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围手术期椎管内麻醉患者实施心理干预的研究
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［摘 要］ 目的：观察围手术期椎管内麻醉患者实施心理干预后的效果。方法：随机选择欲实施椎管内麻醉的手术患者95例，ASA病情评估Ⅰ级～Ⅱ级。将患者随机分为实验组和对照组，实验组46例，对照组49例。实验组的患者在其手术前、手术中和手术后进行心理干预，对照组仅实施常规围手术期护理。术后72 h完成焦虑自评量表(SAS)测评及自编效果评分表的评分。结果：实施心理干预后，实验组患者围手术期的情绪稳定，血压、脉搏正常，术后止痛效果满意，肠蠕动恢复及下床活动时间较对照组显著提前。结论：心理干预能减轻椎管内麻醉患者围手术期的应激反应，促进患者术后恢复。
［关键词］ 心理干预；围手术期；椎管内麻醉
Discussion of Psychological Intervention on the Patients with Anesthesia in Vertebral Canal During the Period of Operation
Abstract：Objective Observe the effect of psychological intervention on the patients during the period of operation. Methods Choose 95 patients who intend to be anesthetized in vertebral canal at random and the evaluation of state of illness by means of ASA is Ⅰ～Ⅱ stage. The patients were divided into two groups at random; the experimental group consisted of 46 and the comparison group 49. The patients in experimental group were conducted with psychological intervention during the period of preoperation, inoperation and postoperation, while the comparison group was only implemented the regular care of operation. The selfappraisingsystem (SAS) and selfeditingeffect table were finished in 72hours after the operation. Results After the psychological intervention, the patients in experimental group presented the steady mood, normal blood pressure and pulse, satisfied acesodyne effect and the remarkable increase of intestine peristalsis and movementhours of offbed compared with the comparison group. Conclusion The psychological intervention is conducive to alleviate the reaction of the patients with anesthesia in vertebral canal during the period of operation and facilitate their recovery.
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