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[择期手术患者的心理应激与护理策略]

[Psychological stress and nursing strategies in patients with elective surgery].

作者信息

Cui D C, Geng J

机构信息

Fourth affliated hospital of Hebei Medical college, Shijiazhuang, China.

出版信息

Zhonghua Hu Li Za Zhi. 1996 Dec;31(12):692-5.

PMID:9304935
Abstract

General character and rules of changes in psychic stress, and effects of psychic care with procedural and sensory information on these changes were observed in 600 patients with surgery, including general surgery, urinary surgery and gynecologic surgery. 300 cases were in experimental group, others were in two control groups, each group, with 150 cases. The results showed that: 1. after admission, as the approach of the date of operation the stress reaction increased graduatedlly, anxiety, fear and blood pressure reached the top in the night before operation, all of these changes went down as the performance of operation. Pain, suffering and malaise were severe after operation than that during operation. 2.Psychic index of stres reaction were lower in experimental group than that in two control groups, during the night before operation, in the operation and after operation. (P < 0.05, P < 0.01, P < 0.001), These results showed that psychic care are useful method to maintain health and comfort patients with surgical experience and have some practical value.

摘要

观察了600例接受手术的患者(包括普通外科手术、泌尿外科手术和妇科手术患者)心理应激变化的一般特征和规律,以及程序性和感觉性信息的心理护理对这些变化的影响。实验组300例,其余分为两个对照组,每组150例。结果显示:1.入院后,随着手术日期临近,应激反应逐渐增强,焦虑、恐惧和血压在手术前一晚达到峰值,所有这些变化在手术进行时下降。术后疼痛、痛苦和不适比手术期间更严重。2.在手术前一晚、手术期间和手术后,实验组的心理应激反应指数低于两个对照组。(P<0.05,P<0.01,P<0.001),这些结果表明心理护理是维持手术患者健康和舒适度的有效方法,具有一定实用价值。

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