临床认知心理干预对急诊胸腹创伤术前疼痛分级的影响  

Clinical Cognitive Psychological Intervention Effects on Preoperative Pain Grading of Emergency Chest and Abdominal Trauma

作　　者：隋永红[1] 郭燕[2] 王洋[3] 鲁曼华[3] 

机构地区：[1]解放军第210医院质量管理科,辽宁大连116021 [2]解放军第210医院急诊科,辽宁大连116021 [3]沈阳军区总医院医学心理科,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2015年第4期246-248,共3页Trauma and Critical Care Medicine

摘　　要：目的探究认知心理护理干预对急诊胸腹创伤需手术治疗患者术前疼痛感受度分级的影响。方法将84例需手术治疗的急诊胸腹创伤患者随机分为观察组和对照组。观察组患者44例,术前采用认知心理护理干预方式进行沟通;对照组患者40例,术前行常规手术前说明。记录2组患者术前15 min心率、收缩压、达到手术标准麻醉效果所需时间以及2组患者根据WHO疼痛分级在不同分级患者例数和所占百分率。结果术前行认知心理护理干预,患者术前心率波动幅度范围<行常规手术前说明的患者,且其达手术标准麻醉时间和术后各疼痛感受程度的患者分布均优于对照组,差异有统计学意义(P<0.05)。结论认知心理护理对急诊胸腹创伤需手术治疗的患者术前及术后疼痛感受度具有良好的干预作用,值得临床推广应用。Objective To explore clinical cognitive psychological intervention effects on preoperative pain grading of emergency chest and abdominal trauma. Methods We randomly put 84 cases who would be performed emergency trauma surgery into experimental group and control group,the experimental group of patients（ n = 44） were communicated with clinical cognitive psychological care interventions and cases in the control group（ n = 40） were communicated with normal declaration before the surgery. Heart rates,systolic blood pressure at fifteen minutes before the surgery,anesthesia time and the percentage of two groups of patients graded according to the WHO pain in a different classification were recorded. Results The above mentioned three observation results in the experimental group was better than the control group,the difference was statistically significant（ P〈0. 05）. Conclusion Cognitive psychological care has good intervention effects on preoperative and postoperative pain sensitivity of patients who suffered chest and abdominal trauma and need surgical treatment. It is worthy of clinical popularization and application.

关 键 词：认知心理护理 疼痛分级 胸腹创伤术 心理干预 

分 类 号：R395.1[哲学宗教—心理学]