欢迎来到天天文库
浏览记录
ID:53729474
大小:269.02 KB
页数:3页
时间:2020-04-20
《术前人文关怀对肺癌手术患者全麻诱导心理和生理的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、诊疗决策论著医学与哲学2O13年11月第34卷第1lB期总第489期术前人文关怀对肺癌手术患者全麻诱导心理和生理的影响魏娜①王国年①张桂玺①崔佳琳①摘要:为探讨术前进行人文关怀式沟通和健康教育对肺癌手术患者全麻诱导后心理和生理的影响,将83例非同期别的肺癌手术患者(均采用全身麻醉,双腔管气管插管辅助通气)分成两组。观察组进行人文关怀式沟通,对照组采用普通沟通。判定方法采用焦虑自评量表(sAS),根据焦虑评分反映两组患者入院即刻及手术前的心理变化情况,监测全麻诱导即刻与全麻诱导气管插管后5min患者平均
2、动脉压(MBP)的波动、心率(HR)的变化,用两个时间段两个变量的差值来反映两组患者全麻诱导期发生心理和生理反应的情况。结果显示,两组患者入院即刻焦虑差异无统计学意义(P>O.05);手术前SAS评分两组患者较入院即刻降低(P<0.05),并且观察组与对照组相比下降更明显(P%0.01);观察组患者MBP波动无统计学意义(P>O.05)、HR波动有统计学意义(P%0.05)。因此,证实人文关怀式沟通和健康教育能够减轻肺癌患者在心理和生理两个方面对麻醉和手术产生的不良反应。关键词:医学人文,沟通,健康教
3、育,全麻诱导中图分类号:R614.2文献标识码:A文章编号:1002—0772(2013)11—0051—03PreoperativeHumanisticCareforLungCancerpatients,PsychologicalandPhysiologicalEffectinGeneralAnesthesiaInduc。tionWElNa,WANGGuo—nian.ZHANGGui—xi,eta1.TheThirdHospitalAfJiliatedtoHarbinUniversity,Har—b
4、in150081。ChinaAbstract:Inordertoinvestigatethehumanecare—patientcommunicationandhealtheducationontheimpactofpsychologi—calandphysicalinpatientswithlungcancersurgeryafterinductionofgeneralanesthesiabeforesurgery,83casesofnonsameperiodofpatientswithlungca
5、ncersurgery(usinggeneralanesthesia,doublelumentubeendotrachealtubeassistedventilation)weredividedintotwogroups.Observationgroupweregivenhumanecare—patientcommunication,controlgroupweregivenordinarydoctor-patientcommunication.Determinationmethodusingself
6、—ratinganxietyscale(SAS),theanxietyscoresreflectthetwogroupsofpatientsadmittedtohospitalimmediatelyandpsychologicalchangesbeforesur—gery,monitoringanesthesiainducedimmediatelyaftertheinductionofgeneralanesthesiaendotrachealintubation5min,pa—tientswithan
7、averagefluctuationsinmeanarterialbloodpressure(MBP)。heartrate(HR)changes,withthedifferencebetweenthetwovariablesofthetwotimeperiodstoreflectthetwogroupsofpatientsanesthesiainductionperiodofpsy—chologicalandphysiologicalresponses.Theresultsshowthatthetwo
8、groupsofpatientsadmittedtohospitalimmediatelyanxietywasnosignificantdifference(P>0.05);theSASscorebeforesurgerytwogroupsofpatientsonadmissionin—stantlyreduced(P<0.05),andcomparedtotheobservationgroupandcontrolgroupdecreasedmoresi
此文档下载收益归作者所有