静默疗法应用于白内障手术患者的效果评价  

The effects of meditation on patients receiving cataract surgery

作　　者：王玉娟[1] 程芳[2] 马静[1] 王永红[2] 段学颖 

机构地区：[1]首都医科大学电力教学医院护理部,北京市100073 [2]首都医科大学电力教学医院手术麻醉科,北京市100073

出　　处：《中华护理杂志》2016年第3期321-325,共5页Chinese Journal of Nursing

摘　　要：目的探讨静默疗法对白内障手术患者的效果评价。方法 2014年8月1日至2015年3月31日在我院眼科就诊并手术治疗的88例患者作为研究对象,按入院病房单双号分为实验组和对照组,各44例。实验组在此基础上,在术前1d、术前30min应用静默疗法对患者进行放松训练,对照组实施白内障手术常规术前访视,比较两组访视前和入手术室后5min的焦虑、收缩压、心率的波动及患者术中配合度、患者对手术满意度和手术时间。结果两组间术前焦虑评分差异无统计学意义(P>0.05),入手术室后5min,实验组焦虑评分低于对照组,差异有统计学意义(P<0.05)。相对于基础血压、心率,两组在访视前收缩压和心率波动差异无统计学意义(P>0.05),入手术室后5min收缩压和心率波动差异无统计学意义(P<0.05)。实验组手术配合程度和手术满意度均高于对照组,差异有统计学意义(P<0.05)。两组手术时间差异没有统计学意义(P>0.05)。结论静默疗法有助于缓解患者术中焦虑情绪,降低生理应激反应,提高手术配合程度和手术满意度。Objective To explore the effects of meditation on patients receiving cataract surgery. Methods A total of 88 patients receiving cataract surgery were selected and divided into the intervention group（n=44） and the control group （n=44） according to the admission order. The conventional preoperative visit was given to the control group while the intervention group received the meditation training on the day before the operation and 30 rains before the operation besides preoperative visit. The level of anxiety,blood pressure and heart rate,intra-operative cooperation ,operation satisfaction and length of the operation were compared between groups. Results The level of anxiety on the day before operation had no statistical difference between groups（P〉0.05）. When patients were in the operating room,the score of anxiety in the intervention group was lower than that in the control group（P〈0.05）. The change of systolic pressure and heart rate during operation had no statistical difference between groups（P〉0.05）. Intra-operative cooperation and operation, satisfaction in theintervention group were higher than those in the control group（P〈0.05）. The length of operation between groups had no statistical difference（P〉0.05）. Conclusion The meditation can help patients to relieve anxiety and reduce their stress response to surgery. It also can make them better cooperate during surgery and feel more satisfied with operation.

关 键 词：白内障 患者 静默疗法 焦虑 

分 类 号：R473.77[医药卫生—护理学]