浅谈手部抚触结合心理护理对女性甲状腺手术患者围术期应激反应影响
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论文导读:给予心理辅导。抚触时环境安静。用酒精棉球擦拭操作者和患者的双手,操作者双手涂抹按摩膏,双手搓动使温暖。患者平卧,一只手手心朝下放在毛巾上,操作者双手按摩其手心和手背以及手指;一侧按摩结束后按摩另一只手。最后用另外一条热毛巾捂住患者的双手约2min。两只手交替进行按摩,共2~3个循环,共耗时20min。手部抚触结合心理
[摘要] 目的 探讨手部抚触护理结合心理护理干预对女性甲状腺手术患者应激反应的影响。 策略 选择2012年1~12月在我院进行治疗的甲状腺手术患者60例为研究对象,随机分为研究组和对照组各30例。对照组给予常规护理,研究组在对照组基础上给予抚触护理结合心理护理干预。比较两组不同时间点的心率、血压、血糖等变化。 结果 手术当日晨起对照组血糖上升幅度较研究组显著(P<0.05)。两组术中相同时间点的心率、血压水平组间比较,对照组显著高于研究组(P<0.05)。术后2 h对照组收缩压显著高于研究组(P<0.05)。 结论 手部抚触结合心理护理能够缓解女性甲状腺手术患者的应激反应,减轻术中和术后疼痛程度。
[关键词] 抚触;心理护理;甲状腺手术;应激反应
[] B [文章编号] 1673-9701(2013)34-0122-04
Effect of hand touching combined with mental nursing on perioperative stress response of female patients with thyroid surgery
ZHANG Yanfen
Department of Twelf手部抚触结合心理护理对女性甲状腺手术患者围术期应激反应的影响由专注毕业论文与职称论文的www.7ctime.com提供,转载请保留.th Ward, Central Hospital of Lishui City in Zhejiang Province, Lishui 323000, China
[Abstract] Objective To discuss the effect of hand touching combined with mental nursing on perioperative stress response of female patients with thyroid surgery. Methods Sixty female patients with thyroid surgery were divided into study group and control group, each of 30 cases. Control group received normal nursing while study group received hand touching combined with mental nursing based on normal nursing. Heart rate, BP, blood sugar were compared between two groups. Results Blood sugar ascensional range of control group at morning of surgery day was higher than study group (P<0.05). Heart rate, BP of control group were higher than study during operation (P<0.05). Systolic pressure at 2 h after operation of control group was higher than study group (P<0.05). Conclusion Hand touching combined with mental nursing can release perioperative stress response of female patients with thyroid surgery, and decrease pain degree during and after operation.
[Key words] Touching; Mental nursing; Thyroid surgery; Stress response
甲状腺疾病是临床上的常见疾病。其中甲状腺肿、甲状腺肿瘤均可经过手术治疗达到较好的治疗效果。手术在全麻下进行,对患者产生了较大的心理压力;此外,特殊的手术体位也会导致患者产生头晕不适。手术作为一个应激源,患者可出现焦虑、恐惧、紧张以及心率、血压变化等心理及生理的应激反应[1]。而这些反应会影响治疗的顺利进行以及患者的预后。且女性生理及心理的特质导致其更容易在术前、术中、术后出现应激反应。本研究探讨抚触结合心理护理对女性甲状腺手术患者应激反应的影响,现报道如下。
1资料与策略
[摘要] 目的 探讨手部抚触护理结合心理护理干预对女性甲状腺手术患者应激反应的影响。 策略 选择2012年1~12月在我院进行治疗的甲状腺手术患者60例为研究对象,随机分为研究组和对照组各30例。对照组给予常规护理,研究组在对照组基础上给予抚触护理结合心理护理干预。比较两组不同时间点的心率、血压、血糖等变化。 结果 手术当日晨起对照组血糖上升幅度较研究组显著(P<0.05)。两组术中相同时间点的心率、血压水平组间比较,对照组显著高于研究组(P<0.05)。术后2 h对照组收缩压显著高于研究组(P<0.05)。 结论 手部抚触结合心理护理能够缓解女性甲状腺手术患者的应激反应,减轻术中和术后疼痛程度。
[关键词] 抚触;心理护理;甲状腺手术;应激反应
[] B [文章编号] 1673-9701(2013)34-0122-04
Effect of hand touching combined with mental nursing on perioperative stress response of female patients with thyroid surgery
ZHANG Yanfen
Department of Twelf手部抚触结合心理护理对女性甲状腺手术患者围术期应激反应的影响由专注毕业论文与职称论文的www.7ctime.com提供,转载请保留.th Ward, Central Hospital of Lishui City in Zhejiang Province, Lishui 323000, China
[Abstract] Objective To discuss the effect of hand touching combined with mental nursing on perioperative stress response of female patients with thyroid surgery. Methods Sixty female patients with thyroid surgery were divided into study group and control group, each of 30 cases. Control group received normal nursing while study group received hand touching combined with mental nursing based on normal nursing. Heart rate, BP, blood sugar were compared between two groups. Results Blood sugar ascensional range of control group at morning of surgery day was higher than study group (P<0.05). Heart rate, BP of control group were higher than study during operation (P<0.05). Systolic pressure at 2 h after operation of control group was higher than study group (P<0.05). Conclusion Hand touching combined with mental nursing can release perioperative stress response of female patients with thyroid surgery, and decrease pain degree during and after operation.
[Key words] Touching; Mental nursing; Thyroid surgery; Stress response
甲状腺疾病是临床上的常见疾病。其中甲状腺肿、甲状腺肿瘤均可经过手术治疗达到较好的治疗效果。手术在全麻下进行,对患者产生了较大的心理压力;此外,特殊的手术体位也会导致患者产生头晕不适。手术作为一个应激源,患者可出现焦虑、恐惧、紧张以及心率、血压变化等心理及生理的应激反应[1]。而这些反应会影响治疗的顺利进行以及患者的预后。且女性生理及心理的特质导致其更容易在术前、术中、术后出现应激反应。本研究探讨抚触结合心理护理对女性甲状腺手术患者应激反应的影响,现报道如下。
1资料与策略