心理干预在阴式子宫手术患者围术期作用研究.docVIP

心理干预在阴式子宫手术患者围术期作用研究 　　【摘要】 目的：研究心理干预在在阴式子宫手术患者围术期的作用。方法：选择本院2014年92例阴式子宫手术患者，采用隐匿数字法分为两组，对照组46例采用常规护理，研究组46例患者进行系统心理干预，自患者入院时由责任护士进行评估后实施。所有患者入院时、术后1 d和出院时均运用焦虑自评量表（SAS）评价患者焦虑情况，同时比较两组患者术中血压、心率变化及术后疼痛情况。结果：研究组术中呼吸、心率、SBP、DBP均明显低于对照组（P0.05）。研究组术后药物镇痛率为32.61%，对照组为100%，两组比较差异有统计学意义（P0.05）。研究组术后1 d和出院时焦虑评分均明显低于对照组（P0.05）。结论：心理干预是现代医学模式下疾病治疗的重要内容之一，其作用不仅可减轻阴式子宫手术患者的焦虑状态，稳定情绪，还可提高疼痛阈值，减少镇痛药物应用量。 　　【关键词】 心理干预； 阴式子宫手术； 围术期； 作用 　　Action Research of Psychological Intervention in Patients through Vagina Uterine Surgery Perioperative/RONG Yu-tian，LI Qi-hua，LUO Yu-ci.//Medical Innovation of China，2015，12（15）：080-082 　　【Abstract】 Objective：To study the psychological intervention in the perioperative patients through vagina uterine operation effect.Method：92 patients through vagina uterine operation in our hospital from 2014 January to 2014 December were selected， used occult digital method and divided into two groups， 46 cases in the control group used routine nursing care， the study group of 46 patients underwent systematic mental intervention， self admission by responsibility nurse assessment after the implementation of.All patients on admission， 1 d after operation and at discharge were used self rating anxiety scale （SAS） assessment of patients with anxiety， while patients were compared between the two groups in the change of heart rate and blood pressure， and postoperative pain.Result：The breathing， heart rate， SBP， DBP of the study group were significantly lower than the control group （P0.05）.Postoperative analgesia drug rate of the study group was 32.61%， the control ogroup was 100%， compared the two groups had significant difference （P0.05）.Postoperative 1 d and the hospital anxiety score of the study group were significantly lower than the control group （P0.05）.Conclusion：Psychological intervention is an important content of modern medical mode of disease treatment， its function not only can reduce anxiety of patients through vagina uterine operation， stable mood，