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胆囊切除术病人术前焦虑水平对术后恢复的影响 预览 被引量:7

Study on the effect of preoperation anxiety on postoperation recovery for cholecystotomy patient
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摘要 目的:探讨术前不同的焦虑水平对术后恢复的影响。方法:将210例胆囊切除术病人采用焦虑自评量表评定焦虑程度,粗分在40分以下为低焦虑,40~50分为中焦虑,50分以上为高焦虑。按焦虑程度将其分为高焦虑组67例,中焦虑组73例,低焦虑组70例进行观察比较。结果:中焦虑组术后恢复情况最理想,低焦虑组术后恢复最差,高焦虑组术后恢复其次。结论:手术室护士在术前访视中,了解病人的心理活动,对手术的顾虑、最担心的问题做好解释,阐明手术的必要性和重要性,减轻病人的思想顾虑,简单介绍手术和麻醉的方法和怎样配合,让手术病人对胆囊切除术有一个正确的认识,将高、低焦虑组病人向中焦虑组转移,使手术病人顺利渡过围手术期,促进术后恢复,缩短病人的住院时间。 Objective:Study on the effects of the different stardards of the anxiety before the surgical operation for the recovery after the operation. Methods:Using the self-rating anxiety scales to evaluate the degree of the anxiety for the 210 patients with cholecystotomy.210 patients were divided into three groups:low anxiety below 40 points with 67 cases,middle anxiety between 40-50 points with 73 cases and high anxiety above 50 points with 70 cases.And then observed the effect among three groups.Rusults:The ideal solution of the recovery was the middle anxiety group.The worst solution was the low anxiety group which was followed by the high anxiety group.Conclusion:when the nurses are visiting the patients before the operation,they should figure out the psychological activities,and worries about the operation then interpret what they worried gravely,clarify the importance and necessary of the operation,relieve the apprehensions in their mind.Introduce the way of the anesthesia during the operation and how to coordinate with the doctor.Then give them a right understanding of the cholecystotomy.And try hard to turn the high and low anxiety group into middle anxiety group.Let the patients go through a easy period of the recovery.And promote the recovery ,shorten the period in the hospital.
作者 哈姆 杨永莲 HA Mu,YANG Yong-lian(A-bazhou People's Hospital of Maerkang county,Maerkang 624000)
出处 《护理实践与研究》 2010年第16期 4-5,共2页 Attend to Practice and Research
关键词 胆囊切除术 焦虑水平 术后恢复 Cholecystotomy Anxiety Postoperative recovery
作者简介 哈姆:女,本科,主管护师,护士长
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