择期性腹内手术病人的应激反应与心理准备的研究I手术病人的应激反应及其时间特点

Stress Responses of Elective Intra一abdominal Surgery Patients and Effects of PsychologicaiPreparation :I. Psychological and Physiological Stress Responses and their Temporal Characteristics.

本研究观测了６０名普通外科和妇科择期性手术病人在住院期间的应激反应。结果表明：该组样本在手术前夜的状态性焦虑、对手术的恐惧和血压水平均比入院初期有显著的升高，但尿中的儿茶酚胺水平则呈下降趋势，其中去甲肾上腺素水平较入院初期显著降低；病人术中的恐惧程度显著低于术前水平，关于术后疼痛、痛苦与不适的自我报告评分显著高于术中的。本文对手术病人的应激状况以及心理反应同生理反应间的关系进行了讨论。

Psychological and physiological measures of Stress responses were administered to sixtypatients undergoing elective intra一abdominal operations during hospitalization. The results showedthat these patients had significantly higher levels of anxiety, fear and blood pressure in the night beforeoperation than that in earlier stage of hospitalization, In contract ,the mean level of noradrenaline inurine was significantly lowered within the same peried. These patients showed lower scores fear duringtheir operations than that of the preoperative period,The current concepts of stress and the relationshipbetween psychological and physiological responses are discussed.