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音乐放松想象训练对腹腔镜肝切除患者术后恢复的影响 被引量:37

Effects of musical therapy on postoperative rehabilitation of patients undergoing laparoscopic hepatectomy
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摘要 目的探讨音乐放松想象训练(MRIT)对腹腔镜肝切除(LH)患者术后恢复的影响。方法按便利取样法将40例LH患者分为实验组20例和对照组20例,实验组接受围手术期常规护理和MRIT,对照组则接受常规护理。观察两组术后疼痛程度、下地活动时间、肛门排气时间和住院时间。结果实验组术后6h、术后1d、术后2d的疼痛程度明显低于对照组;实验组术后下地活动时间与对照组相比提前了4.75h,差异有显著性意义(t=2.25,P=0.03);实验组排气时间也略早于对照组,但无统计学意义;两组总住院时间无明显差异,但实验组术后住院时间(5.2±1.15)d较对照组(6.1±1.55)d平均缩短了0.9d,差异有显著性意义(t=2.08,P=0.04)。结论MRIT作为护理干预措施,可减轻LH患者术后疼痛,促进术后康复,缩短术后住院时间。 Objective To explore the effect of musical therapy on postoperative rehabilitation of patients undergoing laparoscopic hepatectomy. Methods Forty patients undergoing laparoscopic hepatectomy were divided into experimental group (n= 20) and control group (n= 20). Experimental group received routine care and musical therapy, control group just received routine care. Patients' pain condition, gastrointestinal function, bedside exercise after operation and the time of hospitalization were measured. Result Patients in experimental group had less pain than those in control group on 6 hours, 1 and 2 days after operation. The experimental group began to do bedside exercise earlier than control group (t= 2.25,P=0.03) and the time of hos pitalization is also shorter. There were no significant differences in gastrointestinal function. Conclusion Musical therapy has more beneficial effects and can improve the postoperative rehabilitation of patients undergoing laparoscopic hepateetomy.
出处 《中华护理杂志》 CSCD 北大核心 2006年第4期293-296,共4页 Chinese Journal of Nursing
关键词 腹腔镜 肝切除术 音乐疗法 疼痛 手术后 手术后护理 Laparoscopies Hepatectomy Music therapy Pain, postoperative Postoperative care
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参考文献9

  • 1刘荣,周宁新,黄志强,王悦华,李志伟.完全腹腔镜肝切除25例临床报告[J].中华普通外科杂志,2003,18(7):400-402. 被引量:64
  • 2McRee LD, Noble S, Pasvogel A. Using massage and music therapy to improve postoperative outcomes. AORN J ,2003,78(3) :433-442,445-447.
  • 3Laurion S, Fetzer SJ. The effect of two nursing interventions on the postoperative outcomes of gynecologic laparoscopic patients. J Perianesth Nurs, 2003,18(4) :254-261.
  • 4陈新忠,徐鑫芬.以护士为基础、麻醉医师为督导的疼痛管理模式用于妇科术后镇痛[J].中华护理杂志,2005,40(2):87-89. 被引量:57
  • 5郭梅英,阎克乐,尚志恩.放松训练和腹式呼吸对应激的影响[J].心理学报,2002,34(4):426-430. 被引量:56
  • 6Dahl JB, Kehlet H. Non-steroidal anti-inflammatory drugs irationale for use in severe postoperative pain. Br J Anaesth,1991, 66(6):703-712.
  • 7David T.John R.Satterthwaite et al主编.临床疼痛学.宋文阁,傅志俭译.济南:山东科学技术出版社,2004.27.
  • 8Marion G,Michael S,Jeffrey G,et al. Relief of postoperative pain with jaw relaxation, music and their combination. Pain,1999, 81:163-172.
  • 9Nilsson U, Rawal N,Unosson M. A comparison of intra-operative or postoperative exposure to music-a controlled trial of the effects on postoperative pain. Anaesthesia,2003,58(7) :699-703.

二级参考文献31

  • 1郑达安,沈霖霖,吴国强,蒋有铭,周燕,王文英.心理应激时青年人R-R间期变异性的谱分析[J].生物医学工程学杂志,1997,14(1):38-41. 被引量:8
  • 2Descottes B, Lachachi F, Sodji M, et al. Early experience with laparoscopic approach for solid liver tumors: initial 16 cases. Ann Surg,2000,232:641-645.
  • 3Abdei-Atty MY, Farges O, Jagot P, et al. Laparoscopy extends the indications for liver resection in patients with cirrhosis. Br J Surg,1999,86 : 1397-1400.
  • 4Cherqui D, Soubrane O, Husson E, et al. Laparoscopic living donor hepatectomy for liver transplantation in children. Lancet, 2002,359:392-396.
  • 5Hunt K. Perceptions of patients' pain: a study assessing nurses attitudes.Nursing Standard, 1995,18(4) :32-35.
  • 6Rawal N. Postoperative pain management in day surgery. Anaesthesia.1998,53:50-52.
  • 7Rosenberg J, Kehlet H. Does effective postoperative pain mangement influence surgical morbidity? Eur Surg Res, 1999,31:133-137.
  • 8Filos KS, Lehmann KA. Current concepts and practice in postoperative pain management: need for a change? Eur Surg Res ,1999,31:97-107.
  • 9Warfield CA, Kahn CH. Acute pain management: Programs in U.S. hospitals and experiences and attitudes among U. S. adults. Anesthesiology,1995, 83:1090-1094.
  • 10Rawal N, Berggren L. Organization of acute pain services: a low-cost model. Pain, 1994,57:117-123.

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