刺形按摩球分心联合握手与信息提供干预在椎间孔镜手术患者中的应用效果  

Application Effect of Spiky Massage Ball Distraction Combined with Handshake and Information Provision Intervention in Patients Undergoing Intervertebral Foramen Endoscopic Surgery

作　　者：唐莹 于秋晨 Tang Ying;Yu Qiuchen(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,Liaoning Province,China)

机构地区：[1]锦州医科大学附属第一医院,辽宁锦州121000

出　　处：《中国社区医师》2024年第22期97-99,共3页Chinese Community Doctors

摘　　要：目的:探讨刺形按摩球分心联合握手与信息提供干预在椎间孔镜手术患者中的应用效果。方法:选取2021年6月-2023年6月于锦州医科大学附属第一医院进行局麻椎间孔镜手术的患者102例作为研究对象,根据随机数字表法分为对照组和观察组,各51例。对照组进行常规护理干预,观察组在对照组基础上进行刺形按摩球分心联合握手与信息提供护理干预。比较两组焦虑状态、疼痛、躁动程度、认知功能、应激反应。结果:干预后,两组焦虑状态、焦虑特质评分均低于干预前,且观察组低于对照组(P<0.05)。观察组术后1 h、术后24 h疼痛评分、Ricker镇静-躁动评分量表评分低于对照组,简易精神状态量表评分高于对照组(P<0.05)。术后24 h,两组肾上腺素、去甲肾上腺素、皮质醇水平均高于术前,但观察组低于对照组(P<0.05)。结论:刺形按摩球分心联合握手与信息提供干预在局麻椎间孔镜手术患者中的应用效果较好,能够改善患者的焦虑状态,降低其术后疼痛和躁动程度,减轻术后应激反应。Objective:To investigate the application effect of spiky massage ball distraction combined with handshake and information provision intervention in patients undergoing intervertebral foramen endoscopic surgery.Methods:A total of 102 patients undergoing intervertebral foramen endoscopic surgery under local anesthesia in the First Affiliated Hospital of Jinzhou Medical University from June 2021 to June 2023 were selected as the study subjects.They were divided into a control group and an observation group according to random number table method,with 51 cases in each group.The control group received routine nursing intervention,while the observation group received spiky massage ball distraction combined with handshake and information provision nursing intervention on the basis of control group.The anxiety state,pain,agitation degree,cognitive function and stress reaction were compared between two groups.Results:After intervention,the anxiety state and anxiety trait scores in two groups were lower than those before intervention,and the scores in the observation group were lower than those in the control group(P<0.05).At 1 h and 24 h after surgery,the pain scores and Ricker Sedation-Agitation Scale scores in the observation group were lower than those in the control group,and the Mini-Mental State Scale scores in the observation group were higher than those in the control group(P<0.05).At 24 h after surgery,the levels of adrenaline,norepinephrine and cortisol in two groups were higher than those before surgery,but the levels in the observation group were lower than those in the control group(P<0.05).Conclusion:The spiky massage ball distraction combined with handshake and information provision intervention has a good application effect in patients undergoing intervertebral foramen endoscopic surgery under local anesthesia.It can improve the patient's anxiety state,reduce postoperative pain and agitation level,and relieve postoperative stress reaction.

关 键 词：椎间孔镜手术 刺形按摩球 握手与信息提供 

分 类 号：R472.3[医药卫生—护理学]