摘要
目的：探究在骨科患者手术治疗过程中运用催眠暗示心理疗法对心理状态的影响,为手术期间实施心理疗法提供理论依据。方法：选择2015年12月-2016年12月期间于我院骨科进行手术治疗的100例患者,回顾性分析符合标准的病历资料,所有患者均行手术治疗,采用腰麻硬膜外联合阻滞麻醉,将只实施常规麻醉方式的50例患者设为对照组,在常规麻醉基础上加用催眠暗示心理疗法的50例患者设为观察组。比较两组患者手术前后的焦虑（SAS）以及抑郁（SDS）评分,并详细记录两组患者手术期间相关血流动力学指标,通过状态自评量表（SCL-90）评价两组患者术后一般精神心理状态。结果：观察组术后焦虑（SAS）、抑郁（SDS）评分显著低于对照组,有统计学意义（t=-18.791,-21.791;P〈0.001）;SCL-90中,观察组躯体化、强迫症状、抑郁、焦虑、饮食睡眠、恐惧评分显著低于对照组,有统计学意义（t=-12.700,-18.785,-27.608,-16.542,-24.954,-32.869;P〈0.001）,人际关系、偏执、敌对、精神病症状差异无统计学意义（P〉0.05）;两组患者术中SpO2、MPA、HR无显著性差异,无统计学意义（P〉0.05）,观察组BIS显著低于对照组,有统计学意义（t=-15.364,P〈0.001）。结论：在骨科手术中,相较于常规麻醉方式,在其基础上运用催眠暗示心理疗法能显著降低术后焦虑、抑郁等不良情绪,能较大程度上改善患者一般心理状态,在外科手术中起到良好的辅助作用。
Objective：To study the effect of hypnotic suggestion therapy on related psychological state in surgical treatment for orthopedic patients,so as to provide theory gist for implementing psychotherapy in surgery process.Methods：A total of 100 cases of patients receiving surgical treatment in orthopedics of our hospital since December2015 to December 2016 were selected as the objects of the study,and retrospective analysis was conducted on case data which conformed to criteria.All patients were treated with surgery and provided with spinal-epidural combined with block anesthesia.50 cases of patients provided with conventional anesthesia were set as the control group,while the other 50 cases of patients provided with conventional anesthesia combined with hypnotic suggestion therapy were set as the observation group.Patients in the two groups were compared for anxiety（SAS）and depression（SDS）scores before and after surgery,recorded for related cerebral vascular hemodynamic index during surgery and were evaluated for general psychological state via symptom check list-90（SCL-90）.Results：The postoperative anxiety（SAS）and depression（SDS）scores the of observation group were distinctively lower than that of the control group（t=-18.791,-21.791,P〈0.001）.According to SCL-90,the observation group performed gained distinctly lower scores than control group in somatization,obsessive-compulsive symptom,anxiety,depression,diet sleep and fear,having statistical significance（t=-12.700,-18.785,-27.608,-16.542,-24.954,-32.869,P〈0.001）.There was no significant difference in interpersonal relationship,intolerance,hostility and evidence of mental abnormality between two the groups（P〈0.05）.Patients in the two groups had no significant difference in intraoperative SpO2,MPA and HR（P〈0.05）.BIS of the observation group was distinctly lower than that of the control group（t=-15.364,P〉0.001）.Conclusion：In orthopedic surgery,compared with conventional anesthesia method,hypnotic suggestion the
作者
崔冀芳
CUI Jifang(Operation Room ,Qinghai People＇s Hospital ,Xining 810007,China)
出处
《中国健康心理学杂志》
2018年第5期668-670,共3页
China Journal of Health Psychology
