心理干预对眶骨骨折患者围手术期的影响

Effect of Psychological Intervention on Patients with Orbital Fractures in the Period of Perioperation

目的:探讨心理干预在眶骨骨折患者围手术期心理应激反应的影响。方法:自2011年8月至2013年02月我院共收治眶骨骨折手术患者60例,随机分为干预组和对照组各30例。干预组分别在术前1日、术后1日进行心理干预,对照组除了不接受心理干预外,其余护理措施同干预组。对两组患者术前焦虑值及生命体征指标(心率)进行测定。应用SPSS12.0软件包进行数据处理。结果:两组患者术前生命体征指标无明显差异,而术前1日和术后1日干预组焦虑值及生命体征指标明显优于对照组。结论:心理干预能改善眶骨骨折患者围手术期的焦虑状态和恐惧情绪,并且能够稳定其生命体征,使患者顺利渡过围手术期,促进术后恢复,在围手术期护理工作中发挥着积极作用。

Objective： To investigate the effect of psychological intervention on psychological respond of patients with orbital fractures in perioperative periods. Methods： 60 patients with orbital fracture were selected from February 2011 to August 2013 in the Eye Hospital of First Clinical Hospital of Harbin Medical University. The subjects were randomly divided into intervention group and control group respectively. 30 patients in intervention group were given psychological intervention at the first day before and after operation, while 30 patients control group were given as same as the control group except psychological intervention. Preoperative anxiety indicator values and vital signs were determined in patients in each group. Results： There was no significant difference of preoperative vital signs in each group. However, the anxiety indicator value and vital signs at the first day before and after operation in patients of the intervention group were better than that in the control group. Conclusions：Psychological intervention which playing an active role in caring patients in perioperative periods can relieve anxiety of patients with orbital fractures, making recovery in an easy and promoted way.