术前强化信息支持联合PMRT护理干预在胸腔镜下肺切除术病人中的应用效果

目的探讨术前实施强化信息支持联合渐进性肌肉放松训练(progressive muscle relaxation training，PMRT)护理干预对胸腔镜下肺切除术病人焦虑的影响。方法选取行胸腔镜下肺切除术的病人为研究对象，随机分成联合组和对照组，各30例，对照组采用术前手术室常规护理方案，联合组采取术前强化信息支持联合PMRT对病人进行干预，比较2组干预前后焦虑水平、镇静-躁动情况、血压、心率的变化和麻醉恢复室时长及住院时间。结果2组病人术前1 d常规访视时焦虑水平、心率、收缩压和舒张压差异均无统计学意义(P>0.05)，联合组在手术室等候间和出手术室时焦虑水平、心率、收缩压和舒张压均低于对照组(P < 0.01)。2组手术前后各时间点焦虑水平、心率值、收缩压和舒张压间差异均有统计学意义(P < 0.05~P < 0.01)，其中联合组各指标均呈现在手术室等候间升高，出手术室时下降的趋势(P < 0.05~P < 0.01)，而对照组在手术室等候间和出手术室时各指标均高于术前1 d(P < 0.01)，手术室等候间和出手术室时差异均无统计学意义(P>0.05)。2组躁动发生情况及住院时间差异均无统计学意义(P>0.05)，而在麻醉恢复室停留时间上，联合组低于对照组(P < 0.01)。结论术前实施强化信息支持联合PMRT护理干预可以有效缓解胸腔镜下肺切除术病人术前和术后焦虑情绪。

Study on the efficacy of preoperative enhanced information support combined with PMRT in patients undergoing thoracoscopic pneumonectomy

ObjectiveTo investigate the effect of preoperative enhanced information support combined with progressive muscle relaxation training(PMRT) on anxiety in patients undergoing thoracoscopic pneumonectomy.MethodsPatients who underwent thoracoscopic pneumonectomy were selected as the research objects and randomly divided into the combined group and the control group, with 30 patients in each group.The control group received a routine preoperative operating room visit plan, and the combined group received preoperative enhanced information support combined with PMRT intervention.The changes in anxiety level, sedative-restlessness, blood pressure, heart rate, length of anesthesia recovery room, and hospital stay were compared between the two groups before and after intervention.ResultsThere were no significant differences in anxiety level, heart rate, systolic blood pressure and diastolic blood pressure between the two groups at routine visit 1 day before surgery(P>0.05).Anxiety level, heart rate, systolic blood pressure and diastolic blood pressure in the operating room waiting room and out of the operating room in the combined group were lower than those in the control group(P < 0.01).There were significant differences in anxiety level, heart rate, systolic blood pressure and diastolic blood pressure between the two groups before and after surgery(P < 0.05 to P < 0.01), and all indexes in the combined group showed a trend of increasing in the operating room waiting room and decreasing when leaving the operating room(P < 0.05 to P < 0.01).However, in the control group, all indexes in the operating room waiting room and out of the operating room were higher than 1 day before surgery(P < 0.01), and there was no statistically significant difference between waiting room and exit room(P>0.05).There was no statistically significant differences in the incidence of agitation and hospital stay between the two groups(P>0.05).However, the stay duration in the recovery room in the combined group was significantly lower than that in the control group(P < 0.01).ConclusionsPreoperative enhanced information support combined with PMRT can effectively relieve preoperative and postoperative anxiety in patients undergoing thoracoscopic pneumonectomy.