静默疗法应用于PICC置管患者的效果评价
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摘要
目的探讨静默疗法对PICC置管患者的效果评价。方法选取2014年1月至2017年6月南通妇幼保健院收治的88例PICC置管患者为研究对象,随机分为研究组和对照组各44例。对照组患者实施PICC置管前常规健康教育,研究组患者在此基础上,于置管前1 d及30 min应用静默疗法对患者进行放松训练。比较两组患者干预前后焦虑水平、收缩压、心率改变情况、置管成功率及置管时间。结果置管前1 d,两组患者焦虑评分、收缩压和心率比较,差异无统计学意义(P>0.05)。入置管室后后5 min,研究组患者焦虑评分显著低于对照组患者差异有统计学意义(P<0.05),而两组患者收缩压、心率比较,差异无统计学意义(P>0.05)。研究组置管成功率100.00%(44/44),显著高于对照组患者直观成功率90.91%(40/44),差异有统计学意义(χ2=4.218,P=0.040)。研究组患者置管时间(32.56±8.17)min,与对照组患者置管时间(33.73±9.23)min比较,差异无统计学意义(t=-0.585,P=0.508)。结论静默疗法有助于缓解患者PICC置管术中焦虑程度,降低生理应激反应,提高置管成功率及满意度。
Objective To explore the effects of meditation therapy on patients receiving PICC catheterization.Methods A prospective randomized controlled study was conducted,88 patients with PICC were randomly divided into intervention group and control group( n = 44). The control group received routine health education before catheterization. The intervention group received the meditation training on the day before catheterization and 30 min before catheterization besides routine health education. The levels of anxiety,systolic blood pressure,heart rate,the success rate of catheterization and length of catheterization were compared between the two groups before and after the intervention. Results The level of anxiety before catheterization had no statistical difference between the two groups( P> 0.05). 5 min after entered the catheterization room,the score of anxiety in the intervention group was lower than that in the control group( P<0.05). The change of systolic blood pressure and heart rate during catheterization had no statistical difference between groups( P>0.05). Success rate of catheterization in the intervention group( 100. 00%,44/44) was higher than that in the control group( 90.91%,40/44)( χ2= 4. 218,P = 0. 040). The length of catheterization between the two groups had on statistical difference( P>0.05).Conclusions The meditation can help PICC patients to relieve anxiety and reduce their stress response to surgery. Improve the success rate of catheterization and satisfaction.
Objective To explore the effects of meditation therapy on patients receiving PICC catheterization.Methods A prospective randomized controlled study was conducted,88 patients with PICC were randomly divided into intervention group and control group( n = 44). The control group received routine health education before catheterization. The intervention group received the meditation training on the day before catheterization and 30 min before catheterization besides routine health education. The levels of anxiety,systolic blood pressure,heart rate,the success rate of catheterization and length of catheterization were compared between the two groups before and after the intervention. Results The level of anxiety before catheterization had no statistical difference between the two groups( P> 0.05). 5 min after entered the catheterization room,the score of anxiety in the intervention group was lower than that in the control group( P<0.05). The change of systolic blood pressure and heart rate during catheterization had no statistical difference between groups( P>0.05). Success rate of catheterization in the intervention group( 100. 00%,44/44) was higher than that in the control group( 90.91%,40/44)( χ2= 4. 218,P = 0. 040). The length of catheterization between the two groups had on statistical difference( P>0.05).Conclusions The meditation can help PICC patients to relieve anxiety and reduce their stress response to surgery. Improve the success rate of catheterization and satisfaction.
引文
[1]任秀芹,吴贤翠,沈新梅.分级心理干预对肿瘤患者置管成功率和疼痛的影响[J].护理学报,2012,19(4):74-76.
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[5]马晶晶,殷春燕.三线放松法结合呼吸松弛训练对肺癌患者术前焦虑的影响[J].护理研究,2013,27(2)340-341.
[6]任秀芹,吴贤翠,沈新梅.分级心理干预对肿瘤患者PICC置管成功率和疼痛的影响[J].护理学报,2012,19(4):74-76.
[7]董惠娟,袁心慧,高琦,等.护理干预对首次行PICC置管肿瘤患者心理状态的影响[J].齐鲁护理杂志,2013,19(7):107-108.
[8]王玉娟,程芳,马静,等.静默疗法应用于白内障手术患者的效果评价[J].中华护理杂志,2016,3(3):321-325.
[9]张明圆.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:35-42.
[10]姜乾金.术前焦虑事出有因[J].心理与健康,2011,7(7):8-9.
[11]于瑞彦,李健.放松训练对抑郁症的康复效果观察[J].中国健康心理学杂志,2009,17(2):255-256.
[12]金旭华,施小芳.心理干预对行PICC的肿瘤患者焦虑及抑郁的影响[J].全科医学临床与教育,2012,10(2):239-240.
[2]岳爱学,耿君.经外周中心静脉置管例心理干预56例[J].齐鲁护理杂志,2011,17(1):26.
[3]Travis F,Arennder A.EEG asymmetry and mindfulness meditation[J].Psychosom Med,2004,66(1):147-148.
[4]周英,徐佳敏,周赞华.三线放松术改善鼻咽癌放化疗患者睡眠质量的探讨[J].护士进修杂志,2012,27(13):1217-1218.
[5]马晶晶,殷春燕.三线放松法结合呼吸松弛训练对肺癌患者术前焦虑的影响[J].护理研究,2013,27(2)340-341.
[6]任秀芹,吴贤翠,沈新梅.分级心理干预对肿瘤患者PICC置管成功率和疼痛的影响[J].护理学报,2012,19(4):74-76.
[7]董惠娟,袁心慧,高琦,等.护理干预对首次行PICC置管肿瘤患者心理状态的影响[J].齐鲁护理杂志,2013,19(7):107-108.
[8]王玉娟,程芳,马静,等.静默疗法应用于白内障手术患者的效果评价[J].中华护理杂志,2016,3(3):321-325.
[9]张明圆.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社,1998:35-42.
[10]姜乾金.术前焦虑事出有因[J].心理与健康,2011,7(7):8-9.
[11]于瑞彦,李健.放松训练对抑郁症的康复效果观察[J].中国健康心理学杂志,2009,17(2):255-256.
[12]金旭华,施小芳.心理干预对行PICC的肿瘤患者焦虑及抑郁的影响[J].全科医学临床与教育,2012,10(2):239-240.