| 刘翔 吴晓红 齐玉华 韩非 王国年.围术期心理干预对肠造口术后镇痛效果的临床观察[J].,2016,16(2):295-298 |
| 围术期心理干预对肠造口术后镇痛效果的临床观察 |
| Clinical Observation on the Effect of Perioperative Psychological Interventionon the Outcome of Postoperative Analgesia of Patients UndergoingColostomy Surgery |
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| DOI： |
| 中文关键词: 围术期 肠造口 术后镇痛 心理干预 |
| 英文关键词: Perioperative period Colostomy Postoperative analgesia Psychological intervention |
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| 中文摘要: |
| 目的：观察围术期适当的心理干预对肠造口手术患者术后镇痛效果的影响。方法：选择我院2012 年12 月至2014 年2 月胃
肠外科收治的直肠癌行肠造口手术患者60 例，并将其随机分成对照组(C 组)和干预组(T 组)，对照组患者给予正常术后镇痛，干
预组患者给予正常术后镇痛并在围术期给予心理干预处理，观察和比较两组患者的VAS、术后镇痛效果满意度、术后不良反应的
发生情况。结果：两组的性别、年龄、体重、身高、术前VAS 评分比较差异无统计学意义(P>0.05)。T 组患者术后24 h的VAS 评分
明显低于C组(P<0.05)，72 h VAS评分虽然有所下降，但差异无统计学意义(P>0.05)。与C 组相比，T 组对术后镇痛满意度为“非常
满意”的人数百分率显著高于C 组(P<0.05)。T组不良反应的发生率低于C 组，但两组差异无统计学意义(P>0.05)。结论：围术期对
直肠癌行肠造口手术患者进行恰当的心理干预可增强患者术后的镇痛效果，提高患者术后满意度，且不增加不良反应。 |
| 英文摘要: |
| Objective:To investigate the effect of perioperative psychological intervention on the outcome of postoperative
analgesia in patients undergoing colostomy surgery.Methods:60 hospitalized patients with rectal cancer undergoing enterostomy
operation were randomly divided into the control group (Group C) and psychological intervention treatment group (Group T). Regular
postoperative analgesia was rendered in Group C, while psychological intervention treatment was provided additionally in Group T. The
outcome and satisfaction were compared between the two groups using the questionnaire and interview with the patients.Results:There
was no significant difference in VAS scores of patients before operation between two groups (P>0.05), the VAS score of group T was
significantly lower than that of group C 24 h after operation(P<0.05), but no significant difference was found 72 h after operation between
two groups(P>0.05). The satisfactory percentage of patients in group C was markedly higher than that of group C(P<0.05). There was no
significant difference in the incidence rate of adverse reactions between two groups (P>0.05).Conclusion:Perioperative psychological
intervention could effectively enhance the effect of postoperative analgesia, and wouldn’t increase the adverse reactions. |
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