Effects of situational health education on the improvement of mental state and quality of life in patients with gastrointestinal surgery in General Surgery Department

Abstract

Objective To explore the effects of situational health education on the psychological status and quality of life of patients with gastrointestinal surgery. Methods Totally 96 patients with gastrointestinal surgery were admitted from May 2016 to April 2017, and they were randomly divided into the control group and the intervention group according to random number table method, with 48 cases in each group. Patients in the control group received routine nursing care, while patients in the intervention group received situational health education for two weeks. The anxiety, depression and quality of life of patients in two groups were compared before intervention and two weeks after intervention. Results There was no significant difference in the anxiety, depression and quality of life of patients between two groups before intervention (P>0.05) . Scores of self-rating anxiety scale (SDS) and self-rating depression scale (SAS) of patients in two groups after intervention were all lower than those before intervention. The scores of SAS and SDS of patients in the observation were [ (48.36±5.47) , (42.36±4.35) ], and they were higher than those of patients in the observation group [ (40.26±3.19) , (35.71±2.79) ], with significant differences (t=8.86, 8.91; P<0.01) . After intervention, the quality of life of patients in the two groups were all improved; the scores of physical symptom, sleep, mental status and social emotion of patients in the observation were all higher than those of control group (t=4.01, 4.83, 4.86, 4.72; P<0.01) . Conclusions On the basis of routine nursing intervention, situational health education may can improve the psychological state of patients with gastrointestinal surgery, and improve their quality of daily life. Key words: Health education; Quality of life; Anxiety; Depression; Gastrointestinal surgery; Situational mode