摘要
目的探讨术前团体认知行为干预(GCBC)在无痛人工流产手术麻醉前评估中的临床应用价值。方法选取2019年1-11月该院收治的行无痛人流手术患者240例,采用随机数字表法分为对照组(CON组)和干预组(GCBC组),每组120例,最终完成测评纳入统计数据231例(CON组115例,GCBC组116例)。CON组按常规诊疗程序进行,不参与GCBC。GCBC组术前由心理医生进行GCBC,给予专业心理指导与情绪放松治疗。记录2组患者术前一般资料、术中呼吸抑制发生率、单位时间丙泊酚用量、人流综合征发生率、术后视觉模拟疼痛量表(VAS)评分,以及恶心、呕吐发生率,手术前后焦虑自评量表(SAS)与汉密尔顿抑郁量表(HAMD)评分和满意度。结果2组患者术中心动过缓、呕吐发生率比较,差异均无统计学意义(P>0.05);GCBC组患者呼吸抑制、恶心、人流综合征发生率、单位时间丙泊酚用量、术后VAS评分明显低于CON组,差异均有统计学意义(P<0.05)。GCBC组患者术后SAS、HAMD评分下降更明显,与CON组比较,差异均有统计学意义(P<0.05)。GCBC组满意度明显高于CON组,差异有统计学意义(P<0.05)。结论术前麻醉评估时进行GCBC能改善人流手术患者术后焦虑与抑郁情绪,降低术中相关并发症发生率,提高患者对手术麻醉的满意度。
Objective To explore the clinical value of preoperative group cognitive behavior counseling(GCBC)in the pre anesthesia evaluation of painless abortion.Methods A total of 240 patients undergoing painless abortion from January to November,2019 were randomly divided into control group(CON group)and counseling group(GCBC group),with 120 cases per group.Finally,a total of 231 cases were included in the evaluation.There were 115 cases in CON group and 116 cases in GCBC group.CON group was treated according to routine diagnosis and treatment procedures,and did not participate in GCBC.In GCBC group,GCBC was performed by psychologists before operation,and professional psychological guidance and emotional relaxation therapy were participated.General demographic data,the incidence of intraoperative respiratory depression,the dosage of propofol per minute,the incidence of induced abortion syndrome,postoperative VAS scores,the incidence of nausea and vomiting were recorded.SAS and HAMD scores before and after operation and satisfaction were also evaluated.Results There was no significant difference in the incidence of bradycardia and vomiting between the two groups(P>0.05).The incidence of respiratory depression,nausea,abortion syndrome,the dosage of propofol per minute and postoperative VAS scores in GCBC group were significantly lower than those in CON group(P<0.05).The scores of SAS and HAMD in GCBC group decreased more significantly than those in CON group(P<0.05).The satisfaction of GCBC group was significantly higher than that of CON group(P<0.05).Conclusion GCBC in preoperative anesthesia evaluation can relieve postoperative anxiety and depression,reduce the incidence of intraoperative complications,and improve patients′satisfaction with anesthesia.
作者
甘霖
俞瑾
汤远霞
韩容
蒋成刚
刘朝文
GAN Lin;YU Jin;TANG Yuanxia;HAN Rong;JIANG Chenggang;LIU Chaowen(Department of Anesthesial,Chongqing Maternal and Child Health Hospital,Chongqing 401120,China;Department of Psychological,Chongqing Maternal and Child Health Hospital,Chongqing 401120,China)
出处
《现代医药卫生》
2022年第10期1650-1653,共4页
Journal of Modern Medicine & Health
基金
重庆市渝中区基础研究与前沿探索项目(20180152)。
关键词
团体认知行为干预
无痛人工流产
麻醉评估
人流综合征
Group cognitive behavior counseling
Painless abortion
Anesthesia evaluation
Abortion syndrome
