择期手术；焦虑；认知干预；应激_

术前干预对择期手术患者焦虑的影响

http://www.100md.com 《临床心身疾病杂志》 2006年第4期

择期手术；焦虑；认知干预；应激,,择期手术；焦虑；认知干预；应激,【摘要】,【关键词】,1对象与方法,2结果,3讨论,参考文献

     【摘要】 目的探讨术前干预对择期手术患者术前焦虑状况的影响。方法将46例择期手术患者随机分为实验组和对照组各23例。对照组给予常规术前准备和告知同意，实验组在给予常规术前准备和告知同意的基础上给予术前认知干预等。应用焦虑自评量表于入院时和术前1d进行效果评价分析。结果实验组入院时焦虑自评量表评分明显高于术前1d(P<0.01)；对照组术前焦虑自评量表评分明显高于入院时(P <0.05)；实验组术前1d焦虑自评量表评分明显低于对照组(P<0.01)；实验组不同性别认知干预后焦虑自评量表评分显著下降(P<0.01)。结论术前干预能明显减轻手术患者的术前焦虑，有利于手术的顺利进行和术后康复。

    【关键词】 择期手术；焦虑；认知干预；应激

    The effects of preoperation intervention on anxiety of datechosen operation patients

    Song Xinqin , Long Jinliang, Wang Hongyu, et al

    (Zhumadian Mental Hospital ,463000,Henan, China)

    【Abstract】 Objective To explore the effects of preoperation intervention on preoperation anxiety of datechosen operation patients. Methods 46 datechosen operation patients were randomly divided into research and control group(each n=23).The controls were given routine preoperation preparations and informed consent, and research group preoperation cognitive intervention on the basis of control group. Efficacies were assessed using the Selfrating Anxiety Scale (SAS) on admission and the preceding day before operation respectively. Results The SAS scores were significantly higher on admission than the preceding day before operation in the research (P<0.01) and on the contrary in the control group(P<0.05);. on the preceding day before operation, score of the research was significantly lower than that of the control group(P<0.01); after intervention score of the research remarkably reduced(P<0.01). Conclusion Preoperation intervention can remarkably relieve the patient's anxiety and is beneficial to smooth operation and recovery. ......

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