摘要
目的 :评价吸入性芳香疗法对于围手术期患者焦虑情绪的影响。方法 :计算机检索Pub Med、Web of Science、Cochrane Library、中国学术期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)和万方数据库,并辅助其他检索,全面收集吸入性芳香疗法对于围手术期患者焦虑情绪影响的相关研究。采用Cochrane系统评价方法,对纳入研究进行质量评价和资料提取后,采用Rev Man5.3软件进行Meta分析。结果:共纳入7篇随机对照试验,450例患者。状态-特质焦虑量表(STAI)评分干预前后差值的Meta分析结果显示WMD=-5.39,95%CI(-9.34^-1.43),Z=2.67,P=0.008,合并效应有统计学意义;视觉模拟疼痛评分(VAS)干预前后差值Meta分析结果显示WMD=-1.03,95%CI(-1.20^-0.86),Z=11.86,P<0.001,合并效应有统计意义;收缩压、舒张压干预前后差值结果均小于0,心率、呼吸频率干预前后差值结果部分小于0。结论 :吸入性芳香疗法能够缓解围手术期患者焦虑情绪和疼痛,能够降低血压或降低血压升高幅度,对心率和呼吸频率影响效果不明显。
Objective： To evaluate the effects of inhaled aromatherapy on anxiety among perioperative patients. Methods： We searched the following databases such as PubMed, Web of Science, Cochrane Library, CNKI, CBM, and WanFang Data electronically. The retrieval time was up to April 15, 2016 and other sources as applying were also retrieved. According to the evaluation method of Cochrane system, the quality evaluation and data extraction were carried out, and the RevMan 5.3 software was used for Meta analysis. Results： A total of 7 randomized controlled trials （RCTs） with 450 patients were recruited. Meta anaiysis of the score difference of the State Trait Anxiety Inventory （STAI） before and after the intervention showed that WMD was -5.39 with 95% CI （-9.34, -1.43）, Z=2.67, and P=-0.008, and the combined effect was statistically significant. Meta analysis of the Visual Analog Score （VAS） difference before and after the intervention showed that WMD was -1.03 with 95% CI （-1.20, -0.86）, Z=11.86, and P〈0.001, and the combined effect was statistically significant. The diffidence of the systolic blood pressure and diastolic blood pressure before and after the intervention were less than O, while the difference of heart rate and respiratory rate before and after the intervention were not all less than O. Conclusion： Inhaled aromatherapy can relieve anxiety and pain among perioperative patients. It could lower blood pressure or blood pressure climbing extent, but the effect is not obvious for heart rate and respiratory rate.
作者
汪袁云子
刘小琴
张志刚
张彩云
蒲小金
寇彩艳
李文娟
雷艳萍
杨丽萍
田金徽
WANG Yuanyunzi LIU Xiaoqin ZHANG Zhigang ZHANG Caiyun PU Xiaojin KOU Caiyan LI Wenjuan LEI Yanping YANG Liping TIAN Jinhui(Department of General Surgery, The First Affiliated Hospital, Lanzhou University, Lanzhou, 730000 Chin)
出处
《中国护理管理》
CSCD
2016年第12期1643-1648,共6页
Chinese Nursing Management
