中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
34期
4152-4154
,共3页
吴军玲%刘凤荣%李润英%吴世菊
吳軍玲%劉鳳榮%李潤英%吳世菊
오군령%류봉영%리윤영%오세국
面神经疾病%显微外科手术%心理护理%焦虑%相关因素
麵神經疾病%顯微外科手術%心理護理%焦慮%相關因素
면신경질병%현미외과수술%심리호리%초필%상관인소
Facial nerve diseases%Microsurgery%Psychological care%Anxiety%Relevant factors
目的 探讨行面神经微血管减压术患者术前焦虑相关因素,并针对性提出护理措施.方法 采用焦虑自评量表(SAS)对即将行手术的80例患者进行调查,了解患者术前的焦虑状况,并于术后3d及出院时调查患者并发症发生情况及住院天数,分析焦虑相关因素及焦虑与术后不良反应及住院时间之间的相关性.结果 轻度焦虑4例,中度焦虑32例,重度焦虑44例；尿潴留:发生者29例,未发生者51例；恶心呕吐:发生者54例,未发生者26例；头疼头晕:发生者72例,未发生者8例；发热:≤37℃(不发热)者10例,37.1 ～37.5℃(低热)者27例,37.6 ～ 38.5℃(中等度热)者31例,≥38.6℃(高热)者12例；住院天数:7d者2例,8d者43例,9d者33例,10d者2例.上述因素与焦虑存在相关性(P＜0.05).结论 面神经微血管减压手术前患者的焦虑心理与患者性别、经济状况、住院费用支付方式、工作性质等因素有关,影响患者的术后康复,应加强对患者术前焦虑的心理护理.
目的 探討行麵神經微血管減壓術患者術前焦慮相關因素,併針對性提齣護理措施.方法 採用焦慮自評量錶(SAS)對即將行手術的80例患者進行調查,瞭解患者術前的焦慮狀況,併于術後3d及齣院時調查患者併髮癥髮生情況及住院天數,分析焦慮相關因素及焦慮與術後不良反應及住院時間之間的相關性.結果 輕度焦慮4例,中度焦慮32例,重度焦慮44例；尿潴留:髮生者29例,未髮生者51例；噁心嘔吐:髮生者54例,未髮生者26例；頭疼頭暈:髮生者72例,未髮生者8例；髮熱:≤37℃(不髮熱)者10例,37.1 ～37.5℃(低熱)者27例,37.6 ～ 38.5℃(中等度熱)者31例,≥38.6℃(高熱)者12例；住院天數:7d者2例,8d者43例,9d者33例,10d者2例.上述因素與焦慮存在相關性(P＜0.05).結論 麵神經微血管減壓手術前患者的焦慮心理與患者性彆、經濟狀況、住院費用支付方式、工作性質等因素有關,影響患者的術後康複,應加彊對患者術前焦慮的心理護理.
목적 탐토행면신경미혈관감압술환자술전초필상관인소,병침대성제출호리조시.방법 채용초필자평량표(SAS)대즉장행수술적80례환자진행조사,료해환자술전적초필상황,병우술후3d급출원시조사환자병발증발생정황급주원천수,분석초필상관인소급초필여술후불량반응급주원시간지간적상관성.결과 경도초필4례,중도초필32례,중도초필44례；뇨저류:발생자29례,미발생자51례；악심구토:발생자54례,미발생자26례；두동두훈:발생자72례,미발생자8례；발열:≤37℃(불발열)자10례,37.1 ～37.5℃(저열)자27례,37.6 ～ 38.5℃(중등도열)자31례,≥38.6℃(고열)자12례；주원천수:7d자2례,8d자43례,9d자33례,10d자2례.상술인소여초필존재상관성(P＜0.05).결론 면신경미혈관감압수술전환자적초필심리여환자성별、경제상황、주원비용지부방식、공작성질등인소유관,영향환자적술후강복,응가강대환자술전초필적심리호리.
Objective To investigate the preoperative anxiety relevant factors of the facial nerve microvascular decompression patients,so as to propose targeted care measures.Methods SAS was used to investigate 80 facial nerve microvascular decompression patients of their preoperative anxiety status,postoperative complications 3 days after surgery and on discharge,and length of stay,and the correlation was analyzed.Results The results showed that 4 cases had mild anxiety,32 had moderate anxiety and 44 had severe anxiety.29 cases had uroschesis and 51 did not.54 cases had nausea and vomiting and 26 did not.72 cases had headache and 8 did not.10 cases had no fever,27 had lower fever,31 had moderate fever and 12 had hyperpyrexia.2 cases were hospitalized for 7 days,43 cases for 8 days,33 cases for 9 days,and 2 cases for 10 days.All factors above were related to the anxiety status (P ＜ 0.05).Conclusions The preoperative anxiety status of facial nerve microvascular decompression patients is influenced by their gender,economic status,payment methods for hospitalization and nature of work,and can affect their postoperative recovery,thus preoperative psychological care should be strengthened for them.
