基于静默疗法的放松训练对老年性白内障手术患者围术期的影响评价  

Perioperative evaluation of relaxation training based on silent therapy for senile cataract surgery

作　　者：王洋洋 王晓辉[1] Wang Yang-yang;Wang Xiao-hui(Department of Ophthalmology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,Henan,China)

机构地区：[1]河南科技大学第一附属医院眼科,河南洛阳471003

出　　处：《四川生理科学杂志》2023年第1期26-28,163,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:研究基于静默疗法的放松训练对老年性白内障手术患者围术期生理、心理应激反应及应对方式的影响。方法:选取本院2020年3月至2021年9月期间129例老年性白内障手术患者作为研究对象,随机分组,对照组64例进行常规的术前访视及护理,观察组65例术前在对照组基础上给予基于静默疗法的放松训练,于术前24 h及术前15 min,采用汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA)及汉密顿抑郁量表(Hamilton Depression Scale,HAMD)对比两组患者术前心理应激水平,于术前24 h及术中,记录并对比两组患者心率、收缩压、舒张压水平,于干预前和干预完成后,采用应对方式问卷(Coping style questionnaire,CSQ)对比两组患者的应对方式。结果:与术前24 h相比,术前15 min各组的HAMA及HAMD评分均明显降低(P<0.05),其中观察组降低更为显著(P<0.05);与术前24 h相比,术中各组的心率、收缩压、舒张压均明显升高(P<0.05),其中对照组升高更为显著(P<0.05);与干预前相比,各组的积极应对方式评分均显著升高,消极应对评分均显著降低(P<0.05),其中观察组积极应对评分升高和消极应对评分降低更为显著(P<0.05);干预后两组中性应对方式评分比较,差异无统计学意义(P>0.05)。结论:基于静默疗法的放松训练对老年性白内障手术患者效果确切,能够有效降低患者围术期心理、生理应激反应水平,改善疾病应对方式。Objective:To study the effect of relaxation training based on silent therapy on perioperative physiological and psychological stress responses and coping styles in patients with senile cataract surgery.Methods:A total of 129 patients with senile cataract surgery in our hospital from March 2020 to September 2021 were selected as the research objects and randomly divided into the control group(n=64)and the observation group(n=65).The control group received routine preoperative visit and nursing,while the observation group received relaxation training based on silent therapy on the basis of the control group before surgery.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the preoperative psychological stress levels of the two groups.The heart rate,systolic blood pressure and diastolic blood pressure of patients in the two groups were recorded and compared.Before and after the intervention,coping style questionnaire(CSQ)was used to compare the Coping styles of patients in the two groups.Results:Compared with 24h before operation,the HAMA and HAMD scores of each group were significantly decreased at 15min before operation(P<0.05),and the decrease was more significant in the observation group(P<0.05).Compared with 24h before operation,heart rate,systolic blood pressure and diastolic blood pressure in each group were significantly increased during operation(P<0.05),and the increase was more significant in the control group(P<0.05).Compared with before intervention,the scores of positive coping style in all groups were significantly increased,and the scores of negative coping style were significantly decreased(P<0.05),and the scores of positive coping style and negative coping style in the observation group were significantly increased and the scores of negative coping style were significantly decreased(P<0.05).After intervention,there was no significant difference in the score of neutral coping style between the two groups(P>0.05).Conclusion:Relaxation training based on silent therapy

关 键 词：静默疗法 白内障 应激反应 应对方式 

分 类 号：R473.77[医药卫生—护理学]