摘要
目的 探讨心理支持对腹部外科手术患者应激反应的影响.方法 择期腹部手术患者90例,随机分成干预组与对照组各45例,对照组仅接受常规的术前准备.干预组在此基础上接受心理支持,比较两组围术期的应激反应.结果 干预组的焦虑自评量表评分（SAS）、血压（SBP、DBP）和心率（HR）、视觉模拟评分（VAS）均低于对照组,两组比较差异有统计学意义（P〈0.05）.术后首次下床活动时间和首次肠道排气时间干预组也显著提前（P〈0.05）.结论 心理支持可缓解患者术前焦虑、减轻手术应激反应,有利于患者术后康复.
Objective To investigate the effect of psychological intervention on patients＇ stress reactions during abdominal operation. Methods Ninety patients with selective abdominal operation were randomly divided into two groups： intervention group and control group ,45 cases in each. Conventional preoperative management was received in all of the patients, in addition, psychological intervention was received in intervention group. The differences of stress reactions between the two groups were compared. Results SAS, SBP, DBP, HR and VAS in intervention group were lower than those in control group, which were statistic significant differences （P〈0.05）. Conclusion Psychological intervention has significantly alleviating effect on preoperative anxiety and reduce stress reactions in patients during abdominal operation,which is contributive to the rehabilitation of the surgical patients.
出处
《实用疼痛学杂志》
2011年第4期267-270,共4页
Pain Clinic Journal
关键词
心理支持
应激
外科手术
腹部
焦虑
焦虑自评量表
血压
心率
视觉模拟评分
Psychological Intervention
Stress
Surgical Procedures, Operative
Anxiety
Self-Rating Anxiety Scale
Blood Pressure
Heart Rate
Visual Analogue Scale
