心理社会因素与手术康复(二):气功的干预作用  

The relationship between the stress-related psychosocial factors and the psychosomatic adjustment after surgery(II):The effect of Qi-Gong relaxation training

作　　者：沈晓红[1] 姜乾金[1] 叶圣雅[2] 

机构地区：[1]浙江大学医学心理教研室,浙江杭州310031 [2]浙江省中医院外科,浙江杭州310006

出　　处：《中国行为医学科学》2001年第2期98-99,共2页Chinese Journal of Behavioral Medical Science

基　　金：浙江省中医局科研基金!课题 (97-0 2 1)

摘　　要：目的　探索气功放松训练在外科心理应激及术后心身康复中的干预作用。方法　随机选取择期上腹部手术病人42例为气功放松训练干预组 ,与之相匹配的另 40例为对照组。术前 1天进行认知、行为、状态焦虑等的测量 ,术前 1小时测定心率、收缩血压均值及与入院时的差值 ,术后则测量或记录疼痛程度、肠道排气时间等多种心身康复指标 ,在SPSS支持下作统计分析。结果　干预组术前对手术的消极认知较少 ,焦虑较轻 ,睡眠差、食欲减退等心身症状也较不明显 ;手术后疼痛体验较轻 ,焦虑较少。但在肠道排气时间、止痛剂用量等康复指标上 ,两组的差异无显著性。结论　气功放松训练有助于病人术前、术后的心理适应 ,可作为有效的心理行为干预措施应用于外科临床。Objective To study the effect of Qi Gong relaxation training on the operation related psychological stress and the post operative psychosomatic adjustment in upper abdominal surgery patients. Methods Forty two patients undergoing upper abdominal surgery in intervention group were instructed to do Qi Gong relaxation training, and forty patients matched were controls without Qi Gong relaxation training. On the day before surgery, a self developed patients' pre operative appraisal questionnaire, a self developed patients' pre operative behavior rating questionnaire for completion by medical workers, and State Anxiety Inventory (SAI) of State Trait Anxiety Inventory (STAI) were used in two groups. In an hour before operation,the shift of the mean value of pulse and systolic pressure of every case compared with the base line measured at his (or her) admission was also recorded. After surgery, patients were assessed with a self developed patients' post operative appraisal questionnaire, a self developed patients' post operative behavior rating questionnaire for completion by medical workers and SAI of STAI. Besides, the indexes of physical rehabilitation, including intestinal aerofluxus, total dosage of analgesia and so on, were recorded. Data were analysed in t test with SPSS. Results Compared with controls, the patients in intervention group had more positive anticipation about the following operation, lower pre and post operative anxiety, and lighter post operative pain experience. There was no difference in the indexes of physical rehabilitation between two groups. Conclusions Qi Gong relaxation training could lead patients to better psychological adjustment both before and after operation. This finding suggests that Qi Gong relaxation training could be used as an effective psycho behavior intervention in abdominal surgery patients.

关 键 词：上腹部手术 心理应激 功放松训练 心身康复 

分 类 号：R214[医药卫生—中医学]