心理行为干预联合音乐干预对择期手术患者心理状态及麻醉苏醒期的影响
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摘要
目的:探讨心理行为干预联合音乐干预对择期手术患者心理状态及麻醉苏醒期的影响。方法:选取2015年7月-2018年7月于我院行择期手术的患者60例,随机分为观察组和对照组各30例。对照组采用常规术前访视,观察组在常规术前访视的基础上进行心理行为干预和音乐干预。比较两组患者的焦虑评分、Aldrete评分、患者手术时间、术中麻醉时间、麻醉苏醒期气管拔管时间、手术后患者的苏醒时间以及患者麻醉苏醒期合作度。结果:干预后,观察组焦虑评分显著低于对照组(t=-2.574,P<0.05)。观察组Aldrete评分显著高于对照组(t=3.156,P<0.01)。两组患者手术时间、麻醉时间比较差异无统计学意义(P>0.05)。观察组拔管时间、苏醒时间均明显短于对照组(t=-2.555,-2.713;P<0.05)。观察组患者麻醉苏醒期合作率明显高于对照组(χ~2=4.593,P=0.032)。结论:心理行为干预联合音乐干预能减轻择期手术患者的焦虑情绪,缩短麻醉苏醒时间,提高患者麻醉苏醒期合作度,应用效果良好。
Objective:To investigate the effects of psychological behavior intervention combined with music intervention on the psychological state and anesthesia recovery period of patients undergoing elective surgery.Methods:Sixty patients who underwent elective surgery in the hospital from July 2015 to July 2018 were randomly divided into the observation group and the control group,30 cases in each group.The control group was given routine preoperative visits,and the observation group was given psychological behavior intervention and music intervention on the basis of routine preoperative visits.The anxiety score,Aldrete score,operative time,intraoperative anesthesia time,tracheal extubation time during anesthesia recovery period,postoperative waking time and cooperation degree of patients during anesthesia recovery period were compared between the two groups.Results:The anxiety score of the observation group was significantly lower than that of the control group after the intervention(t=-2.574,P<0.05).The Aldrete score of the observation group was significantly higher than that of the control group(t=3.156,P<0.01).There was no significant difference in the operation time or anesthesia time between the two groups(P>0.05).The extubation time and recovery time of the observation group were significantly shorter than those of the control group(t=-2.555,-2.713,P<0.05).The cooperative rate of the observation group during anesthesia recovery period was significantly higher than that of the control group(χ~2=4.593,P<0.05).Conclusion:Psychological behavior intervention combined with music intervention can alleviate the anxiety of patients undergoing elective surgery,shorten the time of anesthesia recovery,and improve the cooperation degree of patients during anesthesia recovery period,with good effects.
Objective:To investigate the effects of psychological behavior intervention combined with music intervention on the psychological state and anesthesia recovery period of patients undergoing elective surgery.Methods:Sixty patients who underwent elective surgery in the hospital from July 2015 to July 2018 were randomly divided into the observation group and the control group,30 cases in each group.The control group was given routine preoperative visits,and the observation group was given psychological behavior intervention and music intervention on the basis of routine preoperative visits.The anxiety score,Aldrete score,operative time,intraoperative anesthesia time,tracheal extubation time during anesthesia recovery period,postoperative waking time and cooperation degree of patients during anesthesia recovery period were compared between the two groups.Results:The anxiety score of the observation group was significantly lower than that of the control group after the intervention(t=-2.574,P<0.05).The Aldrete score of the observation group was significantly higher than that of the control group(t=3.156,P<0.01).There was no significant difference in the operation time or anesthesia time between the two groups(P>0.05).The extubation time and recovery time of the observation group were significantly shorter than those of the control group(t=-2.555,-2.713,P<0.05).The cooperative rate of the observation group during anesthesia recovery period was significantly higher than that of the control group(χ~2=4.593,P<0.05).Conclusion:Psychological behavior intervention combined with music intervention can alleviate the anxiety of patients undergoing elective surgery,shorten the time of anesthesia recovery,and improve the cooperation degree of patients during anesthesia recovery period,with good effects.
引文
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[17]李东丽,袁静,许萍,等.围术期心理干预联合背景音乐疗法对剖宫产患者疼痛、焦虑及血压、心率的影响[J].河北医药,2016,38(1):150-152
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[19]管春丽,陈丹,崔茜,等.手术室护理干预对全麻苏醒期患者心理状况及躁动的影响[J].实用临床医药杂志,2017,21(4):115-117
[20]樊林,汪炜平.认知干预对口腔治疗儿童七氟烷全身麻醉后苏醒期躁动的作用研究[J].中国实用护理杂志,2016,32(28):2171-2174
[21]Cheng W S,Ni C P.Effect of music therapy combined with nursing intervention on the anxiety of family members of selective surgery patients for gynecology and obstetrics[J].J Health Psychol,2016,24(5):748-752
[2]Khan R M A,Hajibandeh S,Hajibandeh S,et al.Early elective versus delayed elective surgery in acute recurrent diverticulitis:Asystematic review and meta-analysis[J].Int J Surg,2017,10(46):92-101
[3]Wilson C J,Mitchelson A J,Tzeng T H,et al.Caring for the surgically anxious patient:A review of the interventions and a guide to optimizing surgical outcomes[J].Am J Surg,2016,212(1):151-159
[4]Neal J M.Ultrasound-guided regional anesthesia and patient safety:Update of an evidence-based analysis[J].Reg Anesth Pain Med,2016,41(2):195-204
[5]Krombach J W,Marks J D,Dubowitz G,et al.Development and implementation of checklists for routine anesthesia care:A proposal for improving patient safety[J].Anesth Analg,2015,121(4):1097-103
[6]Shi R J,Wang Y X,Li Y J,et al.Influencing factors on anxiety of families in the optional surgery patients in military hospital[J].JHealth Psychol,2016,24(2):206-209
[7]Yao Y,Chang L,Zhang C Y,et al.Psychological nursing on the chd patients with second PCI[J].J Health Psychol,2015,11(6):845-849
[8]方业珍,劳贤邦,马惠,等.Aldrete苏醒评分在麻醉复苏期患者中的应用[J].齐鲁护理杂志,2017,23(10):60-62
[9]王晶,黄海琴,杨志峰,等.细节护理对外科全身麻醉手术患者麻醉苏醒期的影响[J].海南医学,2015,26(24):3742-3744
[10]Dai Y X.The effect of psychological intervention on depression and anxiety of elderly patients with lung cancer radical operation[J].J Health Psychol,2017,25(11):1726-1730
[11]Su S R,Gao Y T.The Influence of preoperative anxiety level on postoperative rehabilitation in patients with thyroid surgery[J].J Health Psychol,2017,25(11):1641-1644
[12]陶思玉,金婧.心理行为干预对溃疡性结肠炎焦虑抑郁患者的影响分析[J].重庆医学,2016,45(32):4596-4599
[13]洪莲,尧永华,黎玉梅,等.音乐疗法在全身麻醉苏醒期躁动病人护理中的应用[J].护理研究,2015,29(14):1745-1746
[14]范尧,姚芹,季迪,等.国内音乐疗法对肿瘤患者抑郁症状干预效果的Meta分析[J].重庆医学,2015,44(21):2939-2943
[15]汪细平,陈秀红,夏海燕,等.腹腔镜下阑尾炎手术患者焦虑抑郁状况及心理护理干预[J].国际精神病学杂志,2015,8(4):139-141
[16]王鑫,高艳红,王丹,等.心理干预对肿瘤患者围术期焦虑及抑郁的影响[J].现代生物医学进展,2015,15(6):1120-1122
[17]李东丽,袁静,许萍,等.围术期心理干预联合背景音乐疗法对剖宫产患者疼痛、焦虑及血压、心率的影响[J].河北医药,2016,38(1):150-152
[18]刘丽红.术前医学心理干预对全麻老年患者苏醒的影响[J].河北医药,2016,38(8):1275-1277
[19]管春丽,陈丹,崔茜,等.手术室护理干预对全麻苏醒期患者心理状况及躁动的影响[J].实用临床医药杂志,2017,21(4):115-117
[20]樊林,汪炜平.认知干预对口腔治疗儿童七氟烷全身麻醉后苏醒期躁动的作用研究[J].中国实用护理杂志,2016,32(28):2171-2174
[21]Cheng W S,Ni C P.Effect of music therapy combined with nursing intervention on the anxiety of family members of selective surgery patients for gynecology and obstetrics[J].J Health Psychol,2016,24(5):748-752
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