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腹式呼吸训练对胸部手术患者焦虑情绪及术后疼痛的影响
引用本文:袁瑗,庞冬.腹式呼吸训练对胸部手术患者焦虑情绪及术后疼痛的影响[J].解放军护理杂志,2006,23(7):6-7,10.
作者姓名:袁瑗  庞冬
作者单位:解放军总医院,胸外科,北京,100853
摘    要:目的 探讨腹式呼吸训练对胸部手术患者术前焦虑情绪及术后疼痛的影响。方法 将60例行择期胸部手术患者分为实验组和对照组,实验组患者术前进行腹式呼吸训练,应用状态.特质焦虑问卷、视觉疼痛测定卡,在围术期的不同阶段对两组患者进行测试。结果 胸部手术患者术前1d的状态性焦虑水平明显高于入院初(P〈0.05);术前1d,实验组的状态性焦虑水平低于对照组(P〈0.05);实验组术后第3、5天疼痛评分低于对照组(P〈0.05)。结论 腹式呼吸训练能有效缓解胸部手术患者术前的焦虑情绪,减轻患者术后的疼痛反应。

关 键 词:胸部手术  围术期  腹式呼吸  焦虑  疼痛
文章编号:1008-9993(2006)07-0006-03
收稿时间:2005-11-08
修稿时间:2006-06-03

Effects of Abdominal Breathing Training on Anxiety and Post-operative Pain in Patients with Thoracic Surgery
YUAN Yuan,PANG Dong.Effects of Abdominal Breathing Training on Anxiety and Post-operative Pain in Patients with Thoracic Surgery[J].Nursing Journal of Chinese People's Liberation Army,2006,23(7):6-7,10.
Authors:YUAN Yuan  PANG Dong
Abstract:Objective To evaluate the effects of abdominal breathing training on anxiety and post-operative pain in selective patients undergoing thoracic surgeries.Methods State Trait Anxiety Inventory (STAI) and Visual Analogue pain rating Scale (VAS) were employed to investigate 60 patients undergoing thoracic surgery.The patients were randomly divided into the experimental and control group.Patients in the experimental group received extended care with practice of abdominal breathing.The anxiety and postoperative pain were tested before and after operation.Results The STAI score on the day before the surgery of all the patients was significant higher than that on the first day of hospitalization.Through practice of abdominal breathing, patients in the experimental group had lower scores of STAI than patients in the control group on the day before the operation.Patients in the experimental group had lower degree of postoperative pain in VAS scores than those in the control group day 3 and day 5 after thoracic surgery.Conclusion Practicing abdominal breathing could reduce the anxiety of the patients before thoracic surgery.It could also reduce the degree of post-operative pain of patients after thoracic surgery.
Keywords:thoracic surgery  peri-operative period  abdominal breathing  anxiety  pain
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