.9d) of the patients in the control group (all P＜0.05). Conclusion: Implementing structural psychological intervention for treating the patients with LS of ectopic pregnancy can effectively regulate their negative emotions, reduce their surgical stress, and shorten their postoperative recovery time.
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