Study on appHcatlon of complex psychological intervention in patients during recovery from general anesthesia
10.3760/cma.j.issn.1674-2907.2008.12.007
- VernacularTitle:复合心理疏导在全麻苏醒期患者中的应用研究
- Author:
Zhi-Ying ZHANG
1
;
Xin-Ran WANG
;
Bing-Ru HAN
Author Information
1. 首都医科大学宣武医院
- Keywords:
During recovery from general anesthesia;
Psychological intervention;
Application
- From:
Chinese Journal of Modern Nursing
2008;14(12):1359-1361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mode of clinical psychological intervention of operative patients,pmbe into the value of music therapy in clinical application,and slart the new application fields.Methods 60 Datients were divided into the experiment group and the control group.Patients in the two groups accepted the pre-operative psychological intervention 1 d before the operation.Afier the operation.the complex psychological intervention was given to the patients during recovery from general anesthesia in the experiment group.While the patients in the control group were waken only by means of music.The heart rate(HR),pulse oximetry (SpO2),mean arterial pressure(MAP) and the objective indexes of Hamilton Anxiety Scale(HAMA)were assessed between the two groups.Results MAP in the experiment group and the control group were(79.80 4±7.76)mm Hg,(82.33±6.42)mm Hg(1 mm Hg=0.133 kPa),respectively,There was no statistical meaning in MAP and SpO2 between the two groups(P>0.05).HR were(80.76±13.92),(85.82±13.39) times/minute.respectively.The difference of HR had statistical meaning(P<0.05).The anxiety degree (9.78 4±2.32)in the experiment group was obviously poor than that(11.08±2.97)in the control group,and the difference had a statistical meaning(P<0.01).Conclusions The complex psychological intervention is a combination of preoperative psychological intervention,postoperative music awakening,and psychological guidance assisted under the music during the stepwise recovery of consciousness.It provides the whole process,timely,individual and pertinent help and psychological guidance,having active effect in reducing the patients' anxiety degree.