心理干预在缓解鼻内镜手术患者围手术期焦虑情绪中的应用  

Effects of psychological intervention on reducing anxiety of patients with nasal endoscopic surgery

作　　者：白桦[1] 王小丽[1] 

机构地区：[1]四川省人民医院手术室,成都610072

出　　处：《当代护士（中旬刊）》2014年第4期128-129,共2页Modern Nurse

摘　　要：目的探讨心理干预对缓解鼻内镜手术患者围手术期焦虑情绪的效果。方法将92例拟行鼻内镜手术的患者随机分成观察组与对照组,每组46例,对照组实施常规护理,观察组实施系统性心理干预,观察2组患者术前30min血压、心率的变化,术前30min及术后12h焦虑自评量表(SAS)评分。结果观察组患者实施系统性心理干预后术前30min血压及心率变化幅度明显小于对照组(P<0.05);术前30min及术后12h SAS评分明显少于对照组(P<0.05)。结论对鼻内镜手术患者实施系统性心理干预,有助于稳定患者的生理变化,缓解患者焦虑情绪,是一种有效的护理干预方法,值得推广。Objective To evaluate the effects of psychological intervention on reducing anxiety of patients with nasal endoscopic surgery. Meth-ods 92 patients with nasal endoscopic surgery were randomly divided into observation group and control group with 46 for each group. Usual care was for both groups, systematic psychological intervention was only used in observation group. Blood pressure, heart rate were compared be-tween two groups 30 minutes before surgery;scores of anxiety self-assessment scale （ SAS） were compared as well at two time points, 30 mi-nutes before surgery and 12 hours after surgery. Results Variations of blood pressure and heart rate 30 minutes before surgery were significant lower in observation group than that in control group after intervention （P＆lt;0. 05）;anxiety was also improved in observation group than in control group either at the time point of 30 minutes before surgery or 12 hours after surgery（P＆lt;0. 05）. Conclusion Systematic psychological interven-tion can effectively help patients with nasal endoscopic surgery to balance their physiological change and reduce the anxiety level.

关 键 词：鼻内镜手术 围手术期 焦虑 心理干预 

分 类 号：R473.6[医药卫生—护理学]