音乐香薰疗法和触摸疗法相结合对假体隆乳术患者围手术期应激反应的影响
[摘要]目的：探讨触摸疗法和音乐香薰疗法相结合对假体隆乳术患者围手术期应激反应的影响。方法：选取90例静脉麻醉下行假体隆胸术的患者，按随机数字表分为3组，每组30例，于术前一天上午、下午及临睡前半小时分别给予三次不同的护理干预：对照组(A组)，静卧于病床20 min；触摸疗法组(B组)，触摸治疗20 min；触摸疗法+音乐香薰疗法组(C组)，触摸治疗+音乐香薰疗法20 min。干预前(术前1h)和干预后(术后6h)分别测定患者状态焦虑值(SAI)；入院时、术前1h、术中(切皮时)、术后4h测定患者平均动脉血压(MAP)、心率(HR)和血糖(Glu)；术后6h测定患者疼痛程度(VAS)的变化。结果：三组患者入院时SAI值均显著高于常模，组间无差异(P>0.05)；干预后A组略上升，B组和C组明显下降，低于常模，C组低于B组(P<0.05)。入院时、术前1h 组间MAP和HR无差异(P>0.05)；术中三组MAP、HR均升高，B、C组间差异明显(P<0.05)；术后4h三组均降低，C组低于B组，B组低于A组(P<0.05)。患者入院时、术前1h 组间Glu无差异(P>0.05)；术中略升高；术后4h 下降，C组最低(P<0.05)。术后6h C组VAS值小于B组，B组小于A组，但无统计学差异(P>0.05)。结论：术前触摸疗法和音乐香薰疗法相结合的护理措施可以有效减轻假体隆乳术患者的围手术期应激反应。
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[关键词]触摸疗法；音乐疗法；香薰疗法；隆乳术；应激反应
[中图分类号]R655.8 [文献标识码]A[文章编号]1008-6455(2011)04-0549-04
Effects of therapeutic touch associated with musicotherapy and aromatherapy on perioperative stress reaction of patients undergoing breast implants surgery
LU Yan
(Department of Plastic Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang,China)
, 百拇医药
Abstract:ObjectiveTo investigate the effects of therapeutic touch associated with musicotherapy and aromatherapy on perioperative stress reaction of patients undergoing breast implants surgery.Methods90 women undergoing breast implants surgery with intravenous anesthesia were randomly into three groups (n=30):control group (group A),therapeutic touch group (group B) and therapeutic touch associated with musicotherapy and aromatherapy group (group C).Treatments were applied for 20 min in preoperative day three times, with (group A) lying in bed with eyes closed only; (group B) therapeutic touch; (group C) therapeutic touch associated with musicotherapy and aromatherapy. The values of SAI from patients were determined at 1h before operation and 6h after operation; MAP,HR and Glu were detected at admission to hospital,1h before operation, during operation and 4h after operation; the values of VAS were recorded at 6h after operation.ResultsThe values of SAI among three groups were all higher than the average of normal humans, however, there were no obvious differences among three groups (P>0.05).After the treatment, the values in group A increased and group B and C decreased, with group C lower than group B (P<0.05). There were no obvious differences in MAP and HR among three groups at admission to hospital and 1h before operation (P>0.05).However,MAP and HR increased during operation and decreased at 4h after operation,with group C lower than group B and group B lower than group A (P<0.05). No obvious differences in the content of Glu in peripheral blood were observed among three groups at admission to hospital and 1h before operation (P>0.05); however,the content of Glu increased during operation and decreased at 4h after operation,with group C the lowest (P<0.05). There were no obvious differences in the values of VAS among three groups at 6h after operation (P>0.05), although the values in group C were lower than group B, and group B were lower than that of group A.ConclusionTherapeutic touch associated with musicotherapy and aromatherapy could effectively relieve the stress reaction of the patients undergoing breast implants surgery., 百拇医药(鲁妍)
, http://www.100md.com
[关键词]触摸疗法；音乐疗法；香薰疗法；隆乳术；应激反应
[中图分类号]R655.8 [文献标识码]A[文章编号]1008-6455(2011)04-0549-04
Effects of therapeutic touch associated with musicotherapy and aromatherapy on perioperative stress reaction of patients undergoing breast implants surgery
LU Yan
(Department of Plastic Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,Heilongjiang,China)
, 百拇医药
Abstract:ObjectiveTo investigate the effects of therapeutic touch associated with musicotherapy and aromatherapy on perioperative stress reaction of patients undergoing breast implants surgery.Methods90 women undergoing breast implants surgery with intravenous anesthesia were randomly into three groups (n=30):control group (group A),therapeutic touch group (group B) and therapeutic touch associated with musicotherapy and aromatherapy group (group C).Treatments were applied for 20 min in preoperative day three times, with (group A) lying in bed with eyes closed only; (group B) therapeutic touch; (group C) therapeutic touch associated with musicotherapy and aromatherapy. The values of SAI from patients were determined at 1h before operation and 6h after operation; MAP,HR and Glu were detected at admission to hospital,1h before operation, during operation and 4h after operation; the values of VAS were recorded at 6h after operation.ResultsThe values of SAI among three groups were all higher than the average of normal humans, however, there were no obvious differences among three groups (P>0.05).After the treatment, the values in group A increased and group B and C decreased, with group C lower than group B (P<0.05). There were no obvious differences in MAP and HR among three groups at admission to hospital and 1h before operation (P>0.05).However,MAP and HR increased during operation and decreased at 4h after operation,with group C lower than group B and group B lower than group A (P<0.05). No obvious differences in the content of Glu in peripheral blood were observed among three groups at admission to hospital and 1h before operation (P>0.05); however,the content of Glu increased during operation and decreased at 4h after operation,with group C the lowest (P<0.05). There were no obvious differences in the values of VAS among three groups at 6h after operation (P>0.05), although the values in group C were lower than group B, and group B were lower than that of group A.ConclusionTherapeutic touch associated with musicotherapy and aromatherapy could effectively relieve the stress reaction of the patients undergoing breast implants surgery., 百拇医药(鲁妍)