正性暗示及细节护理对外科手术患者围术期的影响

Effect of positive suggestion therapy and detail nursing on perioperative period of surgical patients

目的:探讨正性暗示及细节护理应用于外科手术患者中对其术中应激反应与术后疼痛的影响。方法:入选拟行外科手术患者108例随机分成两组,每组54例。对照组患者给予常规护理措施,研究组患者给予正性暗示及细节护理。观察并比较两组患者术前及术中收缩压、舒张压、心率指标及术后12 h、24 h疼痛评分。结果:两组患者术前应激反应指标比较差异无统计学意义(P>0.05),术中研究组的应激反应指标均显著优于对照组(P<0.01)。研究组术后12 h、24 h疼痛评分均显著低于对照组(P<0.01)。结论:对外科手术患者给予正性暗示及细节护理,有利于减轻患者术中应激反应和术后疼痛,值得临床推广实践。

Objective：To study the effect of positive suggestion therapy and detail nursing on intraoperative stress response and postoperative pain of surgical patients. Methods： The subjects of this study were selected from 108 cases of surgical patients admitted. They were divided randomly into two groups with 54 in each. The control group was treated with usual care, while the study group was given positive suggestion therapy and detail nursing. The indexes of systolic pressure, diastolic pressure and heart rate before and after surgery, as well as the pain scores at 12 h and 24 h after operation were observed and compared. Results： There was no difference in preoperative stress response indexes between the two group cases（P〉0.05）. The intraoperative stress response indexes of the study group were significantly better than those of the control group（P〈0.01）. And what＇s more, the pain scores at 12 h, 24 h after operation of the study group were remarkably lower than those of the control group（P〈0.01）. Conclusion： Positive suggestion therapy and detail nursing can help relieve the intraoperative stress response and postoperative pain of patients, is recommended for clinical practice.