患者术中知晓躯体疼痛与创伤后应激障碍的相关性及早期护理效果探讨  

The relationship between Intraoperative awareness of somatization factors and post-traumatic stress disorder and early nursing intervention study

作　　者：凌丽娟[1] 吴惠平[1] 刘敏婕[1] 涂丽春[1] 

机构地区：[1]深圳市人民医院手术室,深圳518020

出　　处：《临床护理杂志》2015年第4期7-10,共4页Journal of Clinical Nursing

摘　　要：目的探讨患者术中知晓躯体疼痛程度与创伤后应激障碍(PTSD)的相关性及早期护理干预效果。方法选取2011年1月~2013年12月我院行全身麻醉下腹腔镜子宫肌瘤切除术并出现术中知晓的364例患者作为研究对象,在术后24h进行PTSD筛查和术中躯体疼痛评价,筛出PTSD阳性患者130例,随机分为对照组和观察组,各65例。对照组给予常规护理。观察组在接受常规护理的同时接受PTSD护理干预。并对两组PTSD评分进行比较。结果 PTSD-SS总分与躯体化因子总分、肌肉酸痛、身体发麻或刺痛及其他躯体化因子呈显著正相关(P<0.05)。接受护理干预后,观察组躯体化因子总分、腰痛、肌肉酸痛评分显著低于对照组(P<0.05),PTSD-SS总分、回避症状评分和反复重现体验评分显著低于对照组(P<0.05)。结论患者术中知晓躯体疼痛程度与PTSD存在明显相关性,术后早期给予个体化护理干预,能降低患者术后躯体化因子评分和PTSD-SS评分。Objective We choose laparoscopic hysteromyoma resection under general anesthesia patients as the research object.We aim to explore the relationship between intraoperative awareness and pain and early nursing intervention measures.Methods This study selected 364 patients who undergone Laparoscopic hysteromyoma resection under general anesthesia and intraoperative known during January 2011- December 2013 in our hospital as the research object.130 patients diagnosed with PTSD were divided into 2groups.The control group was given routine nursing care and the observation group was given early nursing intervention.A face to face interview was carried out using SCL-90 scale and PTSD-SS scale.EPIDATA3.2software was used to establish our database and input data,and the Statistical Analysis System 9.0(SAS 9.0)was applied to conduct data analysis.Results Somatization factor scores were positively correlated with PTSD scores(P<0.05).Muscle soreness score,numbness or tingling body score and other somatization factor score was significantly positively related to PTSD scores.Somatization factors subscales of SCL- 90 and PTSD scores of the observation group are reduced significantly,and there were significant differences between before and after the intervention(P<0.05).Conclusion To alleviate the symptoms and promote patients postoperative rehabilitation,early nursing intervention should be offered to intraoperative awareness and post-traumatic stress disorder patients.

关 键 词：术中疼痛 应激障碍 早期护理 

分 类 号：R473.6[医药卫生—护理学]