术前心理干预对麻醉的影响

The Efficacy of Pre-surgery Psychological Intervention on Anesthesia

目的探讨术前心理干预对麻醉患者心理、生理状况的影响。方法将64例手术患者随机均分为观察组和对照组。对照组行常规术前访视,观察组手术前给予心理护理干预,采用焦虑自评量表(SAS)及知觉心理压力量表(CPSS)评价干预前后的心理状况,采用血压及心率评定干预前后的生理状况。结果术前1 d及术后7 d,观察组SAS评分、CPSS评分均较术前3 d显著降低;术前1 d,观察组SAS评分、CPSS评分均明显低于对照组。观察组术前1 d的收缩压及心率均较术前3 d显著降低;术前1 d,观察组的以上生理指标均明显低于对照组。结论术前心理干预能够缓解麻醉患者的焦虑状况,减轻心理压力,维持正常的血压和心率,使机体处于正常的心理和生理状态。

Objective To investigate the efficacy of pre-surgery psychological intervention on psychological and physiological state of anesthesia patients. Methods 64 cases of surgical patients were randomly divided into observation group and control group. Patients in the control group underwent routine preoperative visits, while patients in observation group were given psychological care interventions. Self-Rating anxiety scale （SAS） and perceived stress scale （CPSS） were used to evaluate the mental state, blood pressure and heart rate were sued to assess physiological condition. Results 1day preoperative and 7 days postoperative surgery, the SAS score, CPSS score of observation group were significantly lower than 3 days preoperative surgery. 1 day preoperative surgery, the SAS score, CPSS scores of the observation group were significantly lower than the control group. 1 day preoperative surgery, the preoperative systolic blood pressure and heart rate of observation group were significantly lower than that of preoperative 3 days;these physiological indicators the observation group were significantly lower than the control group 1 day preoperative surgery. Conclusion Preoperative psychological intervention can alleviate anxiety, reduce stress, reduce tension, blood pressure and heart rate, maintain mental and physical state normal, which is good to anesthesia.