首页|手术室复合保温联合正念减压训练对行乳腺癌手术患者术中低体温和不良情绪的影响研究

手术室复合保温联合正念减压训练对行乳腺癌手术患者术中低体温和不良情绪的影响研究

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目的 探讨手术室复合保温联合正念减压训练对行乳腺癌手术患者术中低体温和不良情绪的影响.方法 以接受手术治疗的 60 例乳腺癌患者作为研究对象,将其随机分为对照组(30 例)和实验组(30 例).对照组常规访视患者,实验组以对照组为依据进行复合保温联合正念减压训练.对比两组患者体温变化和心理弹性.结果 两组患者术前(T1)、麻醉时(T2)的体温无统计学差异(P>0.05);实验组术中 0.5 h(T3)、术中 1 h(T4)、术中 2 h(T5)、术后(T6)的体温分别为(36.58±0.18)、(36.55±0.14)、(36.54±0.15)、(36.49±0.13)℃,均显著高于对照组的(36.14±0.12)、(35.81±0.13)、(35.25±0.15)、(34.14±0.12)℃,差异均有统计学意义(P<0.05).训练后,两组患者的乐观、自强、坚韧评分及心理弹性总评分均升高,且实验组患者的乐观、自强、坚韧评分及心理弹性总评分分别为(17.26±3.78)、(32.87±4.06)、(50.24±5.67)、(100.37±7.64)分,均高于对照组的(13.56±3.34)、(24.69±3.64)、(38.97±4.57)、(76.22±8.34)分,差异均有统计学意义(P<0.05).结论 手术室应用复合保温联合正念减压训练,可以减少行乳腺癌手术患者术中发生低体温现象,提高心理弹性水平,从容应对手术,缓解患者术后压力,从而改善患者紧张焦虑的情绪,对行乳腺癌手术患者术中低体温和不良情绪具有积极作用,值得在临床上进行应用和推广.
A study of the effects of composite insulation in the operating room combined with mindfulness decompression training on intraoperative hypothermia and negative emotion in patients undergoing breast cancer surgery
Objective To explore the effects of composite insulation in the operating room combined with mindfulness decompression training on intraoperative hypothermia and negative emotion in patients undergoing breast cancer surgery.Methods 60 patients undergoing breast cancer surgery were selected as the research subjects,and they were randomly divided into a control group(30 cases)and an experimental group(30 cases).Patients in the control group received routine visit,and the experimental group received composite insulation combined with mindfulness decompression training.The changes of body temperature and psychological resilience were compared between the two groups.Results There was no statistically significant difference in body temperatures preoperatively(T1)and during anesthesia(T2)between the two groups(P>0.05).The body temperatures of the experimental group at 0.5 h intraoperatively(T3),1 h intraoperatively(T4),2 h intraoperatively(T5),and postoperatively(T6)were(36.58±0.18),(36.55±0.14),(36.54±0.15),and(36.49±0.13)℃,which were significantly higher than(36.14±0.12),(35.81±0.13),(35.25±0.15),and(34.14±0.12)℃of the control group,and the differences were statistically significant(P<0.05).After the training,the optimism,self-improvement,and resilience scores and the total psychological resilience score of the patients in both groups were elevated;the optimism,self-improvement,resilience scores and total psychological resilience score of the patients in the experimental group were(17.26±3.78),(32.87±4.06),(50.24±5.67),and(100.37±7.64)points,which were higher than(13.56±3.34),(24.69±3.64),(38.97±4.57),and(76.22±8.34)points in the control group;the differences were all statistically significant(P<0.05).Conclusion Application of composite insulation in the operating room combined with mindfulness decompression training can reduce the occurrence of intraoperative hypothermia and improve the level of psychological resilience,calmly cope with the operation,ease the pressure of patients undergoing breast cancer surgery,so as to improve the tension and anxiety of patients.It has positive effect on hypothermia and negative emotion of patients,and is worthy of clinical application and promotion.

Operating roomComposite insulationMindfulness decompression trainingBreast cancerHypothermiaNegative emotion

周伟

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257055 东营市中医院麻醉与围术期医学科

手术室 复合保温 正念减压训练 乳腺癌 低体温 不良情绪

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(20)