摘要
目的探究心理护理在妇产科腹腔镜手术患者围麻醉期的有效应用。方法随机选取在该院2016年12月—2017年12月治疗的72例妇产科腹腔镜手术患者为对象,分为观察组及对照组,两组各36例。观察组行常规护理联合心理护理,对照组行单纯性常规护理。对比两组护理后的临床体征、SAS评分、镇静效果、心理反应。结果在患者的术前、手术结束,以及术后60 min时,相较于对照组,观察组的镇静深度评分均显著较低,且术后60 min对照组为(3.72±0.46)分、观察组为(3.30±0.54)分,两组对比差异有统计学意义(t=3.552 5,P <0.05);相较于对照组31例(86.11%),观察组患者的焦虑担心程度16例(44.44%)显著较低,对比差异有统计学意义(P<0.05);在术前1d,两组的心率及收缩压差别较小,对比差异无统计学意义(P>0.05),而相较于对照组,在入室5 min时间之后,观察组的收缩压(128.9±10.1)mmHg及心率(93.5±10.2)次/min对比差异有统计学意义(t=6.7324、8.3077(P<0.05),结果显示相较于对照组,观察组的紧张情绪较为严重;入院之后两组的SAS评分对比差异无统计学意义(P>0.05),相较于术前及术后1 d,入院之后观察组的评分显著降低,对照组术后1 d为(52.30±6.95)分,观察组是(41.07±5.27)分,(t=7.725 2,P<0.05),且对照组的SAS评分显著增加,对比差异有统计学意义(P<0.05)。结论针对妇产科腹腔镜手术患者,采用常规护理联合心理护理,可缓解抑郁、焦虑情绪,增强手术麻醉镇静效果,加快患者康复速度,改善生活质量。
Objective To explore the effective application of psychological nursing in patients undergoing laparoscopic surgery for obstetrics.Methods A total of 72 patients undergoing laparoscopic surgery in our hospital from December 2016 to December 2017 were randomly divided into observation group and control group,with 36 cases in each group.The observation group underwent routine nursing combined with psychological care,and the control group underwent simple routine nursing.The clinical signs,SAS scores,sedative effects,and psychological responses of the two groups were compared.Results In the preoperative,end of surgery,and 60 min postoperative period,the sedation depth scores of the observation group were significantly lower than those of the control group,and 60 min after the operation was(3.72±0.46)points and the observation group was(3.30±0.54)points.The difference between the two groups was significant(t=2.3925,P<0.05).Compared with the control group of 31 cases(86.11%),the anxiety of the observation group was observed.The degree of fear was significantly lower in 16 cases(44.44%),and the difference was statistically significant(P<0.05).At 1 day before surgery,the difference in heart rate and systolic blood pressure was small,and the difference was not statistically significant(P>0.05),compared with the control group,after 5 minutes into the hospital,the systolic blood pressure(128.9±10.1)mmHg and heart rate(93.5±10.2)times/min of the observation group were significantly different(t=6.732 4,8.307 7,P<0.05),the results showed that the tension in the observation group was more serious than that in the control group;the difference of SAS scores between the two groups after admission was not significant(P>0.05),compared with 1 day before and1 day after surgery.The score of the observation group was significantly lower after admission.The control group was(52.30±6.95)points on the 1 st day and(41.07±5.27)points on the observation group(t=7.725 2,P<0.05),and the SAS score of the control group increased significan
作者
张思
赫金鑫
ZHANG Si;HE Jin-xin(Department of Anesthesiology,Maternal and Child Health Hospital,Haidian District,Beijing,100080 China)
出处
《中外医疗》
2019年第6期133-135,共3页
China & Foreign Medical Treatment
关键词
腹腔镜手术
围麻醉期
心理护理
妇产科
Laparoscopic surgery
Perioperative anesthesia
Psychological nursing
Obstetrics and gynecology
