中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
26期
111-113
,共3页
激励%心理干预%麻醉%择期手术
激勵%心理榦預%痳醉%擇期手術
격려%심리간예%마취%택기수술
Incentive%Psychological intervention%Anesthesia%Elective operation
目的：探讨激励式心理干预对不同麻醉方式的择期手术患者术前焦虑、抑郁及心率、血压的影响。方法将2012年8月~2013年10月在河北省唐山市协和医院行择期手术的患者240例，按麻醉方式不同分为局麻组、腰硬麻组和全麻组，三组患者分别实行针对性的激励式心理干预，于心理干预前及患者入手术室后分别测定焦虑、抑郁情况及心率、血压，并进行比较。结果干预后，局麻组SAS得分[(26.6±5.4)分]、SDS得分[(22.4±6.1)分]和收缩压[(123.3±5.1)mm Hg]与干预前[(59.3±6.5)分、(45.6±3.2)分和(140.2±2.1)mm Hg]比较有明显改善，差异有统计学意义(P<0.05)；组间比较结果显示，全麻组干预后SAS得分[(34.5±1.3)分]和SDS得分[(28.6±3.5)分]均高于局麻组和腰硬麻组[(25.8±2.2)、(21.3±3.8)分]，差异有统计学意义(P<0.05)。心率方面，干预后三组心率与干预前相比，均有所降低，但干预前后比较差异均无统计学意义(P>0.05)。干预后心率及收缩压局麻组与腰硬麻组、局麻组与全麻组以及腰硬麻组与全麻组组间比较，差异均无统计学意义(P>0.05)。结论激励式心理干预能明显缓解手术患者的不良情绪，尤其是在非全身麻醉患者中效果更加明显，能稳定择期手术患者术前心理状态，保证手术及麻醉顺利进行。
目的：探討激勵式心理榦預對不同痳醉方式的擇期手術患者術前焦慮、抑鬱及心率、血壓的影響。方法將2012年8月~2013年10月在河北省唐山市協和醫院行擇期手術的患者240例，按痳醉方式不同分為跼痳組、腰硬痳組和全痳組，三組患者分彆實行針對性的激勵式心理榦預，于心理榦預前及患者入手術室後分彆測定焦慮、抑鬱情況及心率、血壓，併進行比較。結果榦預後，跼痳組SAS得分[(26.6±5.4)分]、SDS得分[(22.4±6.1)分]和收縮壓[(123.3±5.1)mm Hg]與榦預前[(59.3±6.5)分、(45.6±3.2)分和(140.2±2.1)mm Hg]比較有明顯改善，差異有統計學意義(P<0.05)；組間比較結果顯示，全痳組榦預後SAS得分[(34.5±1.3)分]和SDS得分[(28.6±3.5)分]均高于跼痳組和腰硬痳組[(25.8±2.2)、(21.3±3.8)分]，差異有統計學意義(P<0.05)。心率方麵，榦預後三組心率與榦預前相比，均有所降低，但榦預前後比較差異均無統計學意義(P>0.05)。榦預後心率及收縮壓跼痳組與腰硬痳組、跼痳組與全痳組以及腰硬痳組與全痳組組間比較，差異均無統計學意義(P>0.05)。結論激勵式心理榦預能明顯緩解手術患者的不良情緒，尤其是在非全身痳醉患者中效果更加明顯，能穩定擇期手術患者術前心理狀態，保證手術及痳醉順利進行。
목적：탐토격려식심리간예대불동마취방식적택기수술환자술전초필、억욱급심솔、혈압적영향。방법장2012년8월~2013년10월재하북성당산시협화의원행택기수술적환자240례，안마취방식불동분위국마조、요경마조화전마조，삼조환자분별실행침대성적격려식심리간예，우심리간예전급환자입수술실후분별측정초필、억욱정황급심솔、혈압，병진행비교。결과간예후，국마조SAS득분[(26.6±5.4)분]、SDS득분[(22.4±6.1)분]화수축압[(123.3±5.1)mm Hg]여간예전[(59.3±6.5)분、(45.6±3.2)분화(140.2±2.1)mm Hg]비교유명현개선，차이유통계학의의(P<0.05)；조간비교결과현시，전마조간예후SAS득분[(34.5±1.3)분]화SDS득분[(28.6±3.5)분]균고우국마조화요경마조[(25.8±2.2)、(21.3±3.8)분]，차이유통계학의의(P<0.05)。심솔방면，간예후삼조심솔여간예전상비，균유소강저，단간예전후비교차이균무통계학의의(P>0.05)。간예후심솔급수축압국마조여요경마조、국마조여전마조이급요경마조여전마조조간비교，차이균무통계학의의(P>0.05)。결론격려식심리간예능명현완해수술환자적불량정서，우기시재비전신마취환자중효과경가명현，능은정택기수술환자술전심리상태，보증수술급마취순리진행。
Objective To explore the effect of psychological intervention on anxiety, depression and heart rate, blood pressure of selective operation patients with different anesthesia methods. Methods According to different ways of anesthesia, 240 patients who were given selective operation from August 2012 to October 2013 in Union Hospital of Tangshan City, were divided into the local anesthesia group, lumbar epidural anesthesia group and general anesthesia group. Patients in the three groups were given targeted incentive psychological intervention, then measured the anxiety and depression condition, heart rate, blood pressure, the results were compared. Results After intervention, compared the SAS [(26.6±5.4) scores], SDS [(22.4±6.1) scores] and systolic blood pressure [(123.3±5.1) mm Hg] in local anesthe-sia group with before intervention [(59.3±6.5) scores, (45.6±3.2) scores and (140.2±2.1) mm Hg], they were obviously improved, the differences were statistically significant (P< 0.05). Comparison between groups, after intervention, SAS [(34.5±1.3) scores] and SDS [(28.6±3.5) scores] in general anesthesia group were higher than those of local anesthesia group and lumbar epidural anesthesia group [(25.8±2.2), (21.3±3.8) scores], there were significant differences (P<0.05). Heart rates of the three groups after intervention were all lower than before intervention, but there was no signifi-cant difference (P>0.05). After intervention the differences of heart rate and systolic blood pressure in local anesthesia group and lumbar epidural anesthesia group, local anesthesia group and general anesthesia group, lumbar epidural anesthesia group and general anesthesia group had no statistically significant (P>0.05). Conclusion The incentive psy-chological intervention can relieve the bad emotion of patients in operation, especially in patients with non general anesthesia, which can stable patients' preoperative psychological state, ensure smooth operation and anesthesia.
