一体化护理对局部麻醉术患者心理及疼痛应激的影响

目的：探讨一体化护理对局部麻醉术患者心理及疼痛应激的影响。方法选取2010年10月~2013年12月本院收治的80例局部麻醉术患者为研究对象，将入选者随机分为对照组（常规手术护理组）40例和观察组（一体化护理组）40例，比较两组干预前后的Zung自评量表与疼痛自我评估结果。结果观察组护理干预后的Zung自评量表抑郁和焦虑评分分别为（46.21±4.96）分和（46.25±4.04）分，阳性率分别为50.00%和52.50%；术中及术后即刻的轻度疼痛率分别为95.00%和97.50%，均显著优于对照组，差异有统计学意义（P〈0.05）。结论一体化护理对局部麻醉术患者心理应激及疼痛应激的影响较大，更适用于局部麻醉术患者。

Influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia

Objective To explore the influence of integrated nursing for the psychological stress and pain stress of op-erative patients with local anesthesia. Methods 80 cases with local anesthesia from October 2010 to December 2013 in our hospital were selected and randomly divided into control group （conventional operation nursing group） and observa-tion group（integrated nursing group）,40 cases in each group.The Zung self-rating scale before and after the intervention and pain self-assessment results of two goups were compared. Results The Zung self-rating scale depression and anxi-ety score in observation group after the intervention were （46.21±4.96）points and（46.25±4.04）points,positive rates were 50.00% and 52.50%.The mild pain rates during operation was 95.00%,the mild pain rates after operation immediate was 97.50%,which was obviously better than that in control group,with statistical difference （P〈0.05）. Conclusion The influence of integrated nursing for the psychological stress and pain stress of operative patients with local anesthesia are great,and it is more suitable for the patients with local anesthesia.