触摸疗法联合音乐心理放松对腹腔镜胃癌根治术患者生理、心理应激的影响  

Effects of touch therapy and music psychological relaxation on physiological and psychological stress in patients undergoing laparoscopic radical gastrectomy for gastric cancer

作　　者：管冬冬 陈媛媛 侯晓猛 周立程 王文森 GUAN Dong-dong;CHEN Yuan-yuan;HOU Xiao-meng;ZHOU Li-cheng;WANG Weng-sen(Department of Operating Room,The Second People's Hospital of Liaocheng,Liaocheng Shandong,252600,China;Department of Neurosurgery,The Second People's Hospital of Liaocheng,Liaocheng Shandong,252600,China)

机构地区：[1]聊城市第二人民医院手术室,山东聊城252600 [2]聊城市第二人民医院神经外科,山东聊城252600

出　　处：《中华养生保健》2024年第20期92-95,共4页CHINESE HEALTH CARE

摘　　要：目的探讨腹腔镜胃癌根治术(LARG)患者采用触摸疗法联合音乐心理放松对生理、心理应激的影响。方法选取2022年1月—2023年5月聊城市第二人民医院行LARG治疗的92例胃癌患者,以随机数表法分成干预组(n=46)与对照组(n=46)。对照组给予常规护理干预,干预组给予触摸疗法联合音乐心理放松干预,比较两组围手术期指标、生理应激、心理应激及睡眠质量。结果干预组手术、首次排气、肠鸣音恢复、下床活动、住院时间较对照组更短,差异有统计学意义(P<0.05);苏醒后1 h,两组平均动脉压(MAP)、心率(HR)均升高,但干预组较对照组更平稳,差异有统计学意义(P<0.05);出院时,两组贝克焦虑量表(BAI)、贝克抑郁量表(BDI-Ⅱ)评分下降,干预组较对照组更低,差异有统计学意义(P<0.05);出院时,两组匹兹堡睡眠质量指数量表(PSQI)评分下降,干预组较对照组更低,差异有统计学意义(P<0.05)。结论触摸疗法联合音乐心理放松应用于LARG患者干预中,能够缩短手术时间,促进术后恢复,减轻生理、心理应激反应,改善睡眠质量。Objective To explore the effects of touch therapy and music psychological relaxation on physiological and psychological stress in patients undergoing LARG for gastric cancer.Methods A total of 92 gastric cancer patients from January 2022 to May 2023 who were underwent LARG at the Second People's Hospital of Liaocheng City were selected,and randomly divided into the intervention group(n=46,touch therapy and music psychological relaxation)and the control group(n=46,routine nursing).The perioperative indicators,physiological stress,psychological stress,and sleep quality in both groups were compared.Results In surgery,first exhaust,recovery of bowel sounds,mobilization,and hospital stay,in comparision of the control group,the intervention group was shorter(P<0.05).1 hour after waking up,MAP and HR in both groups were increased(P<0.05),but in comparision of the control group,the intervention group was more stable(P<0.05).At discharge,BAI and BDI-II scores in both groups were decreased(P<0.05),and in comparision of the control group,the intervention group was lower(P<0.05).At discharge,PSQI scores in both groups were decreased(P<0.05),and in comparision of the control group,the intervention group was lower(P<0.05).Conclusion The combination of touch therapy and music psychological relaxation in the intervention of LARG patients can shorten the surgical time,promote postoperative recovery,alleviate physiological and psychological stress reactions,and improve sleep quality.

关 键 词：腹腔镜胃癌根治术 触摸疗法 音乐心理放松 生理应激 心理应激 

分 类 号：R473.6[医药卫生—护理学]