断指再植患者禁烟后心理状态与血管危象相关因素的研究  

Research for the related factors between the psychological state and the vascular crisis for digital replantation patient after smoking ban

作　　者：郑捷[1] 郑小敏[1] 王琦[1] 成江容[1] 黄忆梅[1] 杨志明[1] 廖少雁[1] 宁达清[1] 

机构地区：[1]广西医科大学第一附属医院创伤手外科,广西南宁530021

出　　处：《护士进修杂志》2009年第20期1830-1832,共3页Journal of Nurses Training

基　　金：广西壮族自治区卫生厅资助课题;合同号Z2005054

摘　　要：目的观察断指再植术后患者被动禁烟所产生的心理状态,尤其是躯体化、焦虑及与血管危象的关系,对比两组观察结果,并给予有效护理措施,以减少血管危象的发生。方法将175例断指再植术后禁烟患者按住院时间先后分为对照组和实验组,应用SCL-90条目分别对两组患者进行心理测评,观察分值超过2分的因子与血管危象的关系,对实验组患者实施护理手段,对比两组患者护理干预前后与再植指血管危象的变化。结果被动禁烟后两组患者均出现不同程度的心理反应,其中躯体化、焦虑因子分值超过2分,是导致血管危象发生的首要原因,护理干预后,实验组血管危象发生率明显低于对照组(P<0.05)。结论躯体化、焦虑是影响被动禁烟患者再植指血运的主要因素,通过正确的护理干预可以减少或避免血管危象的发生,提高再植指的成功率。Objective To observe the relationship between psychological state, somatization, anxiety and the vascular crisis for digital replantation patients after passive smoking ban. and to compare the results of the two groups and to provide the effective measures in order to reduce the occurrence of vascular crisis. Method 175 data of digital replantation patient after smoking ban was divided into control group and experimental group based on the time of their admission. SCL-90 entry was used to evaluate the psychological states of the two groups. The factors was more than 2 point, and the relation between the vascular crisis implement wand nursing to the experimental group was observed and compared before and after the nursing interventions. Result After a passive smoking ban, the two groups showed different levels of psychological reactions, in which the somatization, anxiety factors more than 2 points are the main reason of the occurrence of vascular crisis. After implementing nursing intervention, the incidence of vascular crisis in the experimental group was significantly lower than that of control group （P〈0.05） Conclusion Somatization, anxiety as an impact of passive smoking ban to the patients is the primary factor that affect the vascularization of the implanted digits. Through proper nursing intervention, it may reduce or avoid the occurrence of vascular crisis, hence improving the success rate of the implanted digits.

关 键 词：断指再植 禁烟 护理 

分 类 号：R472[医药卫生—护理学] R473.6[医药卫生—临床医学]