CAJ | 학술논문

目的：探讨患者术中知晓躯体疼痛程度与创伤后应激障碍（PTSD）的相关性及早期护理干预效果。方法选取2011年1月～2013年12月我院行全身麻醉下腹腔镜子宫肌瘤切除术并出现术中知晓的364例患者作为研究对象，在术后24h进行PTSD筛查和术中躯体疼痛评价，筛出PTSD阳性患者130例，随机分为对照组和观察组，各65例。对照组给予常规护理。观察组在接受常规护理的同时接受PTSD护理干预。并对两组 PTSD评分进行比较。结果 PTSD －SS总分与躯体化因子总分、肌肉酸痛、身体发麻或刺痛及其他躯体化因子呈显著正相关（P＜0．05）。接受护理干预后，观察组躯体化因子总分、腰痛、肌肉酸痛评分显著低于对照组（P＜0．05），PTSD －SS总分、回避症状评分和反复重现体验评分显著低于对照组（P＜0．05）。结论患者术中知晓躯体疼痛程度与PTSD存在明显相关性，术后早期给予个体化护理干预，能降低患者术后躯体化因子评分和PTSD－SS评分。
목적：탐토환자술중지효구체동통정도여창상후응격장애（PTSD）적상관성급조기호리간예효과。방법선취2011년1월～2013년12월아원행전신마취하복강경자궁기류절제술병출현술중지효적364례환자작위연구대상，재술후24h진행PTSD사사화술중구체동통평개，사출PTSD양성환자130례，수궤분위대조조화관찰조，각65례。대조조급여상규호리。관찰조재접수상규호리적동시접수PTSD호리간예。병대량조 PTSD평분진행비교。결과 PTSD －SS총분여구체화인자총분、기육산통、신체발마혹자통급기타구체화인자정현저정상관（P＜0．05）。접수호리간예후，관찰조구체화인자총분、요통、기육산통평분현저저우대조조（P＜0．05），PTSD －SS총분、회피증상평분화반복중현체험평분현저저우대조조（P＜0．05）。결론환자술중지효구체동통정도여PTSD존재명현상관성，술후조기급여개체화호리간예，능강저환자술후구체화인자평분화PTSD－SS평분。
Objective We choose laparoscopic hysteromyoma resection under general anesthesia patients as the research object .We aim to explore the relationship between intraoperative awareness and pain and early nursing intervention meas‐ures .Methods This study selected 364 patients who undergone Laparoscopic hysteromyoma resection under general anes‐thesia and intraoperative known during January 2011 - December 2013 in our hospital as the research object .130 patients diagnosed with PTSD were divided into 2 groups .The control group was given routine nursing care and the observation group was given early nursing intervention .A face to face interview was carried out using SCL -90 scale and PTSD -SS scale .EPIDATA3 .2 software was used to establish our database and input data ,and the Statistical Analysis System 9 .0 (SAS 9 .0) was applied to conduct data analysis .Results Somatization factor scores were positively correlated with PTSD scores (P<0 .05) .Muscle soreness score ,numbness or tingling body score and other somatization factor score was signifi‐cantly positively related to PTSD scores .Somatization factors subscales of SCL - 90 and PTSD scores of the observation group are reduced significantly ,and there were significant differences between before and after the intervention (P<0 .05) . Conclusion To alleviate the symptoms and promote patients postoperative rehabilitation ,early nursing intervention should be offered to intraoperative awareness and post-traumatic stress disorder patients .