围术期心理支持疗法对全麻患者焦虑情绪的改善

Effect of the Peri-operative Psychological Support Therapy on the Anxiety Patients with General Anesthesia

目的观察使用围术期心理支持疗法的全麻患者焦虑情绪、术后疼痛以及对麻醉医生满意度等方面的影响。方法选择拟在全麻插管下行下腹部手术的患者100例,均分为两组:A组患者使用围术期心理支持疗法进行术前访视、术中管理、术后随访;B组患者采取常规围术期访视、管理。两组患者于术前一天、术前10分钟、术后一天完成各类情绪量表的自评以及对麻醉医生满意度的评分。结果术前一天两组患者抑郁自评量表、焦虑自评量表评分无显著差异(P>0.05)。术前10分钟、术后一天:A组患者抑郁自评量表、焦虑自评量表评分明显低于B组(P<0.05);且抑郁焦虑症状轻微或正常者构成比明显高于B组(P<0.05)。A组患者对麻醉医生满意度评分更高,麻醉中生命体征更平稳,苏醒时间更短(P<0.05)。结论合理使用围术期心理支持疗法可缓解全麻患者焦虑情绪、提高患者对麻醉医生的满意度,是值得推广的一系统、全面的麻醉医生围术期访视方法。

Objective Through observe the anxiety、postoperative pain、anesthesiologist satisfaction of the patients with general anesthesia（GA） on perioperative psychological support therapy（PPST）.Methods One hundred patients, undergoing Lower abdominal operation with general anesthesia intubation, were randomly divided into two groups. Group A was using PPST to make perioperative management;Group B was blank only. All kinds of emotional scale self assessment and the anesthesiologist satisfaction score were completed 1d and 10 minutes before,1d after surgery. The change of heart rate,non-invasive blood pressure,oxygen saturation and the recovery time were been record. Results Compare the Self-rating Depression Scale（SDS） and Self-rating Anxiety Scale（SAS） score of the two groups,1d before surgery：There were no significant differences between group A and group B （P〉0.05）; 10 minutes before,1d after surgery： Group A were significantly lower than Group B（P〈0.05）;and the constituent ratio of mild depression and anxiety symptoms or normal patient was significantly higher than that in group B （P〈0.05）. The anesthesiologist satisfaction score was higher in group A（P〈0.05）. Patients in group A have more stable vital signs and shorter recovery time （P〈0.05）.Conclusion The rational use of PPST can relieve the anxiety of patients with GA and improve the patient satisfaction degree of anesthesiologist.