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阻塞性睡眠呼吸暂停综合征患者术前心理干预的效果
引用本文:严喆,陈蓓敏,徐琼,傅珺,张家雄.阻塞性睡眠呼吸暂停综合征患者术前心理干预的效果[J].解放军护理杂志,2011,28(11).
作者姓名:严喆  陈蓓敏  徐琼  傅珺  张家雄
作者单位:同济大学附属第十人民医院,手术室,上海,200072
摘    要:目的 探讨术前心理干预在阻塞性睡眠呼吸暂停综合征(obstructive sleep apnea syndrome,OSAS)手术患者中的效果.方法 将2009-2010年行手术治疗的164例OSAS患者按入院时间分为对照组和观察组,对照组进行常规护理,观察组在此基础上进行针对性的心理干预(包括心理疏导、行为干预、睡眠卫生教育及建立良好的社会支持系统等).比较两组患者入院时及术日晨的焦虑水平和血压、心率的变化,以及术中的疼痛程度.结果 两组患者入院时焦虑水平及血压、心率差异无统计学意义(P>0.05);观察组术日晨焦虑水平及血压、心率明显低于对照组,术中疼痛程度比对照组明显减轻,差异均有统计学意义(P<0.05).结论 术前心理干预可改善OSAS患者的焦虑状态,稳定血压和心率,减轻术中疼痛,促进患者平稳度过手术期,有利于患者早日康复.

关 键 词:心理干预  阻塞性睡眠呼吸暂停综合征  手术  焦虑  疼痛

Effects of Preoperative Nursing Intervention in Patients with Obstructive Sleep Apnea Syndrome
YAN Zhe,CHEN Bei-min,XU Qiong,FU Jun,ZHANG Jia-xiong.Effects of Preoperative Nursing Intervention in Patients with Obstructive Sleep Apnea Syndrome[J].Nursing Journal of Chinese People's Liberation Army,2011,28(11).
Authors:YAN Zhe  CHEN Bei-min  XU Qiong  FU Jun  ZHANG Jia-xiong
Institution:YAN Zhe,CHEN Bei-min,XU Qiong,FU Jun,ZHANG Jia-xiong(Operation Room,Affiliated No.10 People's Hospital of Tongji University,Shanghai 200072,China)
Abstract:Objective To explore the effects of preoperative nursing intervention in patients with the surgery of obstructive sleep apnea syndrome(OSAS).Methods From 2009 to 2010,164 OSAS patients with surgery were classified into control group and observation group according to the admission sequence.The patients in the control group underwent the routine nursing.Based on the routine nursing the patients in the observation group underwent specific psychological intervention including psychological counseling,behaviora...
Keywords:psychological intervention  obstructive sleep apnea syndrome(OSAS)  surgery  anxiety  pain  
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