握手联合信息提供对局麻下自体毛发移植患者术中生理、心理的影响  

The physiology and psychology effect of holding hands and providing information for patients undergoing local anesthesia during hair transplantation

作　　者：张斯漫 张春华[1] ZHANG Siman;ZHANG Chunhua(Plastic Surgery Operation Room,Nanfang Hospital Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院整形外科手术室,广州510000

出　　处：《当代护士（上旬刊）》2021年第6期119-121,共3页Modern Nurse

摘　　要：目的探讨运用握手联合信息提供对局麻下行自体毛发移植术患者术中生理、心理的影响。方法选择2017年1月—12月于本院进行自体毛发移植术的患者304例,将其随机分为观察组(n=168)和对照组(n=136)。对照组实施常规护理,观察组在常规护理的基础上采用握手联合信息提供的方法。比较两组患者干预前后的心率、血压,采用焦虑自评量表(SAS)和满意度数字评价量表评价患者手术中焦虑和满意程度,并进行对比。结果两组患者术前心率、血压比较差异无统计学意义(P>0.05);干预后,观察组术中注射麻药、钻取毛囊及种植毛囊时的心率、血压均显著优于对照组,差异有统计学意义(P<0.05);两组患者术前SAS评分比较差异无统计学意义(P>0.05);干预后,对照组的SAS评分为(50.3±8.5)分,观察组为(45.5±5.2)分,两组比较差异有统计学意义(P<0.05);观察组术中体验满意度高于对照组(P<0.05)。结论采用握手联合信息提供的方法,能减轻局麻下行自体毛发移植术患者术中应激反应,缓解了术中焦虑、紧张情绪,提高患者的手术舒适度和护理满意度。Objective To investigate the effect of handshaking combined information on the physiological and psychological effects of patients undergoing autologous hair transplantation with local anesthesia. Methods A total of 304 patients who underwent autogenous hair transplantation in our hospital from January to December 2017 were selected and randomly divided into observation group(n=168) and control group(n=136). The patients in control group were given routine nursing care.In the observation group, the method of handshaking combined with information provided was used on the basis of routine care. The heart rate and blood pressure of patients in the two groups before and after intervation were compared. The anxiety and satisfaction of patients during surgery were evaluated by SAS and satisfaction numeral scale. Results There was no significant comparison of preoperative heart rate and blood pressure between the two groups(P>0.05);after intervention, the heart rate and blood pressure of the observation group were significantly better than that of the control group when injecting anesthetics, drilling hair follicles and planting hair follicles during operation, which were significantly better than those in the control group(P<0.05). There was no significant difference in preoperative SAS score between the two groups(P>0.05). The scores of anxiety self-assessment scale in the control group were(50.3±8.5) and those in the observation group were(45.5±5.2). There were significant differences between the two groups( P<0.05), and the satisfaction degree of experience in the observation group was higher than that in the control group(P<0.05). Conclusion The combination of handshaking ang information providing can reduce the stress response, the anxiety and the tension of patients with autologous hair transplantation under local anesthesia. To improve the surgical comfort and nursing satisfaction of patients.

关 键 词：握手 信息提供 自体毛发移植术 焦虑 

分 类 号：R472.3[医药卫生—护理学]