两种心理干预方法对胆囊切除病人术前焦虑及术后恢复的影响  

The effects on cholecystectomy patients' preoperative anxiety and postoperative recovery with two psychological intervention methods

作　　者：董兵[1] 潘孟昭[2] 沈宁[2] 

机构地区：[1]中国人民解放军武警部队总医院护理部,北京市100039 [2]中国协和医科大学护理学院

出　　处：《中华护理杂志》2001年第12期889-892,共4页Chinese Journal of Nursing

摘　　要：目的 :探讨两种不同的心理干预方法对胆囊切除手术病人术前焦虑及术后身体恢复的影响。方法 :6 2例胆囊切除手术病人随机编入实验组 (接受研究者制定的心理干预 )和对照组 (接受所在病区的一般心理护理 ) ,并测定其术前焦虑、心率、收缩压以及与术后身体恢复有关的各项指标。结果 :实验组手术前夜焦虑及术后疼痛显著低于对照组 ,术后首次下床活动时间和首次肠道排气时间也显著提前 (P <0 .0 5 )。结论 :本研究采用的心理干预方法在缓解术前焦虑、加速术后身体恢复等方面效果优于一般心理护理。Objective:To study the effects of reducing preoperative anxiety and accelerating recovery on cholecystectomy patients.Method:62 patients were observed,30 in experimental group(accept psychological intervention) and 32 in control group(accept routine psychological care).Preoperative anxiety,frequency of heartbeat,blood pressure and index of postoperative recovery were monitored. Result:In experimental group,patients' anxiety at the evening before operation and postoperative pain were reduced more than the control group.The time to walk and exhaustation were earlier than the control group( P <0.05). Conclusion:The psychological intervention acceptted by experimental patients were better in reducing preoperative anxiety and accelerating postoperative recovery than routine psychological care .

关 键 词：心理干预 焦虑 胆囊切除 心理护理 外科手术 

分 类 号：R473.6[医药卫生—护理学]