术前干预对择期手术患者焦虑的影响_医学论文.docVIP

术前干预对择期手术患者焦虑的影响_医学论文 术前干预对择期手术患者焦虑的影响_医学论文 作者：宋新勤 龙金亮 王红玉 闫德祺 【关键词】 择期手术；焦虑；认知干预；应激 　　【摘要】 目的 探讨术前干预对择期手术患者术前焦虑状况的影响。方法 将46例择期手术患者随机分为实验组和对照组各23例。对照组给予常规术前准备和告知同意，实验组在给予常规术前准备和告知同意的基础上给予术前认知干预等。应用焦虑自评量表于入院时和术前1d进行效果评价分析。结果 实验组入院时焦虑自评量表评分明显高于术前1d（0.01）；对照组术前焦虑自评量表评分明显高于入院时（P lt0.05）；实验组术前1d焦虑自评量表评分明显低于对照组（0.01）；实验组不同性别认知干预后焦虑自评量表评分显著下降（0.01）。结论 术前干预能明显减轻手术患者的术前焦虑，有利于手术的顺利进行和术后康复。 　　【关键词】 择期手术；焦虑；认知干预；应激 　　The effects of preoperation intervention on anxiety of datechosen operation patients 　　【Abstract】 Objective To explore the effects of preoperation intervention on preoperation anxiety of datechosen operation patients. Methods 46 datechosen operation patients were randomly divided into research and control group(each n=23).The controls were given routine preoperation preparations and informed consent, and research group preoperation cognitive intervention on the basis of control group. Efficacies were assessed using the Selfrating Anxiety Scale (SAS) on admission and the preceding day before operation respectively. Results The SAS scores were significantly higher on admission than the preceding day before operation in the research (0.01) and on the contrary in the control group(0.05). on the preceding day before operation, score of the research was significantly lower than that of the control group(0.01) after intervention score of the research remarkably reduced(0.01). Conclusion Preoperation intervention can remarkably relieve the patients anxiety and is beneficial to smooth operation and recovery. 　　【Keywords】 Datechosen operation anxiety cognitive intervention stress 　　外科手术和麻醉是一种强烈的应激源，常致病人在术前产生不同程度的焦虑情绪，当反应过于激烈时可干扰病人对手术和麻醉的适应能力，影响手术效果和术后康复［1］。手术治疗是一种风险较大的治疗方法，病人的心理负担重，焦虑是择期手术病人普遍存在的心理问题，主要与缺乏对手术的认知有关。本研究旨在通过术前干预对择期手术患者焦虑状况的影响，探寻减轻手术给患者带来心理问题的方法。 　　1对象与方法 　　1.1 对象 选取驻马店市某综合医院2004年3月～12月46例择期手术患者为研究对象。其中男26例(56.5%)，女20例(43.5)，年龄16～70a，平均45.78±15.51a；文化程度：文盲5例(10.9%)，小学6例(13.0%)，初中20例(43.5%)，高中8例(17.4%)，中专及以上7例(15.2%)。婚姻状况：未婚4例(8.7%)，已婚42例(91.3%)。职业：农民18例(39.1%