手术室即时心理护理结合音乐疗法对下腹部手术患者麻醉苏醒期躁动及应激反应的影响  

The Effect of Immediate Psychological Care Combined with Music Therapy in the Operating Room on Agitation And Stress Response During Anesthesia Recovery in Patients Undergoing Lower Abdominal Surgery

作　　者：张颖洁 杨艳红 Zhang Yingjie;Yang Yanhong(Chifeng College Affiliated Hospital Operating Room(Hongshan),Chifeng Nmenggu 024000,China)

机构地区：[1]赤峰学院附属医院手术室(红山),内蒙古赤峰024000

出　　处：《生命科学仪器》2024年第5期255-257,共3页Life Science Instruments

摘　　要：目的 探讨手术室即时心理护理结合音乐疗法对下腹部手术患者麻醉苏醒期躁动、应激反应的影响。方法 选择2022年1月至2022年12月期间赤峰学院附属医院手术室(红山)收治的80例下腹部手术患者,根据护理方案差异分为两组,各40例。对照组接受常规护理,观察组接受手术室即时心理护理结合音乐疗法。比较两组负面情绪、满意度、应激反应、躁动评分和苏醒期躁动发生率。结果 实施护理后,观察组SAS与SDS评分、应激反应指标心率、收缩压、躁动评分均较对照组低,P<0.05。观察组苏醒期躁动发生率低于对照组,护理满意度高于对照组,P<0.05。结论 手术室即时心理护理结合音乐疗法在下腹部手术患者临床护理中具有确切的应用效果,可有效减轻其不良情绪、应激反应和苏醒期躁动,降低苏醒期躁动发生率,提高其满意度。Objective:To explore the effect of immediate psychological care combined with music therapy in the operating room on restlessness and stress response during anesthesia recovery in patients undergoing lower abdominal surgery.Methods:From January 2022 to December 2022,80 patients with lower abdominal surgery in the operating room(Hongshan)of the Affiliated Hospital of Chifeng University were selected and divided into two groups according to the difference of nursing schemes,40 patients in each group.The control group received routine nursing,and the observation group received immediate psychological nursing combined with music therapy in the operating room.The negative emotions、satisfaction、stress response、restlessness score and the incidence of restlessness during awakening were compared between the two groups.Results:After nursing,the scores of SAS and SDS,heart rate,systolic blood pressure and restlessness in the observation group were lower than those in the control group,P<0.05.The incidence of restlessness in the observation group was lower than that in the control group,and the nursing satisfaction was higher than that in the control group,P<0.05.Conclusion:Immediate psychological nursing in operating room combined with music therapy has definite application effect in clinical nursing of patients undergoing lower abdominal surgery,which can effectively reduce their bad mood,stress reaction and restlessness during recovery,reduce the incidence of restlessness during recovery and improve their satisfaction.

关 键 词：心理护理 音乐疗法 麻醉苏醒期躁动 应激反应 

分 类 号：R473.6[医药卫生—护理学]