中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
15期
80-82
,共3页
心理干预%阴式子宫手术%围术期%作用
心理榦預%陰式子宮手術%圍術期%作用
심리간예%음식자궁수술%위술기%작용
Psychological intervention%Vaginal uterine operation%Perioperative%Role
目的：研究心理干预在在阴式子宫手术患者围术期的作用。方法：选择本院2014年92例阴式子宫手术患者，采用隐匿数字法分为两组，对照组46例采用常规护理，研究组46例患者进行系统心理干预，自患者入院时由责任护士进行评估后实施。所有患者入院时、术后1 d和出院时均运用焦虑自评量表（SAS）评价患者焦虑情况，同时比较两组患者术中血压、心率变化及术后疼痛情况。结果：研究组术中呼吸、心率、SBP、DBP均明显低于对照组（P<0.05）。研究组术后药物镇痛率为32.61%，对照组为100%，两组比较差异有统计学意义（P<0.05）。研究组术后1 d和出院时焦虑评分均明显低于对照组（P<0.05）。结论：心理干预是现代医学模式下疾病治疗的重要内容之一，其作用不仅可减轻阴式子宫手术患者的焦虑状态，稳定情绪，还可提高疼痛阈值，减少镇痛药物应用量。
目的：研究心理榦預在在陰式子宮手術患者圍術期的作用。方法：選擇本院2014年92例陰式子宮手術患者，採用隱匿數字法分為兩組，對照組46例採用常規護理，研究組46例患者進行繫統心理榦預，自患者入院時由責任護士進行評估後實施。所有患者入院時、術後1 d和齣院時均運用焦慮自評量錶（SAS）評價患者焦慮情況，同時比較兩組患者術中血壓、心率變化及術後疼痛情況。結果：研究組術中呼吸、心率、SBP、DBP均明顯低于對照組（P<0.05）。研究組術後藥物鎮痛率為32.61%，對照組為100%，兩組比較差異有統計學意義（P<0.05）。研究組術後1 d和齣院時焦慮評分均明顯低于對照組（P<0.05）。結論：心理榦預是現代醫學模式下疾病治療的重要內容之一，其作用不僅可減輕陰式子宮手術患者的焦慮狀態，穩定情緒，還可提高疼痛閾值，減少鎮痛藥物應用量。
목적：연구심리간예재재음식자궁수술환자위술기적작용。방법：선택본원2014년92례음식자궁수술환자，채용은닉수자법분위량조，대조조46례채용상규호리，연구조46례환자진행계통심리간예，자환자입원시유책임호사진행평고후실시。소유환자입원시、술후1 d화출원시균운용초필자평량표（SAS）평개환자초필정황，동시비교량조환자술중혈압、심솔변화급술후동통정황。결과：연구조술중호흡、심솔、SBP、DBP균명현저우대조조（P<0.05）。연구조술후약물진통솔위32.61%，대조조위100%，량조비교차이유통계학의의（P<0.05）。연구조술후1 d화출원시초필평분균명현저우대조조（P<0.05）。결론：심리간예시현대의학모식하질병치료적중요내용지일，기작용불부가감경음식자궁수술환자적초필상태，은정정서，환가제고동통역치，감소진통약물응용량。
Objective:To study the psychological intervention in the perioperative patients through vagina uterine operation effect.Method:92 patients through vagina uterine operation in our hospital from 2014 January to 2014 December were selected, used occult digital method and divided into two groups, 46 cases in the control group used routine nursing care, the study group of 46 patients underwent systematic mental intervention, self admission by responsibility nurse assessment after the implementation of.All patients on admission, 1 d after operation and at discharge were used self rating anxiety scale (SAS) assessment of patients with anxiety, while patients were compared between the two groups in the change of heart rate and blood pressure, and postoperative pain.Result:The breathing, heart rate, SBP, DBP of the study group were significantly lower than the control group (P<0.05).Postoperative analgesia drug rate of the study group was 32.61%, the control ogroup was 100%, compared the two groups had significant difference (P<0.05). Postoperative 1 d and the hospital anxiety score of the study group were significantly lower than the control group (P<0.05).Conclusion:Psychological intervention is an important content of modern medical mode of disease treatment,its function not only can reduce anxiety of patients through vagina uterine operation, stable mood, still can increase the pain threshold, reduce pain drugs.
