Comprehensive perioperative nursing with personalized psychological counseling: Alleviating anxiety/depression following total auricular reconstruction

Table 1 Comparison of general data, mean ± SD

Indicators	Control group (n = 40)	Observation group (n = 40)	t/χ²	P value
Age (years)	15.62 ± 5.31	16.15 ± 4.89	0.478	0.634
Gender (male/female), n	22/18	23/17	0.050	0.823
Illness duration (years)	8.25 ± 3.12	7.98 ± 2.87	0.401	0.689

Table 2 Pre- and postoperative Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in both groups, mean ± SD

Indicators	Time	Control group (n = 40)	Observation group (n = 40)	t	P value
SAS score	1 day preoperatively	56.32 ± 5.18	55.98 ± 4.96	0.305	0.761
	1 month postoperatively	45.21 ± 4.35	36.87 ± 3.89	9.253	0.000
SDS score	1 day preoperatively	54.67 ± 4.89	54.23 ± 5.02	0.412	0.681
	1 month postoperatively	43.56 ± 4.12	34.21 ± 3.67	10.587	0.000

SAS: Self-Rating Anxiety Scale; SDS: Self-Rating Depression Scale.

Table 3 Intergroup comparison of self-esteem scores pre- and post-surgery, mean ± SD

Indicators	Time	Control group (n = 40)	Observation group (n = 40)	t	P value
Total SES score	1 day preoperatively	25.36 ± 3.21	24.98 ± 3.05	0.567	0.571
	1 month postoperatively	30.12 ± 2.87	36.89 ± 2.56	11.234	0.000
Mean score of positive items	1 day preoperatively	2.45 ± 0.32	2.39 ± 0.28	0.876	0.382
	1 month postoperatively	2.89 ± 0.25	3.56 ± 0.21	12.547	0.000
Mean score of negative items	1 day preoperatively	2.62 ± 0.35	2.58 ± 0.31	0.542	0.589
	1 month postoperatively	3.01 ± 0.29	3.72 ± 0.24	13.109	0.000

SES: Self-Esteem Scale.

Table 4 Pre- and post-operative quality of life score assessments for both groups, mean ± SD

Indicators	Time	Control group (n = 40)	Observation group (n = 40)	t	P value
Total	1 day preoperatively	62.35 ± 5.21	61.89 ± 4.98	0.421	0.675
	1 month postoperatively	70.12 ± 4.87a	82.56 ± 3.76a	12.837	0.000
Physiological function	1 day preoperatively	65.21 ± 4.78	64.89 ± 5.03	0.312	0.755
	1 month postoperatively	72.34 ± 4.12a	81.67 ± 3.54a	10.562	0.000
Psychological function	1 day preoperatively	58.76 ± 5.34	57.98 ± 5.12	0.689	0.492
	1 month postoperatively	65.43 ± 4.56a	78.92 ± 3.87a	14.215	0.000
Social function	1 day preoperatively	59.32 ± 5.11	58.76 ± 4.98	0.523	0.602
	1 month postoperatively	66.78 ± 4.32a	80.12 ± 3.65a	15.328	0.000

^aP < 0.05 vs 1 day preoperatively in the same group.

Table 5 Patient satisfaction scores across groups, n (%)

Groups	Very satisfied	Satisfied	Dissatisfied	Satisfaction	χ2	P value
Control group (n = 40)	18 (45.00)	15 (37.50)	7 (17.50)	82.50	5.000	0.025
Observation group (n = 40)	25 (62.50)	14 (35.00)	1 (2.50)	97.50	-	-

Table 6 Comparative analysis of complication occurrence in two groups, n (%)

Groups	Infection	Flap necrosis	Hematoma	Total incidence	χ2	P value
Control group (n = 40)	3 (7.50)	2 (5.00)	3 (7.50)	20.00	4.114	0.043
Observation group (n = 40)	1 (2.50)	0 (0.00)	1 (2.50)	5.00	-	-