The impact of individualized psychological nursing and counseling on postoperative trauma patients
个体化心理护理疏导对外科创伤术后患者的影响

摘要

目的 探讨个体化心理护理疏导模式对外科创伤术后患者康复进程、心理状态及并发症发生率的影响效果。方法 选取2024年1月至2025年8月收治的150例外科创伤手术患者，采用随机数字表法将其平均划分为干预组与对照组。对照组实施常规术后护理，干预组则在常规护理基础上叠加实施个体化心理护理疏导措施。结果 干预组患者干预后焦虑自评量表（SAS）评分（42.7±5.3）分显著低于对照组（49.8±6.1）分（t=8.47，P<0.001），抑郁自评量表（SDS）评分（44.2±4.9）分亦显著低于对照组（51.3±5.7）分（t=9.21，P<0.001）。术后第3天，干预组视觉模拟评分法（VAS）评分（3.2±1.0）分显著低于对照组（4.8±1.3）分（t=9.34，P<0.001）。结论 个体化心理护理疏导能有效改善外科创伤术后患者的负性情绪状态，减轻主观疼痛体验，加速机体功能恢复进程，缩短住院时间，降低术后并发症风险，具备显著临床推广价值与应用前景。

Abstract

Objective To explore the effect of individualized psychological nursing guidance mode on the rehabilitation process, psychological state, and incidence of complications of postoperative surgical trauma patients.
Methods 150 surgical trauma patients admitted from January 2024 to August 2025 were selected and randomly divided into an intervention group and a control group using a random number table method. The control group received routine postoperative care, while the intervention group received individualized psychological counseling measures in addition to routine care.
Results After intervention, the Self-Rating Anxiety Scale (SAS) score (42.7 ± 5.3) of the intervention group was significantly lower than that of the control group (49.8 ± 6.1) (t=8.47, P<0.001), and the Self-Rating Depression Scale (SDS) score (44.2 ± 4.9) was also significantly lower than that of the control group (51.3 ± 5.7) (t=9.21, P<0.001). On the third day after surgery, the Visual Analogue Scale (VAS) score of the intervention group (3.2 ± 1.0) was significantly lower than that of the control group (4.8 ± 1.3) (t=9.34, P<0.001).
Conclusion   Individualized psychological nursing counseling can effectively improve the negative emotional state of postoperative patients with surgical trauma, alleviate subjective pain experience, accelerate the process of functional recovery, shorten hospitalization time, and reduce the risk of postoperative complications. It has significant clinical promotion value and application prospects.