术前心理干预对全麻患者麻醉前及麻醉苏醒期的影响

    Effect of preoperative psychological intervention on patients before anesthesia and general anesthesia recovery period

    • 摘要: 目的:观察术前访视采取心理干预对全麻患者麻醉前及苏醒期配合的效果。方法:60例全麻患者随机分成对照组和心理干预组各30例。对照组患者常规术前访视,测量记录患者术前1 d和麻醉诱导前血压、心率及麻醉苏醒期配合情况。心理干预组患者除常规术前访视外还给予心理干预:介绍麻醉、手术相关信息及麻醉苏醒期不适等。测量记录项目同对照组。结果:2组患者术前1 d血压和心率差异均无统计学意义(P0.05),心理干预组麻醉诱导前血压和心率均较对照组显著降低(P0.01),2组麻醉诱导前配合率差异无统计学意义(P0.05)。心理干预组麻醉苏醒期配合率明显高于对照组(P0.01)。结论:术前心理干预可降低患者心理应激反应和焦虑程度,缓解紧张心理,使患者平稳渡过围手术期。

       

      Abstract: Objective: To observe the preoperative interview take psychological intervention on anesthesia recovery period patients before anesthesia and the effect of the coordination. Method:60 patients were randomly divided into control group and intervention group with 30 cases in each. Patients in the control group routine preoperative interview, measure and record the patients before 1 D and induction of anesthesia, blood pressure and heart rate before anesthesia cooperation. Psychological intervention group patients besides routine preoperative interview is to give psychological intervention: the anesthesia, operation related information and anesthesia recovery period discomfort. Measuring and recording projects with the control group. Results:2, 1 d before the blood pressure and heart rate were not statistically significant (P0.05), psychological intervention group before induction of anesthesia, blood pressure and heart rate were significantly lower than the control group (P0.01), the 2 groups before induction of anesthesia with rate had no significant difference (P 0.05). Anesthesia combined with psychological intervention group was significantly higher than the control group (P0.01). Conclusion: preoperative psychological intervention can reduce the psychological stress response of patients and anxiety, relieve the psychological tension, so that patients smoothly during peri operation period.

       

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