摘要
目的:研究鼻中隔偏曲矫正术患者行音乐放松想象训练辅助治疗对其疼痛程度、不良情绪及心血管应激反应的影响。方法:选取本院2020年3月至2022年3月期间105例鼻中隔偏曲矫正术患者随机分为对照组和观察组。对照组52例给予常规干预措施,观察组53例联合音乐放松想象训练辅助治疗。于术后24 h、48 h、72 h,采用视觉模拟评分法(Visual Analogue Scale,VAS)评估并对比两组患者疼痛程度;于手术前3 d和手术后3 d采用简明心境量表(Profile Of Mood States,POMS)评估并对比两组患者情绪状态;于手术前3 d和手术前15 min检测并对比两组患者心率(Heart Rate,HR)、舒张压(Diastolic Blood Pressure,DBP)、收缩压(Systolic Blood Pressure,SBP)水平。结果:观察组术后24 h、48 h、72 h VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组术后3 d,紧张-焦虑、抑郁-沮丧、怒-敌意、疲乏-迟钝、迷惑-慌乱和精力-活力评分均低于对照组,差异有统计学意义(P<0.05);观察组术前15 min,心率、舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05)。结论:音乐放松想象训练辅助治疗对鼻中隔偏曲矫正术患者效果确切,能够有效缓解患者疼痛程度,减轻不良情绪,降低心血管应激反应指标,具有临床推广价值。
Objective:To study the effects of music relaxation and imagery training on pain,adverse emotions and cardiovascular stress response in patients with nasal septum deviation correction.Methods:A total of 105 patients with nasal septum deviation correction in our hospital from March 2020 to March 2022 were randomly divided into control group and observation group.The control group(52 cases)received routine intervention,while the observation group(53 cases)received music relaxation and imagination training.At 24 h,48 h and 72 h after operation,Visual Analogue Scale(VAS)was used to evaluate and compare the pain degree of the two groups.Profile Of Mood States(POMS)was used to evaluate and compare the emotional state of patients in the two groups 3 days before and 3 days after surgery.Heart Rate(HR),Diastolic Blood Pressure(DBP)and Systolic Blood Pressure(SBP)were detected and compared between the two groups 3 days and 15 minutes before operation.Results:The VAS scores at 24 h,48 h and 72 h after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).On postoperative 3 days,the scores of tension-anxiety,depression-depression,anger-hostility,fatigueretardation,puzzle-panic and energy-vitality in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 15 min before operation,the heart rate,diastolic blood pressure and systolic blood pressure of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:Music relaxation and imagination training has a definite effect on patients with nasal septum deviation correction,which can effectively relieve the pain degree of patients,reduce adverse emotions,reduce cardiovascular stress response indicators,and has clinical promotion value.
作者
任萍
刘姣姣
王中华
宋保佳
许烨
徐莉
Ren Ping;Liu Jiao-jiao;Wang Zhong-hua;Song Bao-jia;Xu Ye;Xu Li(Department of Otolaryngology,Jiaozuo People's Hospital,Jiaozuo 454000,China)
出处
《四川生理科学杂志》
2023年第4期599-601,641,共4页
Sichuan Journal of Physiological Sciences
关键词
鼻中隔偏曲矫正术
应激反应
音乐放松想象训练
不良情绪
Correction of nasal septum deviation
Stress response
Music relaxes imagination training
Bad mood
