术前心理干预对腹腔镜胆囊切除患者苏醒期躁动的影响.docVIP

精品论文 参考文献 术前心理干预对腹腔镜胆囊切除患者苏醒期躁动的影响 合肥市第八人民医院手术室 安徽 合肥 238000 【摘要】目的：观察术前心理干预对腹腔镜胆囊切除患者苏醒期躁动的影响。方法：选择在本院行腹腔镜胆囊切除术患者60例，ASAⅠ～Ⅱ级，年龄24～66岁，随机分为两组：对照组（C组），术前心理干预组（P组）。对P组患者实施术前心理干预，对C组患者不采取心理干预。记录拔管后10min时躁动发生情况并询问患者满意度。结果：P组拔管后躁动发生率明显低于C组，差异有统计学意义（Plt;0.05）；患者满意度比较，P组明显增高，差异有统计学意义（Plt;0.05）。结论：术前心理干预可明显降低腹腔镜胆囊切除患者苏醒期躁动的发生，提高患者满意度。 【关键词】心理干预；腹腔镜胆囊切除；苏醒期躁动 The Effect of Preoperative Psychological Intervention on Emergence Agitation in Laparoscopic Cholecystectomy Patients Li yu. Department of operating room, Hefei eighth Peoplersquo;s Hospital ,Chaohu(238000), Anhui,China. 【Abstract】 Objective To observe the effect of preoperative psychological intervention on emergence agitation in laparoscopic cholecystectomy patients. Methods Elective Laparoscopic cholecystectomy patients 60 cases , ASA Ⅰ～Ⅱ, 24to 66 years old, were randomly divided into two groups: control group (group C), preoperative psychological intervention group (group P). Implemented psychological intervention for P group, didnt implement psychological intervention for group C. Recorded the incidence of agitation and inquired satisfaction degree at 10min after extubation. Results The incidence of emergence agitation in group P was significantly lower than that in C group, the difference was statistically significant (Plt;0.05); the patient抯 satisfaction degree in P group was higher than that in C group, the difference was sttatistically significant (Plt;0.05).Conclusion Preoperative psychological intervention can significantly reduce the incidence of emergence agitation in laparoscopic cholecystectomy patients, and improve patientrsquo;s satisfaction degree. 【Key words】psychological intervention; laparoscopic cholecystectomy; emergence agitation 【中图分类号】R472.3 【文献标识码】A 【文章编号】2096-0867（2016）-05-198-01 当前，腹腔镜胆囊切除已成为一项较为成熟的外科技术并在实践中得到外科医生及患者的认同。腹腔镜胆囊切除较传统的开腹胆囊切除相比，手术时间明显缩短且胆总管损伤的几率明显降低。但是，由于各种原因造成患者苏醒时躁动的发生也明显增多。本文对行腹腔镜胆囊切除术患者采用术前心理干预，观察术前心理干预对苏醒期躁动的影响。 1资料与方法 1.1一般资料 选择