摘要
目的降低唤醒麻醉下颅脑手术患者手术前后负性心理,尽可能减轻患者手术不良体验。方法将62例唤醒麻醉下颅脑手术患者随机分为观察组32例和对照组30例,对照组行常规干预及围术期指导,观察组在常规干预的基础上针对唤醒麻醉手术特点制定和实施专项干预措施。结果两组均顺利完成手术;观察组手术前、手术后及出院时焦虑及疾病不确定感得分显著低于对照组(均P<0.01)。结论专项干预可降低唤醒麻醉下颅脑手术患者手术前后焦虑与疾病不确定感水平,有利于提高患者配合度。
Objective To reduce negative mood and adverse experience in patients undergoing awake brain surgery.Methods Sixtytwo patients undergoing awake brain surgery were randomized into a control group of 30 and an observation group of 32.The control group was given routine intervention and perioperative instructions,while the observation group additionally received special intervention developed based on the characteristics of awake brain surgery.Results Both groups successfully completed the surgery.The scores of anxiety and illness uncertainty before and after surgery and at discharge in the observation group were significantly lower than those in the control group（P〈0.01 for all）.Conclusion Special intervention can reduce anxiety and illness uncertainty in patients undergoing awake brain surgery,and is conducive to improving patient compliance.
出处
《护理学杂志》
CSCD
2017年第20期84-87,共4页
Journal of Nursing Science
基金
上海市卫生计生系统重要薄弱学科建设计划项目(2015ZB0301)
2015年复旦大学护理科研基金立项项目(FNF201528)
关键词
颅脑疾病
唤醒麻醉
专项干预
健康教育
焦虑
疾病不确定感
cranial disease
awake surgery
special intervention
health education
anxiety
illness uncertainty
