心理干预对耳鼻喉局麻手术患者的影响

Influence of psychological interference on the patients with ear,nose or throat local anesthesia pperation

目的观察心理干预对耳鼻喉局麻手术患者的心理影响。方法将在耳鼻喉科局麻下行手术治疗的76例患者随机分为观察组和对照组,各38例,对照组按常规健康教育,围手术期不进行心理干预;观察组在常规健康教育基础上,围手术期进行心理干预。采用Zung焦虑自评量表测量患者心理状态,用多功能监护仪监测围手术期患者呼吸、脉搏、心率、血压及氧饱和度,用视觉模拟镇痛评分法(VAS)评估患者的镇痛效果。结果两组患者术前心理焦虑均高于正常,但观察组低于对照组(P<0.01),手术过程患者疼痛程度与心率、收缩压、舒张压均明显低于对照组(P<0.01)。结论正确的心理干预可使患者有安全感,消除其紧张、恐惧与忧虑,提高疼痛阈值,增强患者对手术的信心,有利于患者围手术期生命体征的稳定和术后健康恢复。

Objective To observe the influence of psychological interference on the patients with ear, nose or throat local anesthesia operation. Methods A total of 76 cases patients, who had been conducted operation under the local anesthesia in the ear, nose and throat department, were at random divided into observation group of 38 cases and control group of 38 cases. The patients in the control group were carried out the regular healthy education and without psychological interference performed during the perioperative period, while the patients in the observation group, on the basis of the regular healthy edu- cation, were conducted the psychological interference during the perioperative period. The Zung self rating anxiety scale （SRA） was used to check the patients＇ psychological condition, the multi -functional monitor was used to monitor the patients＇ breath, pulse, heart rate, blood pressure and oxygen saturation and the efficacy of analgesis was checked by the visu- al analog scale （VAS）. Results The psychological anxiety values before operation in two groups were obviously higher than the normal value, but in which the observation groun was lower than the control group （ P 〈0. 01 ） and the degree of pain during the operation, heart rate, systolic pressure and diastolic pressure in the observation group were absolutely k^wer than those in the control group （ P 〈 O. 01 ）. Conclusion The proper psychological interference could make the patients feel safe and e- liminate the stress, fear and worry, then increasing the pain threshold and strengthening the patients＇ confidence against the operation, which is beneficial for the stable vital sign during the perioperative and health recovery after operation.