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使用放松带对手术患者的脉搏、呼吸、血压和焦虑水平的影响。

The effect of using a relaxation tape on pulse, respiration, blood pressure and anxiety levels of surgical patients.

机构信息

Department of Nursing, College of Medicine, Fu Jen Catholic University, Taipei, Taiwan.

出版信息

J Clin Nurs. 2012 Mar;21(5-6):689-97. doi: 10.1111/j.1365-2702.2011.03818.x. Epub 2011 Nov 17.

DOI:10.1111/j.1365-2702.2011.03818.x
PMID:22092955
Abstract

AIM

This study aims to investigate the effect of a relaxation tape on levels of anxiety in surgical patients.

BACKGROUND

Surgery is a stressful event for patients. Because of uncertainty regarding surgery and anaesthesia, patients often experience heightened anxiety and fear.

DESIGN

A one-group pretest-post-test quasi-experimental design.

METHODS

Samples were taken from surgical patients in a medical centre in northern Taiwan. The patients were given relaxation tapes the day before their scheduled surgery. Tests were conducted before and after patients listened to the tapes. STAI and respiration, pulse and blood pressure were used to collect data measurements on the anxiety level of these patients.

RESULTS

The average age of 80 patients was 43·14 (SD 17·27) years. After the patients listened to the relaxation tape, their respiration rate dropped from 18·4 (SD 6·9) -17·8 (SD 7·4), pulse rate dropped from 81·9 (SD 33·5) - (SD 33·7), systolic blood pressure decreased from 125·4 (SD 16) mmHg - 121·5 (SD 13·4) mmHg and STAI score dropped from 50·9 (SD 11·1) - 41·1 (SD 9·8). They all showed a significant level of difference (p < 0·05). A one-time listen to the tape during the entire hospital stay was the experience of the majority (66·3%) and indicated that the STAI score can be further reduced by increasing the number of tape listening sessions (F = 14·1, p < 0·001).

CONCLUSION

The results show that a relaxation tape can significantly reduce the level of anxiety and vital signs related to anxiety in surgical patients. Relevance to clinical practice.  The results of this study can provide an empirical basis for nursing treatments. We recommend that relaxation tapes be included in standard of care to alleviate anxiety in surgical patients.

摘要

目的

本研究旨在探讨放松带对手术患者焦虑水平的影响。

背景

手术对患者来说是一个压力事件。由于对手术和麻醉的不确定性,患者常常感到焦虑和恐惧加剧。

设计

一组预测试后测试的准实验设计。

方法

在台湾北部的一家医疗中心,从手术患者中抽取样本。患者在预定手术前一天接受放松带。在患者听带前后进行测试。STAI 和呼吸、脉搏和血压用于收集这些患者焦虑水平的测量数据。

结果

80 名患者的平均年龄为 43.14(SD 17.27)岁。患者听完放松带后,呼吸频率从 18.4(SD 6.9)降至 17.8(SD 7.4),脉搏率从 81.9(SD 33.5)降至(SD 33.7),收缩压从 125.4(SD 16)mmHg 降至 121.5(SD 13.4)mmHg,STAI 评分从 50.9(SD 11.1)降至 41.1(SD 9.8)。它们都显示出显著的差异水平(p<0.05)。在整个住院期间只听一次带是大多数患者(66.3%)的经历,并表明通过增加听带次数可以进一步降低 STAI 评分(F=14.1,p<0.001)。

结论

结果表明,放松带可以显著降低手术患者的焦虑水平和与焦虑相关的生命体征。对临床实践的相关性。本研究的结果可为护理治疗提供实证依据。我们建议将放松带纳入标准护理中,以减轻手术患者的焦虑。

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