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《術(shù)前人文關(guān)懷對(duì)肺癌手術(shù)患者全麻誘導(dǎo)心理和生理的影響.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在應(yīng)用文檔-天天文庫。
1、診療決策論著醫(yī)學(xué)與哲學(xué)2O13年11月第34卷第1lB期總第489期術(shù)前人文關(guān)懷對(duì)肺癌手術(shù)患者全麻誘導(dǎo)心理和生理的影響魏娜①王國年①張桂璽①崔佳琳①摘要：為探討術(shù)前進(jìn)行人文關(guān)懷式溝通和健康教育對(duì)肺癌手術(shù)患者全麻誘導(dǎo)后心理和生理的影響，將83例非同期別的肺癌手術(shù)患者(均采用全身麻醉，雙腔管氣管插管輔助通氣)分成兩組。觀察組進(jìn)行人文關(guān)懷式溝通，對(duì)照組采用普通溝通。判定方法采用焦慮自評(píng)量表(sAS)，根據(jù)焦慮評(píng)分反映兩組患者入院即刻及手術(shù)前的心理變化情況，監(jiān)測全麻誘導(dǎo)即刻與全麻誘導(dǎo)氣管插管后5min患者平均
2、動(dòng)脈壓(MBP)的波動(dòng)、心率(HR)的變化，用兩個(gè)時(shí)間段兩個(gè)變量的差值來反映兩組患者全麻誘導(dǎo)期發(fā)生心理和生理反應(yīng)的情況。結(jié)果顯示，兩組患者入院即刻焦慮差異無統(tǒng)計(jì)學(xué)意義(P>O．05)；手術(shù)前SAS評(píng)分兩組患者較入院即刻降低(P<0．05)，并且觀察組與對(duì)照組相比下降更明顯(P％0．01)；觀察組患者M(jìn)BP波動(dòng)無統(tǒng)計(jì)學(xué)意義(P>O．05)、HR波動(dòng)有統(tǒng)計(jì)學(xué)意義(P％0．05)。因此，證實(shí)人文關(guān)懷式溝通和健康教育能夠減輕肺癌患者在心理和生理兩個(gè)方面對(duì)麻醉和手術(shù)產(chǎn)生的不良反應(yīng)。關(guān)鍵詞：醫(yī)學(xué)人文，溝通，健康教
3、育，全麻誘導(dǎo)中圖分類號(hào)：R614．2文獻(xiàn)標(biāo)識(shí)碼：A文章編號(hào)：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
