心理干预在眼科局麻手术中的应用研究

目的 探讨心理干预对眼科局麻手术患者的影响.方法 眼科局麻手术320例随机分为两组,观察组160例采用心理干预模式,对照组160例采用常规模式.记录术前、术后焦虑值,术前、术中及术后15 min血压、心率的变化情况.结果 手术后观察组患者焦虑值低于对照组（t=5.257,P=0.006）,在手术中与手术后观察组患者血压、心率低于对照组（P =0.000 ～0.039）,差异均有统计学意义.结论 心理干预可以缓解眼科局麻手术患者的紧张情绪,能有效改善患者的心理状态,保持病人的血压、心率平稳,增强其耐受力,降低手术应激反应,有利于手术顺利进行.

The application of psychological intervention in ophthalmic surgery with local anesthesia

Objective To investigate the influence of psychological intervention in ophthalmic surgery patients with local anesthesia.Methods 320 cases of ophthalmic surgery patients were randomly divided into two groups.The experimental group which has 160 cases uses the model of psychological intervention.The control group covers 160 cases which were used normal mode.And the preoperative and postoperative anxiety values,the change of blood pressure and heart rate were recorded at the preoperative time,intraoperative time and 15 minutes postoperatively.Results The patients＇ postoperative anxiety value was lower than the control group （t =5.257,P =0.006）.The blood pressure,heart rate of patients in experimental group were also lower than that of the control group （P =0.000 ～ 0.039）,the difference was statistically significant.Conclusion Psychological intervention can relieve the tension of ophthalmic surgery patients with local anesthesia, effectively improve the patient＇s mental state,and keep the patient＇s blood pressure and heart rate smoothly.Meanwhile,it is helpful for operation that the psychological intervention enhances their tolerance and reduces the surgical stress response.