“扮亲法”对老年肿瘤病人介入手术前心理的影响  

Influence of“playing a relative role”on preoperative psychological state of elderly tumor patients undergoing interventional operation

作　　者：王颖[1] 牟灵英[2] 董明慧[1] 陈淑芹[2] 刘璐璐[1] 

机构地区：[1]潍坊医学院护理学院 [2]潍坊医学院附属医院

出　　处：《护理研究（中旬版）》2015年第3期929-932,共4页Chinese Nursing Researsh

摘　　要：[目的]探讨"扮亲法"对老年肿瘤病人介入手术前心理的影响。[方法]将择期行介入肿瘤手术的老年病人80例按入院顺序编号:奇数为试验组,偶数为对照组,每组40例,两组病人在行介入手术治疗前均按照优质护理的护理规范标准对病人进行术前常规准备,试验组在此基础上给予"扮亲法"心理干预。两组病人均在入院第1天和麻醉前监测血浆促肾上腺皮质激素(ACTH)及皮质醇,并采用焦虑自评量表(SAS)对病人进行测评。[结果]入院第1天两组病人血浆ACTH及皮质醇比较差异无统计学意义(P>0.05),试验组麻醉前ACTH及皮质醇指标明显低于对照组(P<0.05);入院第1天两组病人SAS评分比较差异无统计学意义(P>0.05),麻醉前试验组SAS总分明显低于对照组(P<0.05)。[结论]"扮亲法"心理干预能有效缓解老年病人术前心理应激,提高病人手术质量。Objective：To probe into influence of “playing a relative role” on preoperative psychological state of elderly cancer patients undergoing interventional operation .Methods：A total of 80 cases of elderly cancer pa‐tients undergoing select interventional operation were randomly divided into experimental group and control group ,40 cases in each .Before intervention two groups of patients operation ,received routine preoperative prep‐aration according to the standards of high quality nursing care ,on that basis ,the patients in experimental group were given the“playing a relative role” psychological intervention .The plasma ACTH and cortisol were moni‐tored in both groups respectively on the first day in hospital and before anesthesia and the patients were evalua‐ted by SAS .The study adopted random design completely ,and two paired samples T test of measurement data was applied as statistical method .Results：On the first day in hospital ,there was no statistically significant difference in the patient’s plasma ACTH and cortisol in both groups （P〉0 .05） ,however ,before anesthesia ,the indexes of ACTH and cortisol in experimental group were much lower than that in control group （P〈0 .05） . On the first day in hospital ,there was no statistically significant difference in SAS score between both groups （P〉0 .05） .Before anesthesia the total SAS score in experimental group was much higher tham that in control group（P〈0 .05） .Conclusion：“Playing a relative role” psychological intervention can effectively relieve preoper‐ative psychological stress of patients and improve the operation quality .

关 键 词：肿瘤 老年人 扮亲法 介入手术 心理干预 

分 类 号：R473.73[医药卫生—护理学]