The Effect Of Psychological Intervention On Peri-operative Anxiety And Postoperative Pain In Patients With Gastrointestinal Tumor

Objective To analyze the effect of preoperative psychological intervention on the perioperativeanxiety and postoperative pain in patients with gastrointestinal tumor.Methods 110 patients with gastrointestinal tumor receiving surgical treatment were selected from the department of gastrointestinal surgery of a A-grade hospital in Anhui Hefei from April 2014 to October 2014. All cases were randomly allocated into experimental group (58 cases) and control group (52 cases). Patients in control group received conventional psychological care, and patients in experimental group was treated with relaxation therapy and music therapy based on the basis of conventional nursing care. Postoperative anxiety and pain were evaluated within 72 hours after surgery, and postoperative hospital stay was compared between the two groups.Results There was no significant difference between the patients in the two groups regarding epidemiological data and anxiety score on admission. There were also no difference between two groups in SAI (t=0.63, P=0.53) and TAI (t=0.97, P=0.33) scores. Patients in experimental group were less anxious than those in control group. Using repeated measures ANOVA, the perioperative SAI (F=6.55, P=0.01) and TAI (F=6.92, P=0.01) of patients in experimental group were significant lower than that in the control group. Using T-test the results showed that there was statistical significance of the SAI scores in the day before surgery (t=2.75, P=0.01) and the third day after surgery (t=2.85, P=0.01) between the two groups at the same time points, the same result in the TAI scores in the day before surgery(t=2.38, P=0.02) and the third day after surgery(t=3.05, P<0.01). During perioperative period, anxiety of the patients in control group was increased gradually; in contrast, anxiety of patients in experimental group was reduced gradually. The patients in experimental group suffered from less pain than patients in control group. Using repeated measures ANOVA, comparing with the patients in control group, NRS scores in experimental group were lower, and the difference was statistically significant (F=6.88, P=0.01); no interaction was found between two groups and the different time points. Using T-test the results showed that the pain scores in two groups was statistically different after 24 hours of surgery (t=2.46, P=0.02). Postoperative pain in all patients was reduced gradually. The patients in experimental group had shorter hospitalization (t=2.59, P=0.01) and shorter postoperative hospitalization (t=2.69, P=0.01) than the patients in control group, and the difference between the two groups was statistically significant.Conclusion The preoperative relaxation therapy and music therapy care significantly reduced gastrointestinal tumor patients’ anxiety on the day before surgery and the third day after surgery. It also reduced gastrointestinal tumor patients’ postoperative pain. Using relaxation therapy and music therapy intervention, it not only promoted gastrointestinal cancer patients’ preoperative of emotional stability, but reduced pain, improved postoperative comfortable and promoted the patients postoperative rehabilitation. Moreover, the therapy shortened the postoperative hospitalization, increased public health resources utilization and benefited on the society.