摘要：目的" 研究AIDET沟通模式下积极心理护理在腹腔镜胆囊炎术后患者中的应用效果及对患者心理状态的影响。方法" 将2019年3月-2023年3月于都县人民医院行腹腔镜胆囊炎术治疗的60例患者依据随机数字表法分为对照组(30例)与观察组(30例)。对照组给予常规护理，观察组在其基础上开展AIDET沟通模式下积极心理护理，比较两组术后恢复时间(肠鸣音恢复时间、进食恢复时间、肛门排气时间、下床活动时间、术后住院时间)、心理状态[汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)]、自我护理能力测定量表(ESCA)、Connor-Davidson心理弹性量表(CD-RISC)、纽卡斯尔护理服务满意度量表(NSNS)评分。结果" 与对照组比较，观察组肠鸣音恢复时间、进食恢复时间、肛门排气时间、下床活动时间、术后住院时间更短(P<0.05)；与护理前比较，两组护理后HAMD、HAMA评分降低，ESCA评分(自我护理技能、自护责任感、自我概念、健康知识水平)、CD-RISC、NSNS评分升高；且与对照组比较，观察组HAMD、HAMA评分更低，ESCA评分(自我护理技能、自护责任感、自我概念、健康知识水平)、CD-RISC评分、NSNS评分更高(P<0.05)。结论" AIDET沟通模式下积极心理护理可缩短腹腔镜胆囊炎术患者的术后恢复时间，改善其负性心理，提高患者的自护水平与心理弹性，具有较高护理满意度。

    关键词：腹腔镜胆囊炎术；AIDET沟通模式；积极心理护理；心理状态；自护水平

    中图分类号：R473" " " " " " " " " " " " " " " " " "文献标识码：A" " " " " " " " " " " " " " " " "DOI：10.3969/j.issn.1006-1959.2025.05.026

    文章编号：1006-1959(2025)05-0148-04

    Abstract： Objective" To study the application effect of positive psychological nursing under AIDET communication mode in patients after laparoscopic cholecystitis surgery and its influence on patients' psychological state. Methods" A total of 60 patients who underwent laparoscopic cholecystitis in Yudu County People′s Hospital from March 2019 to March 2023 were divided into control group (30 patients) and observation group (30 patients) according to random number table method. The control group was given routine nursing ......