手术场景适应性训练在眼科幽闭恐惧患者中的应用  

Application of surgical scene adaptive training for patients with claustrophobia undergoing ocular surgery

作　　者：任永霞[1] 王楠[1] 韩赛[1] 时晓春 REN Yongxia;WANG Nan;HAN Sai;SHI Xiaochun(Operation Center,Tianjin Eye Hospital,Tianjin,300020,China)

机构地区：[1]天津市眼科医院手术中心,300020

出　　处：《中华护理杂志》2018年第9期1039-1043,共5页Chinese Journal of Nursing

基　　金：天津市护理学会科研课题面上项目(tjhlky20170102)

摘　　要：目的探讨手术场景适应性训练改善幽闭恐惧患者眼科手术配合的效果。方法收集2016年7月—2017年12月行眼科手术的幽闭恐惧患者80例,随机分为试验组和对照组。试验组术前在常规护理的基础上采用手术场景适应性训练,模拟手术场景中铺无菌巾的过程,指导患者提前适应面部铺巾后的幽闭环境;对照组采用常规护理。结果试验组手术前后的心率和呼吸频率相对稳定,差异无统计学意义(P>0.05);对照组手术后心率和呼吸频率显著加快,手术前后差异有统计学意义(P<0.05);两组手术中断率差异有统计学意义(P<0.05)。结论手术场景适应性训练可有效减轻幽闭恐惧患者眼科围术期的应激反应,提升手术配合质量。Objective To investigate the effects of surgical scene adaptive training for patients undergoing ocular surgery who were diagnosed with claustrophobia. Methods Totally 80 patients undergoing ocular surgery with claus- trophobia from July 2016 to December 2017 were recruited and randomly divided into the experimental group and the control group. Patients in the control group received routine nursing care while patients in the experimental group also received surgical scene adaptive training as an intervention. Results The changes in HR and RR before and during surgery exhibited no significant differences in the experimental group （P〉0.05） ,but showed a significant rise in the control group. The interruption rate of surgery between two groups showed significant difference （P〈0.05）. Conclusion The surgical scene adaptive training could effectively reduce the stress response of patients with claus- trophobia undergoing ocular surgery and improve the quality of cooperation.

关 键 词：幽闭恐怖症 适应 眼外科手术 护理 

分 类 号：R472.3[医药卫生—护理学]