心理干预对早孕患者无痛人流影响.docVIP

心理干预对早孕患者无痛人流影响 　　【摘要】 目的 探讨患者的心理因素对无痛人工流产术（无痛人流）的影响。方法 根据焦虑自评量表法对自愿接受无痛人流术的380例患者进行评分， 选择焦虑型患者184例， 随机分为心理治疗组（92例）和对照组（92例）， 心理治疗组术前给予心理疏导、术后专职人员护理；对照组不给予任何干预。观察两组患者给药前后及唤醒前后生命体征变化、术中躁动发生率、麻醉药用量及手术时间。结果 两组患者除对照组脉搏、血压波动外， 其他各项生命体征用药前后及唤醒前后变化差异无统计学意义（P0.05）， 但两组患者在术中躁动发生率、麻醉药用量及手术时间方面比较差异有统计学意义（P0.05）。结论 对无痛人流患者给予心理干预能降低术中躁动发生率、减少麻醉药用量、缩短手术时间， 值得在临床推广应用。 　　【关键词】 心理干预；无痛；人工流产术 　　DOI：10.14163/j.cnki.11-5547/r.2015.30.153 　　Influence of psychological intervention on painless artificial abortion in early pregnancy patients HU Yan-ping. Department of Obstetrics and Gynecology， Shandong Zaozhuang City Maternal and Child Health Care Hosptial， Zaozhuang 277100， China 　　【Abstract】 Objective To investigate influence of psychological factors in patients on painless artificial abortion. Methods Self-rating anxiety scale was applied in 380 patients receiving painless artificial abortion voluntarily. A total of 184 cases of anxiety type were randomly divided into psychological treatment group （92 cases） and control group （92 cases）. The psychological treatment group received preoperative psychological counseling， postoperative targeted nursing. The control group was given no intervention measures. Vital signs， intraoperative incidence of dysphoria， narcotic dosage， and operation time were observed in the two groups around drug administration and awaking. Results Changes of vital signs， except pulse and blood pressure in control group， had no statistical significance between the two groups around drug administration and awaking （P0.05）. The difference of intraoperative incidence of dysphoria， narcotic dosage， and operation time had statistical significance between the two groups （P0.05）. Conclusion Implement of psychological intervention for painless artificial abortion patients can reduce intraoperative incidence of dysphoria， narcotic dosage， and operation time. This method is worth clinical promotion and application. 　　【Key words】 Psychological intervention； Painless； Art