摘要
目的 探讨中医五音疗法对择期手术患者术前心理应激反应的影响.方法 前瞻性纳入广州中医药大学深圳医院住院择期手术患者120例,按照随机数字表法随机分为对照组和观察组,每组60例.对照组采用常规护理干预,观察组在常规护理干预基础上给予中医五音疗法.采用Zung氏焦虑自评量表（SAS）评估患者术前焦虑状况,监测患者入院时（T1）、医生术前谈话后（T2）、手术当日晨（T3）和入手术室15 min后（T4）4个时间点收缩压（SBP）、舒张压（DBP）和心率（HR）变化情况.结果 干预后,观察组患者T2、T3时间点SAS评分分别为（42.2±10.5）、（43.2±10.8）分,均低于对照组,差异有统计学意义（t值分别为2.118、2.801;P〈0.05）;T4时间点观察组患者SBP（122.3±12.5）mmHg,DBP（74.1±8.9）mmHg,HR（72.5±7.1）次/min,均低于对照组,差异有统计学意义（t值分别为2.695、2.440、4.640;P〈0.05）.结论 中医五音疗法可以有效缓解择期手术患者术前心理应激反应,有助于稳定生命体征.
ObjectiveTo explore the effects of five-tone therapy on preoperative psychological reactions of patients undergoing elective surgery.Methods Totally 120 patients were enrolled in our hospital for elective surgery. They were randomly and equally divided into a control group and an observation group according to the random number table. Patients in the control group was treated with conventional nursing intervention,while patients in the observation group received five-tone surgery on the basis of conventional nursing intervention. Their preoperative anxiety was assessed with Zung′s self-rating anxiety scale（SAS）,and their systolic blood pressure （SBP）,diastolic blood pressure（DBP） and heart rate（HR） at admission（T1）,in postoperative conversation（T2）,in the morning on the day of surgery（T3） and 15 minutes after the surgery（T4） were monitored.Results After the intervention,the SAS scores at T2 and T3 of the patients in the observation were（42.2±10.5） and（43.2±10.8）, respectively,lower than those of the patients in the control group（t=2.118,2.801;P〈0.05）. The SBP,DBP and HR at T4 of the patients in the observation group were（122.3±12.5） mmHg,（74.1±8.9） mmHg,and（72.5±7.1） times/min,respectively,which were significantly lower than those of the patients in the control group（t=2.695,2.440, 4.40;P〈0.05）.Conclusions Five-tone therapy can effectively alleviate the preoperative psychological reactions of patients undergoing elective surgery and stabilize their vital signs.
出处
《中华现代护理杂志》
2017年第16期2156-2159,共4页
Chinese Journal of Modern Nursing
基金
深圳市福田区卫生公益性科研项目（FTWS2015035）
关键词
中医五音疗法
心理应激反应
择期手术
Five-tone therapy
Psychological reactions
Elective surgery
