舒适护理对腹部手术患者术前应激状态的影响  

Effects of comfort care on preoperative stress of patients requiring abdominal surgery

作　　者：蔡树云[1] 余沛旭[1] 刘瑞莉[1] 黄雪莲[1] 敖兵[1] 

机构地区：[1]广东医学院附属医院手术室,广东湛江524001

出　　处：《广东医学院学报》2009年第5期510-512,共3页Journal of Guangdong Medical College

摘　　要：目的观察舒适护理模式对腹部手术患者麻醉前应激反应的影响。方法60例全麻下行腹部手术的患者随机分为对照组(C组,n=26)和舒适护理组(S组,n=34),舒适护理组从术前1 d进行舒适护理,对照组不做特殊处理。分别在手术前1 d(T1)和手术麻醉前(T2)进行血压、心率和焦虑指数的测量并分析。结果与手术前1d(T1)比较,两组患者手术麻醉前(T2)的血压、心率及焦虑指数均明显增加,但以对照组增加得明显(P<0.01),舒适护理组患者手术麻醉前(T2)的血压、心率及焦虑指数明显低于对照组,差异有统计学意义(P<0.01或0.05)。结论手术患者麻醉前的应激反应水平明显升高,而术前的舒适护理则可以明显缓解腹部手术患者手术麻醉前的应激状态。Objective To investigate the effects of comfort care on preoperative stress of patients requiring abdominal surgery.Method Sixty patients requiring abdominal surgery were randomly divided into control group（C group,n=26） and experiment group（E group,n=34）.The E group was treated with the comfort care from the day before operation,the C group was routinely treated.The anxiety index,blood pressure and heart rate were recorded one day prior to the operation（T1） and ten minutes before the anesthesia（T2）,respectively.Results The anxiety index,blood pressure and heart rate in the two groups increased at T2（compared with at T1）,especially in the C group（P〈0.01）.The levels of anxiety index,blood pressure and heart rate were lower in the E group than those in the C group （P〈0.01）.Conclusion The comfort care can reduce the level of preoperative stress of patients requiring abdominal surgery effectively.

关 键 词：舒适护理 外科手术 应激反应 焦虑指数 

分 类 号：R395.1[哲学宗教—心理学]