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术中渐进性肌肉松弛和虚拟现实应用对焦虑、生命体征和满意度的影响:一项随机对照试验。

The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial.

机构信息

University of Health Sciences Turkey, Gulhane Training and Research Hospital, Ankara.

University of Health Sciences Turkey, Gulhane Faculty of Nursing, Ankara.

出版信息

J Perianesth Nurs. 2020 Jun;35(3):269-276. doi: 10.1016/j.jopan.2019.11.002. Epub 2020 Mar 4.

DOI:10.1016/j.jopan.2019.11.002
PMID:32146074
Abstract

PURPOSE

This study aimed to determine the effects of intraoperative progressive muscle relaxation (PMR) and the application of virtual reality (VR) on anxiety, vital signs, and satisfaction levels during a knee arthroscopy operation.

DESIGN

The study was a three-group randomized controlled trial.

METHODS

This study was conducted with 93 patients who consented to participate in the study.

FINDINGS

The State-Trait Anxiety Inventory-S anxiety scale (STAI-S) scores were increased in all the three groups after the surgery. When the preoperative and postoperative STAI-S scores in the group were examined; intragroup STAI-S scores in the PMR and VR groups were statistically significant (P < .05). There was a significant difference between the control group and the PMR and VR groups in mean satisfaction scores (P < .05). The differences between blood pressure and pulse rate were statistically significant in the PMR and VR groups (P < .05).

CONCLUSIONS

Intraoperative PMR and VR can be used as nursing interventions to increase satisfaction and positively affect vital signs in patients who undergo surgery with spinal anesthesia.

摘要

目的

本研究旨在确定术中渐进性肌肉松弛(PMR)和虚拟现实(VR)的应用对膝关节镜手术期间焦虑、生命体征和满意度的影响。

设计

研究为三臂随机对照试验。

方法

该研究纳入了 93 名同意参与研究的患者。

结果

所有三组患者手术后状态-特质焦虑量表-S 焦虑量表(STAI-S)评分均升高。当检查组内手术前后的 STAI-S 评分时;PMR 和 VR 组的组内 STAI-S 评分具有统计学意义(P <.05)。控制组与 PMR 和 VR 组的平均满意度评分存在显著差异(P <.05)。PMR 和 VR 组的血压和脉搏率差异具有统计学意义(P <.05)。

结论

术中 PMR 和 VR 可作为护理干预措施,用于提高接受脊髓麻醉手术患者的满意度,并对生命体征产生积极影响。

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