CAJ | 학술논문

目的：观察心理护理在丙泊酚静脉全身麻醉输卵管结扎术中的应用效果。方法选取2009年4月~2011年3月本所收治的131例行丙泊酚静脉全身麻醉输卵管结扎术的患者,将患者随机分为Ⅰ组66例和Ⅱ组65例。Ⅰ组给予麻醉前、术中、术后的心理护理,Ⅱ组给予常规护理。比较两组基础(入所时)与麻醉前的血压(MBP)、心率；比较两组的术中、术后及术后1周不适感情况；比较两组术前、术后的SAS、SDS评分。结果Ⅱ组麻醉前的MBP、心率明显高于基础,差异有统计学意义(P<0.05)；Ⅰ组麻醉前的MBP、心率与基础比较,差异无统计学意义(P>0.05)。Ⅱ组术中、术后及术后1周的总不适感率高于Ⅰ组,差异有统计学意义(P<0.05)。Ⅱ组术后的SAS、SDS评分高于Ⅰ组,差异有统计学意义(P<0.05)。结论心理护理应用于丙泊酚静脉全身麻醉输卵管结扎术中能减轻患者的心理负担,减轻其麻醉前的应激反应,维持麻醉间的血流动力学稳定,减轻术后不适感。
목적：관찰심리호리재병박분정맥전신마취수란관결찰술중적응용효과。방법선취2009년4월~2011년3월본소수치적131례행병박분정맥전신마취수란관결찰술적환자,장환자수궤분위Ⅰ조66례화Ⅱ조65례。Ⅰ조급여마취전、술중、술후적심리호리,Ⅱ조급여상규호리。비교량조기출(입소시)여마취전적혈압(MBP)、심솔；비교량조적술중、술후급술후1주불괄감정황；비교량조술전、술후적SAS、SDS평분。결과Ⅱ조마취전적MBP、심솔명현고우기출,차이유통계학의의(P<0.05)；Ⅰ조마취전적MBP、심솔여기출비교,차이무통계학의의(P>0.05)。Ⅱ조술중、술후급술후1주적총불괄감솔고우Ⅰ조,차이유통계학의의(P<0.05)。Ⅱ조술후적SAS、SDS평분고우Ⅰ조,차이유통계학의의(P<0.05)。결론심리호리응용우병박분정맥전신마취수란관결찰술중능감경환자적심리부담,감경기마취전적응격반응,유지마취간적혈류동역학은정,감경술후불괄감。
Objective To observe the application effect of psychological nursing in tubal ligation with propofol applied in general intravenous anesthesia. Methods From April 2009 to March 2011,131 cases of tubal ligation with propofol general intravenous anesthesia treated in our institute were selected and randomly divided into the groupⅠ (n=66)and group II (n=65).The group Ⅰ was given psychological nursing before anesthesia,during and after operation,the groupII was given routine nursing.The blood pressure (MBP),heart rate (HR) of basis (in the institute) and before anesthesia in the two groups were compared;the discomfort of during and after operation,after 1 week operation in the two groups;the SAS,SDS score before and after operation in the two groups were compared. Results MBP,HR before anesthesia in the groupII were higher than those of basis (P<0.05),and there was no statistical difference of before anesthesia com-pared with basis in the groupⅠ(P>0.05).SAS.SDS score in the groupIIwere higher than those in the groupⅠ(P<0.05). The total discomfort rate during and after operation,after 1 week operation in the group II were higher than those in the groupⅠ (P<0.05). Conclusion Psychological nursing used in tubal ligation with propofol applied in general intra-venous anesthesia can reduce the psychological burden of patients,and can relieve stress response before anesthesia, maintain the hemodynamic stability during anesthesia,can reduce postoperative discomfort.