抚触对减低白内障患者局麻手术中焦虑水平的实验研究  

Experimental study on the effects of fingering on anxiety reducing for cataract patients during surgery under local anaesthesia

作　　者：张粉婷[1] 丁晓英[1] 关锐利[1] 黄沙燕[1] 

机构地区：[1]西安交通大学第二医院麻醉科,陕西西安710004

出　　处：《护士进修杂志》2003年第10期871-873,共3页Journal of Nurses Training

摘　　要：目的 评价抚触对白内障患者在局麻下实施手术过程中焦虑情绪的影响。方法 实验前后建立抚触组与对照组,在手术过程中抚触组进行抚触安慰。利用视觉相似测量和交谈测量紧张度,脉率、收缩压和舒张压用于测量生理性应激反应,同时分析血中肾上腺素、去甲肾上腺素、可的松、嗜中性粒细胞、淋巴细胞的含量水平。结果与对照组比照,抚触组中有利于减少焦虑的因子含量明显高于非抚触组,抚触组中肾上腺素水平明显低于对照组。结论患者于局麻下行白内障手术过程中,非损伤性护理介入可能减低患者的焦虑情绪。Objective To assess the effectiveness of fingering on the anxiety reducing for patients undergoing planned cataract surgery under local anaesthesia. Methods patients were divided into experimental group and control group pre and post- test. Fingering was provided for experimental group during surgery. Visual analogue scales and interviews were used to measure anxiety. Pulse rate, systolic and diastolic blood pressure were used as physiological measures of stress. Blood was taken for analysis of levels of epinephrine, Norepinephrine, cortisol, neutrophils and lymphocytes. Results The number of subjects who reported decreased anxiety during operation was significantly higher in fingering group compared with the control group. Epinephrine levels in fingering group were significantly lower than in control group. Conclusion Results suggest that this noninvasive intervention has potential for reducing anxiety for patients having cataract surgery under local anaesthesia.

关 键 词：抚触 局麻手术 焦虑水平 

分 类 号：R779.66[医药卫生—眼科] R473.77[医药卫生—临床医学]