全麻手术病人术前心理状况调查分析及干预

Investigation and Intervention of Pre-surgery Patients′ Psychology with General Anesthesia

目的调查分析全麻手术病人术前心理状况及心理干预效果。方法择期行全麻手术病人380例,术前用Zung氏SAS(焦虑自评量表)进行心理状况调查并分析,将其中360例焦虑病人随机分为试验组和对照组,对试验组病人进行术前心理干预,对照组只进行常规术前准备。入手术室后了解术前晚睡眠情况及肌紧张程度,记录入室时及拔管时血压、心率、呼吸及拔管时呛咳、屏气发生率。结果试验组病人术前睡眠质量好,入室后生命体征平稳,肌紧张程度低,与对照组比较差异有统计学意义(P<0.01)。结论对全麻手术病人进行术前心理干预有利于缓解病人紧张情绪及保持血流动力学稳定,对保障麻醉、手术顺利进行有较大意义。

Objective To investigate the psychology of pre-surgery patients with general anesthesia and the effects of psychological intervention.Methods Psychology of 380 patients was analyzed after general anesthesia with Zung's SAS.360 out of 380 cases were randomly divided into experimental group and control group.Psychological intervention to patients of the experimental group was adopted before surgery and conventional pre-surgery preparation was conducted to the control group.After being sent into operation room,sleeping status on the night before and the degree of muscular tension of the patients were investigated,and then blood pressure,heart rate and breath as well as incidence rate of chocking and breath-holding were recorded when the patients were sent into the operation room and tube drawing was adopted.Results Patients of experimental group who slept well before surgery tend to keep stable vital signs and were at low level of muscular tension.The incidence rate of choking and breath-holding was significantly lower in experimental group than in control group.Conclusion Psychological intervention to pre-surgery patients after general anesthesia is helpful to relax the psychology of patients and maintain stable blood stream,which is significant to ensure smooth process of surgery.