摘要
目的探讨心理干预对择期手术病人应激反应产生的影响并进行相应的效果评价。方法将 70例普外科择期手术病人随机编入观察组 (接受心理干预 )和对照组 (未接受心理干预 ) ,并测定两组术前焦虑、心率、收缩压及术中、术后疼痛、恐惧、痛苦与不适。结果观察组在术前晚、术晨、术中及术后的各项心理应激反应水平显著低于对照组 (P <0 .0 5 ,P <0 .0 1 ) ;心率、血压变化术前两组比较 ,差异有显著性意义 (P <0 .0 5 ,P <0 .0 1 ) ;而术中、术后两组差异不大 (P >0 .0 5 )。结论心理干预可缓解病人术前焦虑、减轻手术应激反应 。
Objective To examine the effect of psycho intervention on stress in patients undergoing selective operation and evaluate its efficacy. Methods Seventy patients undergoing selective operation in general surgery were randomly assigned to experimental group (receiving psycho intervention) and control group. The anxiety, heart rate and systolic pressure of the patients were measured before operation, and the pain, fear, suffering and discomfort were measured during and after operation. Results On the eve and morning of, during and after operation, the stress levels of each mental index in the experimental group were obviously lower than in the control group.Conclusion Psycho intervention has alleviating effect on pre operative anxiety and can reduce intraoperative stress. It is of help in the rehabilitation of the patients.
作者简介
王振英(1964-),女,大专,主管护师,护士长.