BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nur...BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nursing approaches is an urgent need to mitigate the negative effects of surgery on such patients.AIM To analyze the influence of preoperative comprehensive education on anxiety,depression,pain,and sleep in older patients who underwent surgery under general anesthesia.METHODS In total,163 older adults who underwent surgery under general anesthesia between June 2022 and November 2023 were selected,77 of them received routine nursing care(control group),and 86 received preoperative comprehensive education(research group).Subsequently,comparative analyses were performed from the following perspectives:Surgical indicators(operation time,time to complete regain of consciousness,and temperature immediately after the procedure and upon recovery from anesthesia)before and after nursing care;negative emotions[self-rating anxiety scale(SAS)/self-rating depression scale(SDS)];pain severity[visual analog scale(VAS)];sleep quality[Pittsburgh sleep quality index(PSQI)];incidence of sleep disturbances(difficulties in falling asleep for the first time,falling asleep again after waking up frequently at night,falling asleep again after waking up early,and falling asleep all night);and incidence of adverse events(airway obstruction,catheter detachment,aspiration,and asphyxia).RESULTS The research group had significantly lower operation time and time to complete regain of consciousness than the control group after nursing care and markedly better recovery of postoperative body temperature and body temperature at awakening.In addition,more notable decreases in SAS,SDS,VAS,and PSQI scores were observed in the research group than in the control group.Furthermore,the incidence rate of sleep disturbance(8.14%vs 29.87%)and adverse events(4.65%vs 19.48%)were lower in the research group than in the control group.CONCLUSION Preoperative comprehensive education in older patients who underwent surgery under general anesthesia can improve postoperative indicators,effectively reduce the occurrence of anxiety and depression,alleviate postoperative pain,and improve sleep quality.展开更多
目的观察西酞普兰联合坦度螺酮治疗老年高血压合并焦虑抑郁障碍患者的治疗效果。方法将老年高血压合并抑郁焦虑的患者60例随机分为治疗组和对照组各30例,2组患者根据中国高血压指南制定降压方案,服药后血压均控制于≤140/90 mm Hg。治...目的观察西酞普兰联合坦度螺酮治疗老年高血压合并焦虑抑郁障碍患者的治疗效果。方法将老年高血压合并抑郁焦虑的患者60例随机分为治疗组和对照组各30例,2组患者根据中国高血压指南制定降压方案,服药后血压均控制于≤140/90 mm Hg。治疗组另给予西酞普兰联合坦度螺酮治疗。比较治疗前后2组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和药物不良反应量表(TESS)评分变化,动态血压观察2组患者治疗前后血压变化。结果治疗后2组患者的HAMA评分及HAMD评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.01)。经治疗后随访显示,2组患者的白天血压比较差异无统计学意义(P>0.05)。治疗组夜间血压及24 h平均血压均低于对照组,差异有统计学意义(P<0.05)。治疗组患者在早期曾出现轻度头晕2例,口干1例,经对症治疗后症状均消失。治疗后期未再出现不良反应。治疗后2组患者均无药物不良反应少,安全性较好。治疗组患者的TESS评分为(3.01±0.58)分,对照组患者的TESS评分为(3.12±0.45)分。2组患者的TESS评分比较差异无统计学意义(P>0.05)。结论老年高血压合并焦虑抑郁患者加用西酞普兰联合坦度螺酮治疗,有利于血压控制和情绪改善。展开更多
目的:观察归脾汤加减对老年高血压病患者血压、负性情绪和生活质量的影响。方法:将104例患者随机分成对照组和试验组,对照组50例和试验组54例。对照组采用钙通道阻滞剂治疗,必要时给予联用利尿剂和(或)血管紧张素转换酶抑制剂治疗。试...目的:观察归脾汤加减对老年高血压病患者血压、负性情绪和生活质量的影响。方法:将104例患者随机分成对照组和试验组,对照组50例和试验组54例。对照组采用钙通道阻滞剂治疗,必要时给予联用利尿剂和(或)血管紧张素转换酶抑制剂治疗。试验组在对照组治疗基础上加用归脾汤治疗。分别于治疗前后测量两组患者血压,抑郁自评量表(Self-rating depression scale,SDS)和焦虑自评量表(Self-Rating Anxiety Scale,SAS)评估患者负性情绪,健康状况问卷(Short Form 36 Health survey Questionnaire,SF-36)评估患者生活质量并进行比较分析。结果:试验组治疗前血压为(167.7±18.3)/(99.7±6.9)mm Hg(1 mm Hg=0.133 k Pa),SAS评分为(48.5±5.7)分,SDS评分为(49.6±6.5)分;治疗8周后血压为(148.7±15.4)/(92.3±6.5)mm Hg,SAS评分为(34.2±5.2)分,SDS评分为(37.4±6.7)分。而对照组治疗前血压为(168.2±17.4)/(99.4±6.7)mm Hg,SAS评分为(48.3±6.2)分,SDS评分为(48.9±5.8)分;治疗8周后血压为(155.7±16.5)/(94.3±5.7)mm Hg,SAS评分为(39.6±5.7)分,SDS评分为(44.1±5.6)分。两组治疗前血压、SAS和SDS评分比较,无统计学差异(P>0.05),治疗后上述指标均显著下降,差异有统计学意义(P<0.05)。试验组治疗后SF-36各因子及总体健康评分均优于对照组,差异均有统计学意义(P<0.05)。结论:对老年高血压病患者采用归脾汤加减辅助治疗,有助于改善患者血压水平及负性情绪,并提高生活质量。展开更多
基金Supported by the Autonomous Region Key R&D Program Project“Research on the Prevention and Treatment System and Key Technologies of Elderly Related Diseases",No.2022B03009-4.
文摘BACKGROUND Owing to the particularities of their physical characteristics,older patients undergoing surgery under general anesthesia experience great surgical traumas.Thus,exploring more refined and individualized nursing approaches is an urgent need to mitigate the negative effects of surgery on such patients.AIM To analyze the influence of preoperative comprehensive education on anxiety,depression,pain,and sleep in older patients who underwent surgery under general anesthesia.METHODS In total,163 older adults who underwent surgery under general anesthesia between June 2022 and November 2023 were selected,77 of them received routine nursing care(control group),and 86 received preoperative comprehensive education(research group).Subsequently,comparative analyses were performed from the following perspectives:Surgical indicators(operation time,time to complete regain of consciousness,and temperature immediately after the procedure and upon recovery from anesthesia)before and after nursing care;negative emotions[self-rating anxiety scale(SAS)/self-rating depression scale(SDS)];pain severity[visual analog scale(VAS)];sleep quality[Pittsburgh sleep quality index(PSQI)];incidence of sleep disturbances(difficulties in falling asleep for the first time,falling asleep again after waking up frequently at night,falling asleep again after waking up early,and falling asleep all night);and incidence of adverse events(airway obstruction,catheter detachment,aspiration,and asphyxia).RESULTS The research group had significantly lower operation time and time to complete regain of consciousness than the control group after nursing care and markedly better recovery of postoperative body temperature and body temperature at awakening.In addition,more notable decreases in SAS,SDS,VAS,and PSQI scores were observed in the research group than in the control group.Furthermore,the incidence rate of sleep disturbance(8.14%vs 29.87%)and adverse events(4.65%vs 19.48%)were lower in the research group than in the control group.CONCLUSION Preoperative comprehensive education in older patients who underwent surgery under general anesthesia can improve postoperative indicators,effectively reduce the occurrence of anxiety and depression,alleviate postoperative pain,and improve sleep quality.
文摘目的观察西酞普兰联合坦度螺酮治疗老年高血压合并焦虑抑郁障碍患者的治疗效果。方法将老年高血压合并抑郁焦虑的患者60例随机分为治疗组和对照组各30例,2组患者根据中国高血压指南制定降压方案,服药后血压均控制于≤140/90 mm Hg。治疗组另给予西酞普兰联合坦度螺酮治疗。比较治疗前后2组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)和药物不良反应量表(TESS)评分变化,动态血压观察2组患者治疗前后血压变化。结果治疗后2组患者的HAMA评分及HAMD评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.01)。经治疗后随访显示,2组患者的白天血压比较差异无统计学意义(P>0.05)。治疗组夜间血压及24 h平均血压均低于对照组,差异有统计学意义(P<0.05)。治疗组患者在早期曾出现轻度头晕2例,口干1例,经对症治疗后症状均消失。治疗后期未再出现不良反应。治疗后2组患者均无药物不良反应少,安全性较好。治疗组患者的TESS评分为(3.01±0.58)分,对照组患者的TESS评分为(3.12±0.45)分。2组患者的TESS评分比较差异无统计学意义(P>0.05)。结论老年高血压合并焦虑抑郁患者加用西酞普兰联合坦度螺酮治疗,有利于血压控制和情绪改善。
文摘目的:观察归脾汤加减对老年高血压病患者血压、负性情绪和生活质量的影响。方法:将104例患者随机分成对照组和试验组,对照组50例和试验组54例。对照组采用钙通道阻滞剂治疗,必要时给予联用利尿剂和(或)血管紧张素转换酶抑制剂治疗。试验组在对照组治疗基础上加用归脾汤治疗。分别于治疗前后测量两组患者血压,抑郁自评量表(Self-rating depression scale,SDS)和焦虑自评量表(Self-Rating Anxiety Scale,SAS)评估患者负性情绪,健康状况问卷(Short Form 36 Health survey Questionnaire,SF-36)评估患者生活质量并进行比较分析。结果:试验组治疗前血压为(167.7±18.3)/(99.7±6.9)mm Hg(1 mm Hg=0.133 k Pa),SAS评分为(48.5±5.7)分,SDS评分为(49.6±6.5)分;治疗8周后血压为(148.7±15.4)/(92.3±6.5)mm Hg,SAS评分为(34.2±5.2)分,SDS评分为(37.4±6.7)分。而对照组治疗前血压为(168.2±17.4)/(99.4±6.7)mm Hg,SAS评分为(48.3±6.2)分,SDS评分为(48.9±5.8)分;治疗8周后血压为(155.7±16.5)/(94.3±5.7)mm Hg,SAS评分为(39.6±5.7)分,SDS评分为(44.1±5.6)分。两组治疗前血压、SAS和SDS评分比较,无统计学差异(P>0.05),治疗后上述指标均显著下降,差异有统计学意义(P<0.05)。试验组治疗后SF-36各因子及总体健康评分均优于对照组,差异均有统计学意义(P<0.05)。结论:对老年高血压病患者采用归脾汤加减辅助治疗,有助于改善患者血压水平及负性情绪,并提高生活质量。
