内镜下脑脊液鼻漏修补术前曼陀罗绘画干预配合健康宣教对患者焦虑程度及血流动力学的影响  

作　　者：徐建英[1] 徐蓉 刘荣财 李慧丽 

机构地区：[1]浙江衢化医院,324004 [2]浙江省衢州市第三医院,324003 [3]浙江省衢州市人民医院,324002

出　　处：《浙江临床医学》2022年第4期594-595,604,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨曼陀罗绘画干预配合健康宣教在内镜下脑脊液鼻漏修补术前应用对患者焦虑程度和血流动力学的影响。方法将60例接受内镜下修补术治疗的脑脊液鼻漏患者按照随机数字表法分为对照组和观察组,每组各30例。对照组术前予以健康宣教,观察组术前予以曼陀罗绘画干预与健康宣教。比较两组患者干预前后的焦虑程度、入手术室前和麻醉前的血流动力学变化,以及手术配合度。结果健康宣教结合曼陀罗绘画干预后,与对照组比较,观察组患者的焦虑视觉模拟评分法(VAS)评分及状态-特质焦虑量表(STAI)评分下降更明显,差异有统计学意义(P<0.05);观察组的高焦虑发生率(6.67%)明显低于对照组(26.67%),差异有统计学意义(P<0.05)。观察组麻醉前的平均动脉压(MAP)及心率(HR)与入手术室前比较,差异无统计学意义(P>0.05),但明显低于对照组,差异有统计学意义(P<0.05)。观察组的手术配合优良率(96.67%)明显高于对照组(80.00%),差异有统计学意义(P<0.05)。结论脑脊液鼻漏患者在内镜下修补术前接受曼陀罗绘画干预配合健康宣教,可有效减轻焦虑程度,减少血流动力学波动,提高患者手术配合度。Objective To explore the effect of mandala drawing intervention combined with health education on anxiety level and hemodynamics of patients before endoscopic cerebrospinal fluid rhinorrhea repair.Methods A total of 60 patients with cerebrospinal fluid rhinorrhea who underwent endoscopic repair were divided into control group and observation group by the random number table,with 30 cases in each group.The control group was given health education before operation,and the observation group was given mandala drawing intervention combined with health education before operation.The anxiety levels before and after intervention,the hemodynamic changes before entering the operating room and before anesthesia,and the degree of cooperation during the operation of the two groups were compared.Results Compared with the control group,visual analog scale(VAS)and state trait anxiety inventory(STAI)in the observation group decreased more significantly after health education combined with datura painting intervention,and the differences were statistically significant(P<0.05).The incidence of high anxiety in observation group(6.67%)was significantly lower than that in control group(26.67%),and the difference was statistically significant(P<0.05).The mean arterial pressure(MAP)and heart rate(HR)of the observation group before anesthesia were not significantly different from those before operation(P>0.05),but significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The excellent and good rate of operation coordination in the observation group(96.67%)was significantly higher than that in the control group(80.00%),and the difference was statistically significant(P<0.05).Conclusion Patients with cerebrospinal fluid rhinorrhea who receive mandala drawing intervention combined with health education before endoscopic repair can effectively reduce anxiety,reduce hemodynamic fluctuations,and improve intraoperative cooperation.

关 键 词：脑脊液鼻漏 修补手术 曼陀罗绘画 术前焦虑 血流动力学 

分 类 号：R47[医药卫生—护理学]