腹腔镜胆囊切除术前心理干预护理效果评价.docVIP

腹腔镜胆囊切除术前心理干预护理效果评价 　【摘要】 　　目的 探讨手术室对腹腔镜胆囊切除术患者实施心理干预的效果。方法 将130例择期腹腔镜胆囊切除术患者随机分为实验组与对照组各65例。对照组由病房护士提供常规的心理护理。实验组除接受常规的心理护理外，术前由手术室护士提供有针对性的心理干预。比较两组患者干预前后的焦虑值、心率、血压及对手术麻醉相关知识的认知程度。结果 实验组焦虑值、心率、血压显著低于对照组（P＜0.05），对手术麻醉相关知识的认知程度也明显高于对照组（P＜0.05）。结论 手术室术前心理干预可缓解患者焦虑情绪，稳定血压和心率，提高患者对手术麻醉相关知识的认知程度，手术室心理干预效果优于常规心理护理。 【关键词】 心理干预 ； 腹腔镜胆囊切除术 ；焦虑；手术室护理 　　Abstract Objective To discuss the effect of psychological intervention nursing before laparoscopic cholecystectomy. Methods 130 cases of selective laparoscopic cholecystectomy were randomly divided into 2 groups: experiment group and control group, 65 cases in each; routine psychological nursing was given to all the cases in both groups by ward nurses while specific psychological intervention nursing performed by nurses of operation room was added to cases in experiment group; the anxiety index, heart beat, blood pressure and the cognition on operation and anesthesia of the patients in the 2 groups were compared. Results The anxiety index, heart beat and blood pressure of the patients in experiment group were much lower than those of the patients in control group while their cognition on operation and anesthesia was much better than that of the patients in control group (P＜0.05). Conclusions The specific psychological intervention performed by nurses of operation room on patients before laparoscopic cholecystectomy is superior to the routine psychological nursing. 　　KEYWORDS psychological intervention laparoscopy cholecystectomy 腹腔镜胆囊切除术是一种新兴的微创外科技术，具有手术时间短、创伤小、出血少、恢复快等优点，现已逐步取代传统的剖腹胆囊切除手术。手术和麻醉作为一种应激源，常导致患者产生焦虑恐惧等心理应激反应,甚至引起心率加快，血压升高等一系列生理变化，影响手术麻醉的顺利进行。心理干预是在心理学理论指导下有计划、按步骤地对一定对象的心理活动、个性特征或心理问题施加影响，使之发生指向预期目标变化的过程［1］。为探讨手术室术前心理干预对患者心理生理指标的影响，我科于2009年1月～2009年12月对符合条件的130例患者进行了临床观察，取得了较好的效果，现报道如下。 　　1 对象与方法 　　1. 1 对象 　　选择2009年1月～2009年12月符合条件的130例择期腹腔镜胆囊切除术患者作为研究对象。将130例患者随机分为实验组和对照组各65例，实验组患者男30例，女35例，年龄22～66岁，平均年龄46.38±3.15岁。对照组患者男38例，女27例，年龄20岁～62岁，平均年龄46.08±3.95岁；本组患者均采用气管插管全麻，既往无手术史和心血管疾患，两组在年龄、性别、