心理干预疗法对子宫切除手术患者围术期应激反应的影响  

Effect of perioperative psychological supportive therapy on stress in patients undergoing hysterectomy

作　　者：韩威[1] 郭宝富[1] 叶虹[1] 

机构地区：[1]吉林大学中日联谊医院麻醉科,吉林长春130033

出　　处：《吉林医学》2010年第10期1308-1309,共2页Jilin Medical Journal

摘　　要：目的:探讨围术期心理干预对行子宫切除手术患者的应激反应的影响。方法:120例择期行子宫切除手术患者,随机分为两组:实验组60例和对照组60例。两组患者均采用连续硬膜外麻醉,实验组于术前、术中、术后对患者进行系统的、有针对性的心理干预,包括术前、术后提供围术期各种程序性和感觉性信息,手术中轻松环境氛围,和预知不适等。对照组进行常规会诊和操作。两组患者分别于入院当天、术前1天心理干预后及术后1天采用Zung自评焦虑量表测焦虑程度。于术前1天16:00时、手术当天16:00时、次日6:00时采血样,用放免法测皮质醇。结果:入院时实验组与对照组焦虑值比较,差异无统计学意义(P>0.05),心理干预后2个时点实验组焦虑值低于对照组(P<0.05)。实验组手术当天16∶00时、次日6∶00时测皮质醇低于对照组(P<0.05)。结论:围术期心理干预能够使患者进入积极的心理状态,在心理行为上与手术相适应,减低应激反应的发生。Objective To investigate the effect of perioperative psychological supportive therapy（PPST）on the stress in patients undergoing hysterectomy.Method Total 120 patients（ASA I or II class） undergoing hysterectomy under epidural block were randomly divided into two groups：the study group（n = 60） and the control group（n = 60）.PPST was given to the study group.Anxiety,cos were monitored perioperatively.Results In the study group,anxiety,cos were significantly lower after PPST than those in the control group（P 〈0.05）.Conclusion PPST can lead patients undergoing hysterectomy to a positive mental condition,make them adapt to operation,PPST can inhibit the stress response from psychological factor.

关 键 词：焦虑 心理干预 应激反应 子宫切除手术 

分 类 号：R713[医药卫生—妇产科学] R395.5[医药卫生—临床医学]