中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
24期
136-138,141
,共4页
择期手术%不良情绪%心理干预
擇期手術%不良情緒%心理榦預
택기수술%불량정서%심리간예
Elective operation%Negative emotion%Psychological intervention
目的：探讨择期手术患者术前各种不良情绪及产生原因，找到最佳的干预方法，保证手术顺利进行及患者早日康复。方法将河北省唐山市协和医院2013年6~10月636例择期手术患者分为实验组(n=318)和对照组(n=318)，对照组实施常规术前护理，实验组在此基础上进行心理评估及症状自评量表(SDL-90)测定，评价患者术前焦虑、恐怖、抑郁、敌对和偏执所占比例情况，根据测定结果实施心理干预，再评价患者入手术室的心率、收缩压及呼吸情况并进行比较分析。结果实验组患者主要术前不良情绪反应为焦虑、恐怖、抑郁、敌对、偏执等，针对性心理干预后，实验组患者术前心率[(79.27±9.12)次/min]、血压[(126.72±1.38)mm Hg，1 mm Hg=0.133 kPa]和呼吸[(17.21±1.53)次/min]均明显低于对照组的心率[(89.32±12.55)次/min]、血压[(140.22±2.31)mm Hg]和呼吸[(23.16±1.40)次/min]，差异均有统计学意义(均P<0.05)。结论根据调查结果进行有针对性的心理干预能够有效缓解择期手术患者的术前不良情绪，使患者处于最佳状态渡过手术，保证了手术的顺利完成。
目的：探討擇期手術患者術前各種不良情緒及產生原因，找到最佳的榦預方法，保證手術順利進行及患者早日康複。方法將河北省唐山市協和醫院2013年6~10月636例擇期手術患者分為實驗組(n=318)和對照組(n=318)，對照組實施常規術前護理，實驗組在此基礎上進行心理評估及癥狀自評量錶(SDL-90)測定，評價患者術前焦慮、恐怖、抑鬱、敵對和偏執所佔比例情況，根據測定結果實施心理榦預，再評價患者入手術室的心率、收縮壓及呼吸情況併進行比較分析。結果實驗組患者主要術前不良情緒反應為焦慮、恐怖、抑鬱、敵對、偏執等，針對性心理榦預後，實驗組患者術前心率[(79.27±9.12)次/min]、血壓[(126.72±1.38)mm Hg，1 mm Hg=0.133 kPa]和呼吸[(17.21±1.53)次/min]均明顯低于對照組的心率[(89.32±12.55)次/min]、血壓[(140.22±2.31)mm Hg]和呼吸[(23.16±1.40)次/min]，差異均有統計學意義(均P<0.05)。結論根據調查結果進行有針對性的心理榦預能夠有效緩解擇期手術患者的術前不良情緒，使患者處于最佳狀態渡過手術，保證瞭手術的順利完成。
목적：탐토택기수술환자술전각충불량정서급산생원인，조도최가적간예방법，보증수술순리진행급환자조일강복。방법장하북성당산시협화의원2013년6~10월636례택기수술환자분위실험조(n=318)화대조조(n=318)，대조조실시상규술전호리，실험조재차기출상진행심리평고급증상자평량표(SDL-90)측정，평개환자술전초필、공포、억욱、활대화편집소점비례정황，근거측정결과실시심리간예，재평개환자입수술실적심솔、수축압급호흡정황병진행비교분석。결과실험조환자주요술전불량정서반응위초필、공포、억욱、활대、편집등，침대성심리간예후，실험조환자술전심솔[(79.27±9.12)차/min]、혈압[(126.72±1.38)mm Hg，1 mm Hg=0.133 kPa]화호흡[(17.21±1.53)차/min]균명현저우대조조적심솔[(89.32±12.55)차/min]、혈압[(140.22±2.31)mm Hg]화호흡[(23.16±1.40)차/min]，차이균유통계학의의(균P<0.05)。결론근거조사결과진행유침대성적심리간예능구유효완해택기수술환자적술전불량정서，사환자처우최가상태도과수술，보증료수술적순리완성。
Objective To discuss the preoperative various negative emotions and its causes of patients undergoing elec-tive surgery, to find the best method of intervention, ensuring the smooth operation and early rehabilitation of patients. Methods 636 patients with undergoing elective operation were randomly divided into test group and control group, 318 patients in each group, the control group received routine nursing before operation, the test group received psychologi-cal evaluation and symptom checklist-90 (SDL-90) determination based on the control group, patients with preoperative anxiety, fear, depression, hostility and paranoia share were evaluated, psychological intervention was given according to the measured results, and then heart rate, systolic blood pressure and respiratory condition of patients in operation room were evatuated, and compared and analyzed. Results The main preoperative adverse emotional reactions on patients in test group were anxiety, fear, depression, hostility, paranoid and so on, after psychological intervention, preoperative heart rate [(79.27±9.12) beats/min], blood pressure [(126.72±1.38) mm Hg, 1 mm Hg=0.133 kPa] and respiratory [(17.21±1.53) beats/min] in test group were significantly lower than those in the control group of heart rate [(89.32±12.55) beats/min], blood pressure [(140.22±2.31) mm Hg] and respiratory [(23.16±1.40) beats/min], the differences were statistically signif-icant (P<0.05). Conclusion According to the results of the survey, targeted psychological intervention can effectively relieve patients undergoing elective operation preoperative bad mood, keep patients in the best state through the opera-tion, ensure the operation completed successfully.
