不同体位入手术室对患者术前心理的影响  

Impact of various positions before admission to operating room on preoperative anxiety in patients

作　　者：龚锦[1] 普鹰[1] 张莹[1] 张敏[1] 吴遐[1] 肖靓[1] 方芳[1] 

机构地区：[1]上海交通大学附属第一人民医院,上海200080

出　　处：《上海护理》2011年第5期15-17,共3页Shanghai Nursing

基　　金：上海交通大学附属第一人民医院院课题基金项目(编号060913)

摘　　要：目的探讨不同体位入手术室对手术患者术前心理的影响。方法选择2010年1—12月在上海交通大学附属第一人民医院实施腹腔镜胆囊切除术患者100例,随机分为坐位组与卧位组各50例,取入院第2天和进入手术室2个时间点,进行状态-特质焦虑量表评分和监测平均动脉压、心率和血糖。结果与入院第2天相比,进入手术室后两组患者焦虑相关指标升高,但坐位组低于卧位组,两组比较差异有统计学意义。结论对手术患者来说,进入手术室会产生焦虑的心理状态,除了做好心理疏导以外,改变体位也能有效地缓解患者术前焦虑的情绪,有助于生命体征的稳定和保证手术的顺利进行。Objective To investigate the impact of various positions before admission to operating room on preoperative anxiety in patients. Methods A total of 100 cases of laparoscopic cholecystectomy in our hospital from January to December 2010 were randomly and equally divided into the sitting group and supine group. At two time points, i.e. the second day after admission to hospital and before admission to operation room, State-trait Anxiety Inventory （STAI） was used to investigate the patients, and mean arterial blood pressure, heart rate, and blood glucose were monitored. Results The relevant indicators of anxiety increased in all patients before entering operating room compared with the second day after admission to hospital. But the sitting group was significantly lower than the supine group. Conclusion tion room from supine into sitting position can relieve ensure a smooth operation. Changing the patients＇ position before admission to operatheir preoperative anxiety, stabilize their vital signs, and

关 键 词：手术 焦虑 体位 

分 类 号：R47[医药卫生—护理学]