躁狂症病人并发外科疾病围手术期的治疗对策研究  

The Perioperative Treatment Strategy of Mania Patients Complicated Surgical Diseases

作　　者：柳勤斌[1] 高镇松[1] 黄艳玲[2] 刘满芬[1] 赖怀远[1] 张汉建[1] 陈小志[1] 

机构地区：[1]广东省汕头市第四人民医院,广东汕头515021 [2]广东省医学情报研究所,广东深圳510180

出　　处：《黑龙江医学》2012年第2期81-84,共4页Heilongjiang Medical Journal

基　　金：2010年度汕头市重点科技计划项目(汕府科[2010]63号第9项)

摘　　要：目的总结躁狂症病人并发外科疾病时围手术期的治疗对策。方法对60例并发外科疾病的躁狂症病人在围手术期采用焦虑自评量表(SAS)和生活事件量表(LES)进行检测,辅以自行设计的影响因素调查表进行调查、分析及相应处理,并针对影响因素施行相应的治疗对策。结果围手术期躁狂症病人主要的心理活动以不安全感为主,伴有焦虑状态。这种心理特点势必影响躁狂症患者的治疗护理依从性,进而影响医疗及护理质量。结论患者围手术期焦虑心理,与疼痛、对疾病和手术的恐惧感、担心手术治疗效果等因素相关,这提示医护人员应在以上方面应进行针对性心理及药物干预。Objective To summarize the treatment strategy of perioperative mania patients with concurrent surgical diseases.Methods Of 60 cases of patients with concurrent surgical disease of mania in the perioperative period were tested by Self-Rating Anxiety Scale（SAS） and Life Events Scale（LES）,supplemented by the influential factor self-designed questionnaire to investigate,analysis and processing,and made treatment strategies for influencing factors.Results The mainly mental activity of perioperative mania patients was insecurity associated with anxiety state.This kind of Psychological characteristics affect the compliance of the patient treatment and care,thereby affecting the health and quality of care.Conclusion The patients with perioperative anxiety might be correlated with pain,fear and worry surgical treatment effect.suggesting that health care These suggest that medical personnel should be targeted psychological and pharmacological interventions in the above areas.

关 键 词：躁狂症 围手术期 治疗对策 

分 类 号：R74[医药卫生—神经病学与精神病学]