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Effect of psychological nursing intervention in the whole process in patients with combined spinal and hard anesthesia |
LI Xue-hong CHENG Bi-hua CAI Zhi-xia |
Operation Room,Gaoming District People′s Hospital in Foshan City of Guangdong Province,Foshan 528500,China |
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Abstract Objective To explore the clinical effect of whole course psychological nursing intervention on patients with combined spinal and hard anesthesia.Methods A total of 120 surgical patients who underwent combined spinal and epidural anesthesia in our hospital from February 2015 to February 2016 were selected as research objects.They were divided into control group and observation group with 60 cases in each group by random number table method.Patients in the control group were given routine nursing while patients in the observation group were given psychological nursing intervention in the whole course.The stress response and patient satisfaction during the operation were compared between the two groups.Results Before the online translation intervention,there was no significant difference between the two groups in systolic blood pressure and heart rate(P>0.05).After the intervention,the systolic blood pressure and heart rate indexes of the two groups were higher than those before the intervention.Moreover,the indexes of systolic blood pressure and heart rate in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference between the two groups(P>0.05).After the intervention,the concentrations of adrenaline and norepinephrine in the two groups were higher than those before the intervention.Moreover,the concentrations of epinephrine and norepinephrine in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of patients in the observation group was significantly higher than that in the control group (P<0.05).Conclusion the whole psychological nursing intervention for patients undergoing combined spinal epidural anesthesia can relieve stress response during perioperative period,maintain stability of vital signs and improve patient satisfaction.
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[1] |
田晓杰.心理干预护理在神经内科护理中的应用效果分析[J].重庆医学,2017,46(A03):42-45.
|
[2] |
谢帆影.剖宫产硬腰联合麻醉的并发症及针对性护理干预[J].大家健康(学术版),2015,9(4):252-253.
|
[3] |
沈毅.手术室整体护理与麻醉的配合体会[J].中国医药指南,2015,13(29):272.
|
[4] |
赵阳,张文杰,梁仪,等.全程无缝链接式护理干预在急性冠状动脉综合征救治中的应用[J].中华护理杂志,2017,52(4):426-430.
|
[5] |
韩静,刘均娥.团体心理干预在乳腺癌患者心理调适中的应用进展[J].中华护理杂志,2017,52(5):608-613.
|
[6] |
林汉慧.ICU护理风险管理在预防急性呼吸窘迫综合征患者呼吸机获得性肺炎中的应用效果[J].中国全科医学,2017,20(z2):276-277.
|
[7] |
范敏,李伦兰,董普林,等.氦氖激光联合心理干预在急性期带状疱疹治疗中的应用观察[J].医学研究生学报,2016,29(7):741-744.
|
[8] |
池雪.基于全程无缝隙护理模式的伤口护理在慢性感染性伤口患者中的运用效果评价[J].中国地方病防治杂志,2016,28(12):1366-1367.
|
[9] |
苏晓萍,张丽萍,李毅宁.奥马哈系统在泌尿造口患者延续护理中的应用和效果评价[J].中华护理杂志,2016,51(4):389-394.
|
[10] |
王敏,谢林碧,黄伟文,等.外周神经阻滞与腰-硬联合麻醉对老年高血压患者下肢手术应激反应的影响[J].中国药房,2016,2(2):228-230.
|
[11] |
汪树东,康芳,王松,等.超声引导下喉上神经阻滞联合气管内表面麻醉对老年高血压患者插管反应的影响[J].临床麻醉学杂志,2017,33(10):968-970.
|
[12] |
顾敏.循证护理在改善上肢骨折患者疼痛、心理状态和生活质量中的应用[J].中华肿瘤防治杂志,2016,16(s1):372-373.
|
[13] |
郭娜,郭丽华,关艳霞,等.人性化护理用于老年股骨头坏死患者微创术后的应用效果[J].中国组织工程研究,2016,13(a02):57.
|
[14] |
王竞艳,吴蓓茸,陈果果.骨性关节炎患者健康教育护理实施的效果及心理状态分析[J].中国地方病防治杂志,2016,24(8):918-919.
|
[15] |
蒋蕤,张枝刚.腰硬联合麻醉与硬膜外麻醉在高原地区剖宫产手术中的临床疗效及安全性评价[J].中国临床药理学杂志,2016,32(4):315-317.
|
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