躁狂症患者围手术期影响因素的调查

Investigation on the influencing factors of perioperative patients with mania

目的探讨躁狂症患者围手术期的心理状态及其相关影响因素。方法对40例躁狂症手术患者围手术期采用躁狂量表（BRMS）和生活事件量表（LES）进行检测、辅以自行设计的影响因素调查表进行调查。结果术前躁狂发生率（95％）显著高于手术后躁狂发生率（30％）（X^2=30．05，P〈O．01）；围手术期患者最关心的问题主要为术前对患者治疗的相关问题和术后对患者恢复方面的担忧。结论对患者的紧张、焦虑、恐惧等心理进行于预是围手术期需要解决的首要问题。同时也要加强对患者家属宣讲疾病及相关康复知识。

Objective To discuss the mental state and its influencing factors of perioperative patients with mania. Methods 40 perioperative mania patients were investigated with Bech-Rafaelsdn Mania Rating Scale （BRMS） and Life Event Scale（LES） ,assisted with self-designed influential factors to survey the correlation factors. Results The perioperative patients were interestd in therapeutic correlation question preoperative and worry about their recovery after operation. The worry showed that operations was mental work load and psycho-burden to the pa- tients. Perioperative patients＇ mental activities were main of perceptual insecurity. The psycho-feature must influence the compliance of mania patients＇ therapy and nursing. What follows next is the quality of therapy and nursing. Conclusion The main problem to be solved is intervention the tension, anxiety, scare psychology of the patients in perioperative. At the same time it must be strengthened to talk to the family member of the patients knowledge about the disease and its recovery.