术前访视对择期手术患者心理状态的影响研究.pdfVIP

· 论 著· 2007年l2月第45卷第24期 术前访视对择期手术患者心理状态的影响研究 翁 玲 (河南省商丘市第一人民医院手术室，河南商丘476100) 【摘要】目的 探讨术前访视对择期手术患者心理状态的影响。方法 将160名病例随机分为对照组和干预组，对照组进行常 规治疗和护理，干预组在常规基础上加入术前访视。观察两组对患者心理指标、循环系统及神经内分泌系统的影响。术后调 查患者满意度。结果 与对照组相比，干预组患者的焦虑、抑郁、疼痛强度、血压、心率、血浆去甲肾上腺素、肾上腺素浓度等 指标均低，两组差异有统计学意义(P0．05 o而且干预组患者的满意度高于对照组，两组差异有统计学意义(P0．05)。 结论 对于择期手术患者，术前访视能降低其负性情绪，改善其循环系统、神经内分泌机制，使手术和麻醉顺利实施。 【关键词】术前访视；择期手术；心理指标；生理指标；护理 【中图分类号】R473．6 【文献标识码】A 【文章编号】1673—9701(2007)24—20-03 Study on Preoperative Care to Mental State of Reappointed Operation Patients WENG n Department of Operating Room，the First Hospital in Shangqiu，Henan 476100 【Abstract1 0bjective To explore preoperative care to reappointed operation patients influencing on theirmental s诅tIls．Methoda 160 pa— tients were randomly divided into control group and intervention group．The former group was given conventional treatment and nursing,howev—— er,besides thatthe later one Was administrated with preoperative care．Mental index，circulation system and neuroendocrine system index were observed in the two groups．Meanwhile degree of satiffaction in patients Was surveyed．Resnlts Compared with patients in control group．aI1】【一 iety，depression，intensity of pain，blood pressure，heart rate，plasma norepinephrine，and adrenaline of those in intervention group were lower (P0．05)．Furthermore，degree of satisfactioninformergroupWashigherthanlater one(P0．05)．Conclusion As regardto reappointed叩e卜 ation patients．preoperative caIe could decrease negative mood，improve circulation system and neuroendoefine system,then make operation and anaesthesia applied easily． 【Key Words】Preoperative care；Reappointed operation；Mental index；Physiological index；Nursing 手术对病人来说是一种不同程度的心理应激。随着手术日 30min肌肉注射咪唑安定0．15mg／kg。干预组：在此基础上，进行 期的逐渐临近，病人对手术的恐惧与日俱增