心理准备对择期性胸部手术病人的应激反应及术后身体恢复的影响

The effect of psychic preparation on the stress reaction and postoperative body recovery in patients for elective thoracic operation.

研究心理准备对择期性胸部手术病人的应激反应及对手术后身体恢复的影响。方法将２００例病人随机分为实验组和对照组。实验组接受以观看照片和听取录音为主的心理准备措施。对照组仅接受一般性安慰。分别于入院时及手术前夜测量两组病人的焦虑、恐惧和心率、血压。并观察病人住院期间的合作程度和手术后恢复身体活动和肠蠕动的时间及住院天数等指标。结果实验组病人在手术前夜的焦虑、恐惧和心率、血压均显著低于对照组。实验组病人合作程度显著高于对照组；手术后恢复身体活动及肠蠕动的时间显著早于对照组，住院天数显著短于对照组。结论心理准备可显著减轻择期性胸部手术病人过于剧烈的应激反应及促进术后身体恢复。

 Objective To research the effect of psychic preparation on the stress reaction and the postoperative body recovery of the patients with elective thoracic operation. Methods 200 patients were randomly divided into experimental group and control group equally. The patients in experimental group received psychic preparation by watching pictures and listening to recorder. The patients in control group received general comfort. Anxiety, fear and heart rate, blood pressure were measured at the time of admission and in the night before operation. Postoperative cooperative degree, body movement, intestinal wriggle and hospitalizational time were observed respectively. Results Anxiety, fear and heart rate, blood pressure were lower in experimental group than that in control group obviously. The experimental group had the higher cooperative degree, the earlier starting of body movement and intestinal wriggle and the shorter hospitalizational time. Conclusions Psychic preparation can relieve the stress reaction and promote the postoperative body recovery of the patients with elective thoracic operation.