探讨一体化护理对局部麻醉术患者心理及疼痛应激影响
最后更新时间：2024-02-02
作者：用户投稿
本站原创
点赞:32934
浏览:148006
本站原创
点赞:32934
浏览:148006
论文导读：edintocontrolgroup（conventionaloperationnursinggroup）andobservationgroup（integratednursinggroup），40casesineachgroup.TheZungself-ratingscalebeforeandaftertheinterventionandpainself-assesentresultsoftwogoupswerecompared.ResultsTheZungself-ratingscaledepressiona
[摘要] 目的 探讨一体化护理对局部麻醉术患者心理及疼痛应激的影响。 策略 选取2010年10月～2013年12月本院收治的80例局部麻醉术患者为研究对象，将入选者随机分为对照组（常规手术护理组）40例和观察组（一体化护理组）40例，比较两组干预前后的Zung自评量表与疼痛自我评估结果。 结果 观察组护理干预后的Zung自评量表抑郁和焦虑评分分别为（46.21±4.96）分和（46.25±4.04）分，阳性率分别为50.00%和52.50%；术中及术后即刻的轻度疼痛率分别为95.00%和97.50%，均显著优于对照组，差异有统计学作用（P<0.05）。 结论 一体化护理对局部麻醉术患者心理应激及疼痛应激的影响较大，更适用于局部麻醉术患者。
[关键词] 一体化护理；局部麻醉术；心理应激；疼痛应激
[] B [文章编号] 1674-4721（2014）09（b）-0140-03
Influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia
ZHOU Xiao-fang
Operation Room，Fengxin People′s Hospital of Fengxin County of Yichun City in Jiangxi Province，Fengxin 330700，China
[Abstract] Objective To explore the influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia. Methods 80 cases with local anesthesia from October 2010 to December 2013 in our hospital were selected and randomly divided into control group（conventional operation nursing group） and observation group（integrated nursing group），40 cases in each group.The Zung self-rating scale before and after the intervention and pain self-assesent results of two goups were compared. Results The Zung self-rating scale depression and anxiety score in observation group after the intervention were （46.21±4.96）points and（46.25±4.04）points，positive rates were 50.00% and 52.50%.The mild pain rates during operation was 95.00%，the mild pain rates after operation immediate was 97.50%，which was obviously better than that in control group，with statistical difference（P<0.05）. Conclusion The influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia are great，and it is more suitable for the patients with local anesthesia.
[Key words] Integrated nursing；Local anesthesia；Psychological stress；Pain stress
局部麻醉手术患者在手术治疗过程中由于处于较为清醒的状态，对手术的应激表现较为突出，这对于手术的顺利进行及患者围术期机体心理状态均十分不利[1]，因此对局部麻醉手术患者进行护理时尤其应重视对其上述方面的干预。另外，此类患者的应激不仅仅表现为心理方面的应激，机体方面的应激也因手术及心理应激的影响而表现极为突出，其中疼痛应激即是受之影响极大的一个机体应激，因此在对此类患者进行应激制约时，应重视对其心理及疼痛应激进行干预。临床中关于护理模式对此类患者心理及疼痛应激的影响研究相对不足，因此对其进行探讨的价值较高。本研究采用一体化护理对局部麻醉手术患者进行干预，探讨其对心理应激及疼痛应激的影响。
1 资料与策略
[摘要] 目的 探讨一体化护理对局部麻醉术患者心理及疼痛应激的影响。 策略 选取2010年10月～2013年12月本院收治的80例局部麻醉术患者为研究对象，将入选者随机分为对照组（常规手术护理组）40例和观察组（一体化护理组）40例，比较两组干预前后的Zung自评量表与疼痛自我评估结果。 结果 观察组护理干预后的Zung自评量表抑郁和焦虑评分分别为（46.21±4.96）分和（46.25±4.04）分，阳性率分别为50.00%和52.50%；术中及术后即刻的轻度疼痛率分别为95.00%和97.50%，均显著优于对照组，差异有统计学作用（P<0.05）。 结论 一体化护理对局部麻醉术患者心理应激及疼痛应激的影响较大，更适用于局部麻醉术患者。
[关键词] 一体化护理；局部麻醉术；心理应激；疼痛应激
[] B [文章编号] 1674-4721（2014）09（b）-0140-03
Influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia
ZHOU Xiao-fang
Operation Room，Fengxin People′s Hospital of Fengxin County of Yichun City in Jiangxi Province，Fengxin 330700，China
[Abstract] Objective To explore the influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia. Methods 80 cases with local anesthesia from October 2010 to December 2013 in our hospital were selected and randomly divided into control group（conventional operation nursing group） and observation group（integrated nursing group），40 cases in each group.The Zung self-rating scale before and after the intervention and pain self-assesent results of two goups were compared. Results The Zung self-rating scale depression and anxiety score in observation group after the intervention were （46.21±4.96）points and（46.25±4.04）points，positive rates were 50.00% and 52.50%.The mild pain rates during operation was 95.00%，the mild pain rates after operation immediate was 97.50%，which was obviously better than that in control group，with statistical difference（P<0.05）. Conclusion The influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia are great，and it is more suitable for the patients with local anesthesia.
[Key words] Integrated nursing；Local anesthesia；Psychological stress；Pain stress
局部麻醉手术患者在手术治疗过程中由于处于较为清醒的状态，对手术的应激表现较为突出，这对于手术的顺利进行及患者围术期机体心理状态均十分不利[1]，因此对局部麻醉手术患者进行护理时尤其应重视对其上述方面的干预。另外，此类患者的应激不仅仅表现为心理方面的应激，机体方面的应激也因手术及心理应激的影响而表现极为突出，其中疼痛应激即是受之影响极大的一个机体应激，因此在对此类患者进行应激制约时，应重视对其心理及疼痛应激进行干预。临床中关于护理模式对此类患者心理及疼痛应激的影响研究相对不足，因此对其进行探讨的价值较高。本研究采用一体化护理对局部麻醉手术患者进行干预，探讨其对心理应激及疼痛应激的影响。
1 资料与策略