术前截石位体位训练对改善患者术前术后抑郁、焦虑和血压的影响

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目的观察术前截石位体位训练对改善患者手术前后出现的抑郁焦虑情绪和血压的影响。方法选择2016年3月至6月接收手术患者100例,按照单、双月进行分组,对照组50例患者在围术期接受传统护理干预,观察组50例患者在此基础之上另外接受体位适应性训练,观察2组患者手术前后抑郁和焦虑情绪、血压、心率以及体位舒适度及护理满意度情况并进行比较。结果 2组患者入院时SAS评分与SDS评分差异无统计学意义(P>0.05),术前和术后均有所升高,但对照组升高的更为明显,与观察组相比差异有统计学意义(P<0.05);2组患者入院时SP、DP、HP无明显差异(P>0.05),术前和术后均有所升高,但对照组升高的更为明显,明显高于观察组,差异有统计学意义(P<0.05);观察组患者肢体固定和体位的舒适度、对患者的保暖和隐私保护率和对护理服务的满意度均高于对照组,术后下肢皮肤异常感觉的发生率明显低于对照组,且差异均有统计学意义(P<0.05)。结论截石位体位术前训练能够减少患者手术前后抑郁、焦虑等不良情绪,从而减少不良情绪对患者血压的影响,而且能够提高患者手术的舒适度和对护理的满意度,具有良好的临床应用效果。 Objective To observe the effect of preoperative lithotripsy training on the improvement of depression, anxiety and blood pressure before and after operation. Methods A total of 100 patients undergoing surgery from March to June 2016 were selected and divided into groups according to their single and bimonthly conditions. Fifty patients in the control group underwent traditional nursing interventions during perioperative period. Fifty patients in the observation group received additional positions on this basis Adaptive training, depression and anxiety, blood pressure, heart rate, body position comfort and nursing satisfaction before and after operation were observed and compared. Results There was no significant difference in SAS score and SDS score between the two groups (P> 0.05), both before and after admission, but the level of the control group increased more obviously than that of the observation group (P <0.05). There was no significant difference in SP, DP and HP between the two groups (P> 0.05), both before and after admission, but the control group increased more obviously Higher than the observation group, the difference was statistically significant (P <0.05); observation group patients limb immobilization and posture comfort, the patient’s warmth and privacy protection rate and satisfaction with nursing services were higher than the control group, postoperative The incidence of abnormal skin sensation in the lower extremities was significantly lower than that in the control group (P <0.05). Conclusion Preoperative training of lithotripsy position can reduce depression, anxiety and other negative emotions before and after operation, so as to reduce the influence of adverse emotions on patients’ blood pressure, improve the comfort of operation and satisfaction of nursing, and has a good clinical application effect.
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