应用个性化视听联合分散干预对痔病手术患者心理应激的效果观察  

Observation on effect of individual audio-visual distraction intervention in psychological stress of patients received hemorrhoid operation

作　　者：罗晓曦[1] 茹海凤[2] 廖毅[1] 

机构地区：[1]广西壮族自治区柳州市中医院肛肠科,545001 [2]广西壮族自治区柳州市中医院护理部,545001

出　　处：《中华现代护理杂志》2008年第12期1362-1365,共4页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区卫生厅自筹经费科研课题（Z2007318）

摘　　要：目的探讨个性化视听联合分散干预缓解痔病手术患者心理应激的效果。方法选择择期痔病手术患者100例，随机分为实验组和对照组，每组50例。手术中对照组接受常规护理，实验组在常规护理的基础上，手术全程给予个性化视听联合分散干预，即播放患者喜爱的影像音乐，分散注意力：观察记录手术前、中、后2组患者的各项生命体征和焦虑程度等相关指标，并进行统计学分析。结果2组在术前均有不同程度的焦虑存在，实验组患者在接受个性化视听联合分散干预后焦虑程度明显缓解，实验组与对照组采用不同干预措施后状态焦虑的评分为（36．16±3．36），（41．98±2．35）。生命体征平稳，与对照组比较有统计学意义（P〈0．05）。结论痔病手术患者手术全程接受个性化的视听联合分散干预能有效帮助个体正确认知和应对应激情境，明显降低手术应激的不良反应，为保障手术顺利实施的围手术期重要护理措施之一。Objective To explore the effect of individual audio-visual distraction intervention in relieving the psychological stress of patients received hemorrhoid operation. Methods 100 patients who were scheduled to undergo the hemorrhoid operation were randomly divided into the experimental group and the control group, including 50 cases in each group. Patients in the control group accepted the routine nursing during the operation. Patients in the experimental group received the routine nursing and individual audiovisual distraction, which included playing the favorite video and music in order to distract attention. The indexes including vital signs and anxiety degree during the operation were observed and recorded before, during and after the operation. Then the results were statistically analyzed. Results The two groups had anxiety at different degrees before the operation. After receiving the individual audio and visual distraction, the anxiety degree of the experimental group was obviously relieved. The anxiety scores were （36.16±3.36） and （41.98±2.35） in the experimental group and the control group, respectively, after the different intervention measures. The vital sign was steady in the experimental group, having a statistical meaning compared to the control group （ P 〈 0. 05 ）. Conclusions The patients can recognize and deal with the psychological stress through the individual audiovisual distraction during the hemorrhoid operation. Audiovisual distraction can obviously decrease the side effect of operation too. It is an important nursing intervention to ensure the successful operation.

关 键 词：视觉 听觉 痔病手术 心理应激 

分 类 号：R473[医药卫生—护理学]