系统心理干预对腹腔镜胆囊切除术患者生命体征和焦虑情况的影响

The Study of the Influence of System Psychological Nursing Intervention on Vital Signs and Impact of Anxiety on Patients with Laparoscopic Cholecystectomy

目的研究系统心理干预对腹腔镜胆囊切除术患者生命体征和焦虑情况的影响。方法选择94例择期行腹腔镜胆囊切除术患者,按照随机数字对照表平均分为两组,对照组(47例)给予常规护理,研究组(47例)在常规护理的基础上给予围手术期系统心理干预,对比两组患者入手术室前及气管插管拔出后10 min的基础生命体征(心率、呼吸、平均动脉压)和焦虑评分。结果研究组患者入手术室前及气管插管拔出后10 min的心率、呼吸、平均动脉压较对照组更加平稳,统计学有显著性差异(P<0.05)。研究组患者入手术室前及气管插管拔出后10 min的焦虑评分明显低于对照组,统计学有显著性差异(P<0.05)。结论在腹腔镜胆囊切除术围手术期对患者进行系统心理干预有助于稳定基础生命体征,缓解紧张焦虑情绪,利于术后病情康复,值得临床推广和普及。

Objective To observe the influence of system nursing psychological intervention on vital signs and the impact of anxiety on patients with laparoscopic cholecystectomy. Methods 94 patients with laparoscopic cholecystectomy were evenly divided into two groups according to random number table. Patients in the control group were treated by routine nursing intervention treatment. Patients in the study group were treated by system psychological nursing intervention on the basis of routine nursing. As for the two groups,the vital signs（ heart rate,breathing,mean arterial pressure） and anxiety score before going into the operating room and after pulling out endotracheal intubation 10 minutes later were observed. Results In the study group,heart rate,breathing and mean arterial pressure before go-ing into the operating room and after pulling out endotracheal intubation 10 minutes later were more stable,which was statistically significant（ P〈0. 05）. The anxiety score of the study group before going into the operating room and after pulling out endotracheal intubation10 minutes later was significantly lower than that of the control group,which was statistically significant（ P〈0. 05）. Conclusion System psychological nursing intervention on patients with laparoscopic cholecystectomy can effectively stabilize vital signs,alleviate nervous anxiety and facilitate postoperative recovery of the patients,which is worthy of clinical promotion and popularization.