术前心理护理对局麻下白内障摘除术患者的影响  

Effect of preoperative mental nursing on patients undergoing local anesthesia cataract extirpation

作　　者：彭叶叶[1] 杨丽[1] 陈海燕[2] 李竹青[2] 丁青[1] 

机构地区：[1]广州军区武汉总医院麻醉科,430070 [2]广州军区武汉总医院眼科,430070

出　　处：《中华现代护理杂志》2014年第10期1181-1183,共3页Chinese Journal of Modern Nursing

摘　　要：目的：观察术前心理护理对局麻下白内障手术患者的影响。方法将100例白内障患者随机分为对照组和实验组，每组50例。对照组实施常规术前护理，实验组实施针对性术前心理护理。比较两组患者焦虑状况、术中不适及手术满意度的情况。结果干预前两组患者血压、心率、体温、血氧饱和度、SAS得分比较差异均无统计学意义（ P＞0．05）；实施心理护理干预后，实验组SAS得分为（46．3±177;5．32）分，低于对照组（57．6±177;6．18）分，差异有统计学意义（t＝9．798，P＜0．01）；术中对照组患者出现心慌、胸闷14例（28．0％），恶心症状8例（16．0％），均高于实验组（6．0％，4．0％），差异有统计学意义（χ2值分别为8．575，4．002；P＜0．05）；对照组患者术后满意度得分为（74．5±177;7．25）分，低于实验组（82．6±177;8．32）分，差异有统计学意义（ t＝5．192，P＜0．01）。结论术前心理护理干预有利于减少患者术前血压及心率的波动，并有利于手术的顺利进行，提高患者术后满意度。Objective To investigate the effects of preoperative mental care on patients undergoing local anesthesia cataract extirpation .Methods One hundred cataract patients were randomly divided into the control group （n=50） and the experimental group （n=50）.The control group was in conventional nursing care, while the experimental group was with preoperative mental care .The state of anxiety , discomfort during operation and the satisfaction rate of the operation were compared between groups .Results Before intervention , the blood pressure （ BP ） , heart rate （ HR ） , body temperature , oxygen saturation and SAS score had no significant differences （P＆gt;0.05）.After implement the mental care, the score of SAS in the experimental group was （46.3 ±177;5.32）, which was lower than that of the control group （57.6 ±177;6.18）, the difference was statistically significant （t =9.798, P ＆lt;0.01）.During the operation, in the control group, 14 patients （28.0%） had a palpitation or chest distress , 8 patients（16.0%） had nausea, which was much more frequent than those in the experimental group （6.0%,4.0%）,the difference was statistically significant （χ2 =8.575, 4.002, respectively;P＆lt;0.05）.The score of satisfaction in the control group was （74.5 ±177;7.25） significantly lower than （82.6 ±177;8.32） in the experimental group （t=5.192, P＆lt;0.01）.Conclusions Mental care can decrease the fluctuation of patients ’ BP and HR, furthermore it is benefit in achieving the operation and improving patients’ satisfaction.

关 键 词：心理护理 白内障摘除术 焦虑 满意度 

分 类 号：R473.77[医药卫生—护理学]