摘要
目的 探讨心理疗法对泌尿系结石体外震波碎石患者的影响。方法 选择泌尿系结石行体外碎石患者分为心理治疗组和使用镇痛剂组各60例,心理治疗组在碎石的前、中、后进行适当的心理疗法,术前不用镇痛剂,使用镇痛剂组术前应用镇痛剂,比较两组患者在碎石过程中的焦虑、疼痛程度,血压、脉搏的变化,碎石效果等。结果 两组患者碎石后血压、心率比较经t检验,差异有统计学意义(P<0.01);经比较心理治疗组疼痛、焦虑程度明显低于使用镇痛剂组(P<0.01);两组患者一次碎石成功率经χ~2检验,差异有统计学意义(P<0.01),心理治疗组碎石效果明显优于使用镇痛剂组。结论 心理疗法减轻了患者焦虑引起的疼痛,避免了镇痛药带来的不良反应,提高了碎石效果。
Objective To probe into the effect of psychological therapy on urinary calculus patients with extracorporeal shock-wave lithotomy. Methods 120 urinary calculus patients with extracorporeal shock-wave lithotomy were divided equally into psychological therapy group and aesthesia group. In the former group, psychological therapy was performed before, during and after operation but aesthesia not before operation and in the latter, preoperative aesthesia was done. The anxiety, pain degree, blood pressure, changes of pulse and lithotomic effects were compared between the groups. Results After lithotomy, the blood pressure and heart rate were statistically different between the groups by t-test (P<0.01). By comparison, it was found that pain degree and anxiety in the former group were significantly lower than the latter (P<0.01). The difference in one-time success rate was significant between the groups by X^2 test (P<0.01), showing the effects of psychological therapy was significantly superior to aesthesia. Conclusion Psychological therapy is able to relieve the pains caused by anxiety and avoid the adverse reactions of aesthesia, thus increasing the lithotomic effects.
出处
《南方护理学报》
2004年第4期3-5,共3页
Nanfang Journal of Nursing
基金
广东省顺德市科技局2003年立项课题 2003KJ174
