首页|围手术期心理护理联合综合性保温护理对老年全麻手术患者生理及心理应激的影响

围手术期心理护理联合综合性保温护理对老年全麻手术患者生理及心理应激的影响

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目的 探讨围手术期心理护理联合综合性保温护理在老年全麻手术患者中的应用效果.方法 将2021年9月至2022年8月我院收治的52例老年全麻手术患者随机分为对照组(26 例,常规护理)与观察组(26例,常规护理+围手术期心理护理+综合性保温护理).比较两组的干预效果.结果 观察组的自主呼吸恢复时间、睁眼时间及苏醒时间均短于对照组(P<0.05).手术进行 30 min(T3),观察组的体温显著高于对照组(P<0.05).观察组的并发症总发生率低于对照组(P<0.05).护理后,观察组的皮质醇(Cor)、肾上腺素(E)及C反应蛋白(CRP)水平明显低于对照组(P<0.05).护理后,观察组的沃里克-爱丁堡积极心理健康量表(WEM-WBS)评分高于对照组,流调中心抑郁量表(CES-D)评分低于对照组(P<0.05).结论 围手术期心理护理联合综合性保温护理可缩短老年全麻手术患者的自主呼吸恢复时间、睁眼时间及苏醒时间,降低低体温及全麻并发症发生率,改善患者生理及心理应激反应.
Effects of perioperative psychological nursing combined with comprehensive heat preservation nursing on physiological and psychological stress in elderly patients undergoing general anesthesia surgery
Objective To explore the application effect of perioperative psychological nursing combined with comprehensive heat preservation nursing in elderly patients undergoing general anesthesia surgery.Methods A total of 52 elderly patients undergoing general anesthesia surgery admitted in our hospital from September 2021 to August 2022 were randomly divided into control group(26 cases,routine nursing)and observation group(26 cases,routine nursing+perioperative psychological nursing+comprehensive heat preservation nursing).The intervention effects of the two groups were compared.Results The spontaneous breathing recovery time,eye opening time and recovery time of the observation group were shorter than those of the control group(P<0.05).At the operation was performed for 30 min(T3),the body temperature of the observation group was significantly higher than that of the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).After nursing,the levels of cortisol(Cor),epinephrine(E)and C-reactive protein(CRP)in the observation group were significantly lower than those in the control group(P<0.05).After nursing,the Warwick-Edinburgh Mental Well-being Scale(WEM-WBS)score of the observation group was higher than that of the control group,and the Center for Epidemiological Studies Depression Scale(CES-D)score was lower than that of the control group(P<0.05).Conclusion Perioperative psychological nursing combined with comprehensive heat preservation nursing can shorten the spontaneous breathing recovery time,eye opening time and recovery time of elderly patients undergoing general anesthesia surgery,reduce the incidences of hypothermia and complications of general anesthesia,and improve physiological and psychological stress response of patients.

perioperative psychological nursingcomprehensive heat preservation nursingelderly patientgeneral anesthesia

刘转、赵姣姣、霍建臻

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西安交通大学第一附属医院榆林医院,陕西 榆林,719000

围手术期心理护理 综合性保温护理 老年患者 全麻

榆林市青年人才托举计划(2021)

20210305

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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