剖宫产手术患者术前焦虑评估及干预措施研究进展  

Research Progress of Preoperative Anxiety Assessment and Intervention Measures for Patients Undergoing Cesarean Section

作　　者：李桃 李艳[2] 金华[3] 

机构地区：[1]大理大学,云南 大理 [2]保山市人民医院麻醉科,云南 保山 [3]云南省第一人民医院麻醉科,云南 昆明

出　　处：《临床医学进展》2022年第6期5837-5844,共8页Advances in Clinical Medicine

摘　　要：术前焦虑是手术患者普遍存在的一种负面情绪,剖宫产手术患者在术前存在不同程度的焦虑情绪,术前焦虑可能导致麻醉药物用量增加,围术期血流动力学不稳定、术后疼痛、恶心、呕吐、睡眠障碍等相关并发症发生率增加,影响患者术后康复并降低就医体验,因此,患者术前心理状态尤为重要。本文就术前焦虑的危害性、临床常用心理评估量表及不同干预措施的效果等进行综述,以便更好地精准评估患者术前心理状态,并及时分析患者术前焦虑因素,为制定出个体化的干预措施缓解患者术前焦虑提供思路。Preoperative anxiety is common in patients with a negative emotion, cesarean section surgery pa-tients in the presence of different degrees of the preoperative anxiety, preoperative anxiety may lead to increased dosage of narcotic drugs, increased incidence of perioperative hemodynamic in-stability, postoperative pain, nausea, vomiting, sleep disorders and other related complications, which may affect patients’ postoperative recovery and reduce their medical experience, therefore, preoperative psychological state of patients is particularly important. In this paper, the harm of preoperative anxiety, clinical commonly used psychological assessment scale and the effect of dif-ferent intervention measures were reviewed, so as to better accurately assess the preoperative psychological state of patients, and timely analyze the preoperative anxiety factors of patients, and provide ideas for the development of individualized intervention measures to relieve patients’ preoperative anxiety.

关 键 词：剖宫产 术前焦虑 术前焦虑评估量表 经皮穴位低频电刺激(TEAS) 正念冥想(MM) 

分 类 号：R719.8[医药卫生—妇产科学]