CAJ | 학술논문

目的探索气功放松训练在外科心理应激及术后心身康复中的干预作用。方法随机选取择期上腹部手术病人42例为气功放松训练干预组，与之相匹配的另40例为对照组。术前1天进行认知、行为、状态焦虑等的测量，术前1小时测定心率、收缩血压均值及与入院时的差值，术后则测量或记录疼痛程度、肠道排气时间等多种心身康复指标，在SPSS支持下作统计分析。结果干预组术前对手术的消极认知较少，焦虑较轻，睡眠差、食欲减退等心身症状也较不明显；手术后疼痛体验较轻，焦虑较少。但在肠道排气时间、止痛剂用量等康复指标上，两组的差异无显著性。结论气功放松训练有助于病人术前、术后的心理适应，可作为有效的心理行为干预措施应用于外科临床。
목적탐색기공방송훈련재외과심리응격급술후심신강복중적간예작용。방법수궤선취택기상복부수술병인42례위기공방송훈련간예조，여지상필배적령40례위대조조。술전1천진행인지、행위、상태초필등적측량，술전1소시측정심솔、수축혈압균치급여입원시적차치，술후칙측량혹기록동통정도、장도배기시간등다충심신강복지표，재SPSS지지하작통계분석。결과간예조술전대수술적소겁인지교소，초필교경，수면차、식욕감퇴등심신증상야교불명현；수술후동통체험교경，초필교소。단재장도배기시간、지통제용량등강복지표상，량조적차이무현저성。결론기공방송훈련유조우병인술전、술후적심리괄응，가작위유효적심리행위간예조시응용우외과림상。
Objective To study the effect of Qi-Gong relaxation training on the operation-related psychological stress and the post-operative psychosomatic adjustment in upper-abdominal surgery patients. Methods Forty-two patients undergoing upper-abdominal surgery in intervention group were instructed to do Qi-Gong relaxation training, and forty patients matched were controls without Qi-Gong relaxation training. On the day before surgery, a self-developed patients' pre-operative appraisal questionnaire, a self-developed patients' pre-operative behavior rating questionnaire for completion by medical workers, and State Anxiety Inventory (SAI) of State -Trait Anxiety Inventory (STAI) were used in two groups. In an hour before operation，the shift of the mean value of pulse and systolic pressure of every case compared with the base line measured at his (or her) admission was also recorded. After surgery, patients were assessed with a self-developed patients' post-operative appraisal questionnaire, a self-developed patients' post-operative behavior rating questionnaire for completion by medical workers and SAI of STAI. Besides, the indexes of physical rehabilitation, including intestinal aerofluxus, total dosage of analgesia and so on, were recorded. Data were analysed in t-test with SPSS. Results Compared with controls, the patients in intervention group had more positive anticipation about the following operation, lower pre- and post-operative anxiety, and lighter post-operative pain experience. There was no difference in the indexes of physical rehabilitation between two groups. Conclusions Qi-Gong relaxation training could lead patients to better psychological adjustment both before and after operation. This finding suggests that Qi-Gong relaxation training could be used as an effective psycho-behavior intervention in abdominal surgery patients.