心理护理干预在甲状腺手术围手术期的应用效果观察(1)
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2010年2月1日
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【摘要】目的:探讨心理护理干预对甲状腺围手术期患者的影响。方法:将556例甲状腺手术患者随机分为心理护理干预组(观察组,279例)和常规护理组(对照组,277例)。对照组采用常规护理措施。观察组在常规护理基础上采用术前、术中和术后心理护理干预。比较两组患者入院时、手术前和手术后焦虑情况;干预前和术中的血压、心率变化情况;术中疼痛发生情况。结果:观察组的手术前后焦虑分值明显低于对照组(P<0.01);术中,观察组收缩压、舒张压和心率明显低于对照组(P<0.01);观察组术中总疼痛率明显低于对照组(6.45%对63.17%,P<0.01)。结论:围手术期心理护理干预可缓解甲状腺手术患者焦虑情绪,减少血压、心率波动,减轻疼痛,使患者更好地适应和配合手术。
【关键词】心理护理干预;甲状腺手术;围手术期
【中图分类号】R473.6 【文献标识码】A 【文章编号】1008-6455(2010)08-0292-02
Observation on Mental Nursing Intervention in Perioprative Period of Thyroid Surgery
He Jie
【Abstract】Objective:To approach the effect of mental nursing intervention in patients of perioprative period of thyroid surgery. Methods:We selected 556 patients with thyroid surgery as testing objects, which was divided into mental nursing intervention group (observation group, 279 cases) and conventional nursing group (control group, 277 cases). The control group received the care of conventional nursing procedure. The observation group was pre-operation, intra-operation and post-operation mental nursing intervention besides conventional nursing care. The comparison was made in the patient,anxiety in admission, pre-operation and post-operation, the patient,change on blood pressure and heart rate in pre-intervention and intra-operation, intra-operative pain between two groups. Results:The value of anxiety in observation group was lower than that in control group in pre-operation and post-operation(P<0.01). Systolic pressure, diastolic pressure and heart rate in observation group were lower than that in control group in intra-operation(P<0.01). Total pain rate in observation group was lower than that in control group in intra-operation(6.45% vs 63.17%, P<0.01).Conclusion:In perioprative period of thyroid surgery, mental nursing intervention can relieve the patient,anxiety, reduce fluctuation of blood pressure and heart rate, relieve ache, which can make the patient adapt well and combine the surgery.
【Key words】Mental nersing intervention;Thyroid surgery;Perioprative period
甲状腺手术是普通外科的常见手术,在我院约占该科总手术例数的21.9%。由于甲状腺疾病患者本身的影响,其情绪不稳、易激动,再加上手术体位、麻醉配合等原因,更存在不同原因的焦虑、抑郁,在手术中常出现脉率及血压的变化,疼痛不适发生率高,影响手术的进行。因此,对每位患者进行充分而完善的心理护理干预,消除患者的顾虑和恐惧心情是保证手术顺利进行和预防术后并发症的关键[1]。自2009年初以来,我们对甲状腺手术患者开展围手术期心理护理干预,并与对照组进行对比观察,现报道如下。
1 资料与方法
1.1 一般资料:选择自2009年1月至2010年4月在我院进行手术的556例甲状腺手术患者作为观察对象 ......
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