术前麻醉科普和心理干预对手术患者的影响  

The effect of preoperative anesthesia science and psychological intervention on surgical patients

作　　者：蒋晨霞[1] 杨艳超[1] 崔淑珍[2] 怀乔[1] 彭晓恩 李校宁[1] 孟香果[1] 高国华[1] 王永贤[3] Jiang Chenxia;Yang Yanchao;Cui Shuzhen;Huai Qiao;Peng Xiaoen;Li Xiaoning;Meng Xiangguo;Gao Guohua;Wang Yongxian(Department of Anesthesiology,The First Hospital of Shijiazhuang,Shijiazhuang 050011,China)

机构地区：[1]石家庄市第一医院麻醉科,050011 [2]石家庄市第一医院手术室,050011 [3]石家庄市第一医院导管室,050011

出　　处：《北京医学》2018年第6期559-561,共3页Beijing Medical Journal

基　　金：石家庄市科技计划(151460643)

摘　　要：目的探究术前麻醉科普和心理干预对手术患者心理状态、痛阈、满意度和术后康复速度的影响。方法选择择期手术患者160例,随机分为对照组和试验组,每组80例。对照组术前常规访视患者,试验组选用通俗易懂的麻醉科普语言、漫画和微信小视频的方式对患者宣教,并进行心理干预。比较2组干预前后痛阈值、焦虑评分(HAMA)、满意度评分和术后住院时间。结果与访视前比较,访视后对照组痛阈值降低了20.6%,HAMA评分增加了22.4%,试验组痛阈值增加了25.7%,HAMA评分降低了30.9%;与对照组比较,访视后试验组痛阈值、满意度评分分别为(0.44±0.08)、(3.6±0.4),明显高于对照组(0.27±0.05)、(2.7±0.6),HAMA评分和术后住院时间分别为(10.3±4.1)、(4.1±1.8)d,明显低于对照组(18.6±5.7)、(6.7±2.1)d,2组相比差异有统计学意义(P<0.05)。结论术前麻醉科普干预和心理干预,可增强医患沟通效果,降低患者的焦虑情绪,减轻应激反应,提高患者的痛阈和满意度,缩短术后住院时间。Objective To study the effect of preoperative anesthesia science and psychological intervention on psychological state, pain threshold, satisfaction and rehabilitation rate of surgical patients. Methods One hundred and sixty patients scheduled for surgery were randomly divided into control group and experimental group, with 80 cases in each group. The control group was treated by routine preoperative interview. The experimental group was treated by language easy to understand, cartoons and video, and then received psychological intervention. The HAMA score, pain threshold, satisfaction and postoperative hospital stay of the two groups were compared. Results Compared with pre-interview, the pain threshold reduced by 20.6% and the HAMA score increased by 22.4% in control group, whereas, the pain threshold increased by 25.7% and the HAMA score reduced by 30.9% in experimental group. Compared with control group, the pain threshold enhanced, the HAMA score decreased significantly, the satisfaction increased and the hospital stay reduced in experimental group （P 〈 0.05）. Conclusion The preoperative anesthesia science and psychological intervention can enhance the consult effect of physician-patient, decrease anxiety symptoms significantly, reduce stress reaction, increase the pain threshold and satisfaction and reduce hospital stay.

关 键 词：加速康复外科 麻醉科普 心理干预 痛阈 满意度 

分 类 号：R614[医药卫生—麻醉学]