Analysis of psychological care of surgical patients

  In recent years, with the formation and development of resuscitation nursing, it has become increasingly recognized that psychological care is equally necessary for surgical patients. Because surgical patients are facing both life threatening and physical pain or disability, they are in a high state of psychological stress. At this point, if good psychological care is provided, it will ease their tension and help turn to peace. Otherwise, if the patient is highly stressed psychologically, coupled with the various stimuli during surgery, it will aggravate the condition and even cause serious consequences.  1, preoperative psychological and psychological care Medical psychologists in China found through surveys that patients often have the following preoperative psychological activities, one is afraid of surgery, and the other is worried. Fear is pain and death, worry about whether there will be accidents, whether they will be disabled and disfigured, etc.. They reported that they were looking forward to early surgery upon admission, and once the surgery day was scheduled, they were terrified, could not eat or sleep well, and had difficulty sleeping despite taking sleeping pills the night before the surgery. Those with mild anxiety have a better outcome; those with severe anxiety have a poor prognosis; and those without anxiety often have a worse outcome. This is because patients without anxiety are overly relieved due to over-reliance on the doctor or surgery and lack of proper psychological preparation for the inevitable pain brought about by physiology.  2. Postoperative psychological and psychological care Patients who have undergone surgery, especially those who have endured major surgery, once they wake up from anesthesia and realize that they have come to life, are quite lucky, which is their desire to know the real situation of their disease and the effect of surgery. Due to the different degrees of damage to the tissues of the torso, they all experience pain at the incision, coupled with the inability of the torso to move on its own and the fear of bleeding or splitting of the incision, which mostly generates anxious and restless mood. At first, they feel that the current pain is difficult to suffer, and after 2-3 days of pain relief, they worry about the prognosis.  3. Help patients to relieve pain Postoperative pain is not only related to the surgical site, incision method and the appropriate application of sedation, but also related to each individual’s pain threshold, tolerance ability and experience of pain. Patients who are overly focused and emotionally stressed can exacerbate pain. Weak willpower, irritability and fatigue can also exacerbate pain. Environmentally, noise, bright light, and warm colors can also exacerbate pain. Therefore, all health care professionals should be sensitive and understanding of the patient’s mood and reduce the patient’s pain in every specific way. For example, giving medication for pain relief within 6 hours after surgery can greatly reduce pain throughout the postoperative period. Waiting to experience severe pain before giving analgesics can exacerbate the pain later. Another example is that placebo and suggestion can reduce pain, and listening to his favorite music can also reduce pain.  4.Help patients overcome depressive reactions After the postoperative patients calm down, most of them appear depressive reactions. The main manifestations are reluctance to talk, reluctance to move, irritability, loss of appetite and poor sleep. If this psychological state of the patient is not relieved in time, it will affect the patient to get out of bed in time, and not getting out of bed as early as possible will affect the patient’s heart, lung and digestive functions, which will easily produce malnutrition, venous thrombosis or secondary infection. Therefore, efforts should be made to help patients to solve their depression. We should accurately analyze the patients’ character, temperament and psychological characteristics, pay attention to the meaning of their few words, and take the initiative to care and considerate them. Certain inconvenient parts of life should be taken care of carefully, such as feeding, assisting to get out of bed, going to the toilet, etc. In short, make them realize that since they have successfully passed the operation, they should strive to recover their health as soon as possible.  5. Encourage patients to treat life positively Most gynecological patients have to go through a long recovery process after surgery. If the prognosis of surgery is good, there is hope for compensation even if it is painful again. If the results after surgery are not good or the prognosis is poor (malignant tumor has metastasized), they will still struggle to die. Patients can’t stand any external mental stimulation when they are in extreme pain, so it is not appropriate to tell them the real situation directly to those patients with poor prognosis. There are some patients who have brought about the destruction of some of the physiological functions of the body (such as gastrectomy, hysterectomy) or mutilation (such as amputation) after surgery, resulting in the inevitable defective psychology in patients with somatic defects. Especially the sudden disability in life will bring great trauma to the patients psychologically, so the doctors and nurses should explain clearly to the patients who may be disabled before surgery, therefore, the medical and nursing staff specifically analyze the psychological state of each patient and give sympathy, support and encouragement, so that they can bravely admit the reality and accept it in order to do psychological care in a targeted way.