摘要
目的:探讨术前心理干预对全麻患者苏醒期气管导管拔管时合作程度的影响。方法:将160例气管内插管全麻下择期进行胆囊切除手术的成年患者随机分为观察组(心理指导组)80例,对照组(常规组)80例。对照组按常规进行麻醉前访视。观察组术前一天由麻醉医师和麻醉护士或手术室护士进行术前访视及心理指导,系统讲解麻醉的相关知识,重点解释气管内插管全身麻醉前后可能存在的咽喉部异物感或轻度疼痛、吞咽不适感等感觉,以及如何配合拔除气管插管;在手术当日麻醉前30分钟再次对观察组患者进行麻醉苏醒期相关知识宣教。重点观察患者在麻醉苏醒期及气管导管拔出前后是否合作及合作程度,手术后24小时随访。结果:两组患者一般情况、手术时间及麻醉时间差异无显著性(P>0.05)。观察组中评分为1和2的百分比分别为20%与70%,对照组中评分为1和2的百分比分别为40%与20%。两组中评分为1和2的病例明显不同(P<0.05),说明观察组的心理指导与干预是有效的。患者对麻醉过程满意度,观察组为95%,明显高于对照组45%。结论:术前心理行为干预可明显减少气管内插管全麻患者苏醒期气管导管拔除时出现躁动或不合作的情况,提高其合作程度。
Objective：To approach the effect of preoperative psychological intervention on anesthesia recovery period in patients with tracheal extubation.Methods：160 cases of tracheal intubation under general anesthesia for elective cholecystectomy were randomly divided into two adult groups（psychological guidance group,80 cases）,the control group（conventional group,80 cases）.Control group,the routine pre-anesthetic visit.Observation group,the day before surgery and anesthesia by the anesthesiologist or operating room nurse nurse preoperative interview and psychological guidance,the system knowledge to explain anesthesia highlight the before and after general anesthesia,endotracheal intubation may exist or mild foreign body sensation in the throat pain,swallowing,feeling of discomfort,etc.,and how to cope with extubation;in surgery the same day 30 minutes before anesthesia,patients were again observed anesthesia mission of knowledge.Key observation in patients with anesthesia and endotracheal tube pulled out of the co-operation and collaboration around the level of follow-up 24 hours after surgery.Results：The two groups,the operation time and anesthesia time difference was not statisti-cally significant（P〉 0.05）.Score of the observation group in the percentage of 1 and 2 were 20% and 70% in the control group score of 1 and 2 percentage of 40% and 20%.Score of two groups of cases 1 and 2 significantly different（P 〈0.05）,explain the observation group psychological guidance and intervention to be effective.The process of patient satisfaction with anesthesia,the observation group was 95%,significantly higher than 45%.Conclusion：Preoperative psychological and behavioral intervention can significantly reduce the endotracheal intubation tracheal extubation in patients with recovery period when restless or uncooperative,enhance their level of coop-eration.
出处
《现代生物医学进展》
CAS
2010年第21期4110-4112,共3页
Progress in Modern Biomedicine
关键词
心理干预
气管插管
气管拔管
全麻苏醒
Psychological intervention
tracheal intubation
tracheal extubation
anesthesia
