摘要
目的研究视听分散手段对缓解人工流产患者术中疼痛的效果。方法将120例人工流产患者按单双号法分为2大组,每组60例。实验组于术前30min开始及术中给患者观看DVD视频影像材料并佩戴耳机听声音;对照组则不予患者观看DVD视频影像材料及听声音。实验组根据受试者观看DVD视频影像材料的专注程度评分,分为高、中、低专注3个亚组,分别比较2大组间和3个亚组间术中疼痛程度的差异及2大组间人工流产综合征的发生率。结果实验组疼痛评分较对照组低,但未达到统计学意义;高专注组的疼痛评分显著低于专注组和对照组(P<0.01),亦显著低于中专注组(P<0.05)。实验组人工流产综合征的发生率显著低于对照组(P<0.01)。结论视听分散对缓解人工流产患者手术中的疼痛有一定作用,当接受者高专注于视听目标时控制疼痛的效果更好,且人工流产综合征的发生率显著降低。
Objective To explore the influence of audiovisual distraction on pain relieving during induced abortion. Methods One hundred and twenty patients undergoing the induced abortion surgery were randomly divided into two equal groups by even-odd number method, The intervention group watched patient-selected DVD video and listened to the sound by earphone 30 minutes before and in the operation. The control group received no DVD video and sound all the way. According to the cathexis extent of the patients, they were divided into three partial groups. The differences of the pain between the two selected groups and the three partial groups were compared. The rate of induced abortion syndrome between the two selected groups were also compared. Results The pain grade in the intervention group was lower than that in the control group without statistical significance. The pain grade in high cathexis extent group was significantly lower than that in the low cathexis extent group and the control group（ P 〈0.01） ,and was lower intensively than that in the moderate cathexis extent group（ P〈0.05）. The occurrence of induced abortion syndrome were significantly lower＇than that in the control group（ P 〈0.01）. Conclusion Audiovisual distraction has some impact on relieving the pain during the induced abortion surgery. The patient had better pain control with high cathexis on the audiovisual distraction,and the occurrence of induced abortion syndrome were decreased significantly.
出处
《解放军护理杂志》
2009年第6期1-4,共4页
Nursing Journal of Chinese People's Liberation Army
基金
温州市卫生局资助项目(2008014)
关键词
人工流产术
注意力
视听
疼痛
induced abortion
cathexis
audiovisual
pain
