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本文以自评、医师评定两种方式对腹部手术患者103例(除外精神科病史)进行围术期焦虑及干预的描述性研究。发现术前明显焦虑者占30%,疑有焦虑者占34%,无焦虑者占36%。特质焦虑直接影响术前状态焦虑,疾病、手术因素影响术后焦虑,此时特质焦虑仍起作用。支持性心理治疗能降低术前焦虑,提高无并发症者满意程度,但对躯体预后无直接影响。另外,腹部手术患者入院时血皮质醇浓度高于正常人群。
In this paper, self-assessment, physician assessment of two ways in patients with abdominal surgery in 103 cases (except for the history of psychiatric patients) perioperative anxiety and interventional descriptive study. Found that 30% of preoperative obvious anxiety, suspected anxiety accounted for 34%, no anxiety accounted for 36%. Trait Anxiety directly affects the status of preoperative anxiety, disease, surgical factors affect postoperative anxiety, trait anxiety still work. Supportive psychotherapy can reduce preoperative anxiety and improve satisfaction without complications, but it has no direct effect on somatosensory prognosis. In addition, patients with abdominal surgery admission cortisol concentrations higher than the normal population.