静默疗法对尿动力学检查患者生理和心理应激反应的影响

Effect of meditation on physiological and psychological stress of patients underwent urodynamic examination

目的探讨静默疗法在尿动力学检查中的应用价值。方法选择2018年9月至2019年12月广西医科大学第一附属医院泌尿外科尿动力学检查的90例良性前列腺增生患者作为研究对象,按照随机数字表法分为试验组和对照组,每组45例。对照组予以常规护理,试验组在此基础上实施静默疗法。记录2组患者检查时间、检查成功率以及并发症发生率,比较2组患者检查开始前10 min、检查开始后10 min、检查结束后10 min的收缩压、舒张压和心率变化,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者检查前1 d、检查前1 h和检查结束后10 min心理应激水平。结果试验组检查时间为(33.56±4.95)min,血尿发生率为4.4%(2/45),明显低于对照组的(36.42±6.32)min、17.8%(8/45),差异有统计学意义(t值为2.460,χ^(2)值为4.050,P<0.05)。检查开始前10 min、开始后10 min试验组收缩压和舒张压分别为(129.18±10.99)、(130.73±11.81)mmHg(1 mmHg=0.133 kPa)和(89.42±14.50)、(98.36±15.51)mmHg,低于对照组的(135.93±10.17)、(139.49±10.64)mmHg和(96.29±13.85)、(105.80±12.02)mmHg,差异有统计学意义(t值为2.297~3.695,P<0.01或0.05)。检查开始前10 min、开始后10 min、结束后10 min试验组心率为(85.53±11.82)、(90.51±8.82)、(74.09±8.20)次/min,低于对照组的(92.80±11.95)、(95.84±10.02)、(77.60±8.51)次/min,差异有统计学意义(t值为2.900、2.680、1.992,P<0.01或0.05)。检查前1 h试验组SAS、SDS评分为(54.42±3.85)、(54.11±4.65)分,低于对照组的(58.44±7.37)、(56.11±4.48)分,差异有统计学意义(t值为3.247、2.079,P<0.01或0.05)。结论静默疗法能降低尿动力学检查患者生理和心理应激反应,缩短检查时间,减少并发症。

Objective To explore the effects of meditation on patients underwent urodynamic examination.Methods Totally 90 patients with benign prostatic hyperplasia who underwent urodynamic examination in the Department of Urology at the hospital from September 2018 to December 2019 were enrolled in the present study.They were assigned to experimental group and control group,with 45 cases in each group.The control group received routine nursing,basis on this,the experimental group carried out meditation training.The examination time,examination success rate as well as the incidence of complications were recorded between two groups.The systolic blood pressure,diastolic blood pressure and heart rate was compared at 10 min before the start of examination,10 min after the start of examination,10 min after the end of examination,respectively.In addition,the psychological stress was assessed by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)at 1 day before the start of examination,1 hour before the start of examination and 10 min after the end of examination.Results The examination time were(33.56±4.95)min and the incidence of hematuria were 4.4%(2/45)in the experimental group,significantly lower than(36.42±6.32)min and 17.8%(8/45)in the control group,the difference was statistically significant(t value was 2.460,χ^(2) value was 4.050,P<0.05).At 10 min before the start of examination,10 min after the start of examination,the systolic blood pressure and diastolic blood pressure were(129.18±10.99)mmHg(1 mmHg=0.133 kPa),(130.73±11.81)mmHg and(89.42±14.50)mmHg,(98.36±15.51)mmHg in the experimental group,significantly lower than(135.93±10.17)mmHg,(139.49±10.64)mmHg and(96.29±13.85)mmHg,(105.80±12.02)mmHg in the control group(t values were 2.297-3.695,P<0.01 or 0.05);at 10 min before the start of examination,10 min after the start of examination,10 min after the end of examination,the heart rate were(85.53±11.82)times/min,(90.51±8.82)times/min,(74.09±8.20)times/min in the experimental group,significantly lower than(92.80±11.95)times/min,(95.84±10.02)times/min,(77.60±8.51)times/min in the control group,the difference was statistically significant(t values were 2.900,2.680,1.992,P<0.01 or 0.05).At 1 hour before the start of examination,the SAS and SDS scores were(54.42±3.85)pionts and(54.11±4.65)points in the experimental group,significantly lower than(58.44±7.37)pionts and(56.11±4.48)pionts in the control group,the difference was statistically significant(t values were 3.247,2.079,P<0.01 or 0.05).Conclusion The meditation can help to relieve the physiological and psychological stress of patients who underwent urodynamic examination,shorten the examination time as well as reduce complications.