摘要
目的:探讨中医五音疗法对经T管窦道胆道镜联合激光碎石术患者生理和心理应激的影响。方法:选取2018年10月~2019年2月行经T管窦道胆道镜联合激光碎石术的90例患者,随机分为对照组和实验组,每组45例。围手术期内,对照组给予常规护理,实验组在常规护理的基础上采用中医五音疗法护理,根据患者的不同证型选用对应的传统乐曲。采用状态-特质焦虑问卷中状态焦虑分量表评估两组患者围手术期的状态焦虑程度,采用疼痛视觉模拟量表评估两组患者围手术期疼痛程度,采用简化舒适状况量表评估两组患者围手术期的舒适状况,并比较两组患者围手术期的平均动脉压和心率水平。结果:术前1 d,两组平均动脉压、心率、状态焦虑程度、疼痛视觉模拟量表评分和简化舒适状况量表评分相比较,差异均无统计学意义,P>0.05;术前30 min和术后6 h,实验组的状态焦虑程度评分、平均动脉压和心率水平均显著低于对照组,差异均有统计学意义,P<0.05;术后6 h,实验组的简化舒适状况量表评分显著高于对照组,疼痛视觉模拟量表评分显著低于对照组,差异均有统计学意义,P<0.05。结论:中医五音疗法可以改善经T管窦道胆道镜联合激光碎石术患者围手术期焦虑状况,保持血流动力学稳定,减轻术后疼痛,提高患者舒适度,有利于减轻患者的生理和心理应激,可以作为心理护理和舒适护理的辅助措施。
Objective:To investigate the effects of traditional chinese medicine five-tone therapy on physiological and psychological stress in patients treated by trans-T-tube stinus choledochoscope combined with laser lithotripsy.Methods:From October 2018 to February 2019,90 patients treated by trans-T-tube stinus choledochoscope combined with laser lithotripsy were randomly divided into control group and experimental group,with 45 cases each.The control group were given routine nursing care,while the experimental group were given traditional chinese medicine five-tone therapy on the basis of routine nursing care,and the corresponding traditional music was selected according to the different syndromes of patients.The state anxiety subscale of the state-trait anxiety inventory was used to evaluate the state anxiety of the two groups during the perioperative period.The pain visual analogue scale was used to evaluate the pain degree of the two groups.The comfort status of the two groups was evaluated by the simplified comfort scale.The average arterial pressure and heart rate levels of the two groups were compared during the perioperative period.Results:One day before operation,there was no significant differences between the two groups in mean arterial pressure,heart rate,state anxiety,pain visual analogue scale score and simplified comfort scale score,P>0.05.30 minutes before operation and 6 hours after operation,the level of state anxiety,mean arterial pressure and heart rate in the experimental group were significantly lower than those in the control group,with statistical significance,P<0.05.6 hours after operation,the score of the simplified comfort scale in the experimental group was significantly higher than the control group,and the pain VAS scores were significantly lower than those in the control group,with statistical significance,P<0.05.Conclusion:Traditional chinese medicine five-tone therapy can improve perioperative anxiety,maintain hemodynamic stability,reduce postoperative pain and improve patients'comfort i
作者
谢杜娟
谢海英
王玲娟
XIE Du-juan;XIE Hai-ying;WANG Ling-juan(The 900th Hospital of the Joint Logistics Support Force of the People's Liberation Army,Fujian,Fuzhou350025)
出处
《实用中西医结合临床》
2019年第10期151-154,共4页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
基金
福建省科技拥军项目(编号:2016Y5006)
关键词
经T管窦道胆道镜
激光碎石术
五音疗法
常规护理
Trans-T-tube sinus choledochoscope
Laser lithotripsy
Traditional chinese medicine five-tone therapy
Routine nursing care
