摘要
将１００例肺癌病人随机分为两组，５０例在常规护理的基础上，术前行心理诱导疗法（实验组）；５０例采用常规护理法（对照组）。观察两组病人住院当日、手术前夜焦虑、抑郁、恐惧程度及生命体征变化；术晨及术后１ｈＰａＯ２、ＰａＣＯ２值；术后胃肠道反应情况。结果显示：住院当日两组病人焦虑、抑郁、恐惧分值及生命体征指标无显著性差异（Ｐ＞０．０５），而手术前夜两组间有显著性差异（Ｐ＜０．００１）；ＰａＯ２、ＰａＣＯ２术前两组无差异（Ｐ＞０．０５），术后也有显著性差异（Ｐ＜０．０５）；且术后胃肠道反应发生率对照组明显高于实验组。说明心理诱导可降低支气管动脉灌注化疗药病人应激反应的发生率。
There were 100 patients divided into test group (n=50)accepted to preoperative psychological guide and control group(n=50) accepted to routine nursing care.The degrees of anxiety and depression and vital indications were observed on the hospitalized day and the eve of operation.The PaO 2 and PaCO 2 were measured on the operating morning and postoperative one hour,and the postoperative gastrointestinal reaction was observed.Results showed that there was no significant difference in the scores of anxiety and depression and in the vital indication on the hospitalized day(P>0.05),but significant difference on the eve of operation(P<0.001);no difference in PaO 2 and PaCO 2 before operation(P>0.05) and significant difference after operation(P<0.05).The incidence of postoperative gastrointestinal reaction in control group was obviously higher than in test group.The above suggests that psychological guide may decrease patient's stress
关键词
肺肿瘤
支气管动脉灌注
药物疗法
心理诱导
Lung neoplasms Bronchial arterial infusion Drug therapy Psychological guide Stress
