心理准备对择期性胸部手术病人的应激反应及术后身体恢复的影响

来源 :中国行为医学科学 | 被引量 : 0次 | 上传用户:wish_hjl
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研究心理准备对择期性胸部手术病人的应激反应及对手术后身体恢复的影响。方法将200例病人随机分为实验组和对照组。实验组接受以观看照片和听取录音为主的心理准备措施。对照组仅接受一般性安慰。分别于入院时及手术前夜测量两组病人的焦虑、恐惧和心率、血压。并观察病人住院期间的合作程度和手术后恢复身体活动和肠蠕动的时间及住院天数等指标。结果实验组病人在手术前夜的焦虑、恐惧和心率、血压均显著低于对照组。实验组病人合作程度显著高于对照组;手术后恢复身体活动及肠蠕动的时间显著早于对照组,住院天数显著短于对照组。结论心理准备可显著减轻择期性胸部手术病人过于剧烈的应激反应及促进术后身体恢复。 To study the psychological response to stress response in patients undergoing elective thoracic surgery and the effect on body recovery after surgery. Methods 200 patients were randomly divided into experimental group and control group. The experimental group accepted the psychological preparation measures of viewing photos and listening to the recordings. The control group received only general comfort. At the time of admission and on the eve of surgery, the anxiety, fear, heart rate and blood pressure of two groups of patients were measured. And observe the degree of cooperation during hospitalization and after surgery to restore physical activity and bowel movements time and hospitalization days and other indicators. Results The anxiety, fear, heart rate and blood pressure in the experimental group were significantly lower than those in the control group on the eve of surgery. The degree of cooperation between patients in experimental group was significantly higher than that in control group. The recovery time of physical activity and bowel movement after operation was significantly earlier than that of control group, and the length of hospitalization was significantly shorter than that of control group. Conclusion Psychological preparation can significantly reduce over-intense stress response and promote post-operative recovery in patients undergoing elective thoracic surgery.
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