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《綜合性護(hù)理干預(yù)對(duì)剖宮產(chǎn)產(chǎn)婦圍術(shù)期焦慮狀態(tài)及應(yīng)激反應(yīng)的影響.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、中國(guó)現(xiàn)代醫(yī)生2014年11月第52卷第31期·臨床護(hù)理·綜合性護(hù)理干預(yù)對(duì)剖宮產(chǎn)產(chǎn)婦圍術(shù)期焦慮狀態(tài)及應(yīng)激反應(yīng)的影響張愛(ài)輝沈陽(yáng)市第五人民醫(yī)院產(chǎn)科．遼寧沈陽(yáng)110023【摘要】目的探討綜合性護(hù)理干預(yù)對(duì)剖宮產(chǎn)產(chǎn)婦圍術(shù)期焦慮狀態(tài)及應(yīng)激反應(yīng)的影響。方法產(chǎn)婦100例隨機(jī)分為干預(yù)組和對(duì)照組，每組50例。對(duì)照組予常規(guī)對(duì)癥護(hù)理，干預(yù)組在此基礎(chǔ)上實(shí)施圍術(shù)期綜合性護(hù)理干預(yù)措施，比較兩組產(chǎn)婦人院第2天、術(shù)前1天、術(shù)后第3天的SAS的變化情況及兩組患者術(shù)前(T0)、胎兒娩出時(shí)(T1)、術(shù)畢(T2)的MAP、HR、CORT水平的變化情況。結(jié)果術(shù)后第3天，兩組患者的SAS評(píng)分分別較干預(yù)前顯著降低．且顯著低于
2、術(shù)前1天，但干預(yù)組術(shù)后第3天的SAS評(píng)分顯著低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(P<0．05)。干預(yù)組T1時(shí)點(diǎn)MAP、CORT水平均較T0時(shí)點(diǎn)明顯上升，但與對(duì)照組比較，干預(yù)組T1時(shí)點(diǎn)MAP、CORT水平低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(P<0．05)。結(jié)論對(duì)剖宮產(chǎn)產(chǎn)婦圍術(shù)期實(shí)施綜合性護(hù)理干預(yù)措施，可以緩解其焦慮心理，降低應(yīng)激反應(yīng)，確保手術(shù)順利進(jìn)行。[關(guān)鍵詞】剖宮產(chǎn)產(chǎn)婦；圍術(shù)期；綜合性護(hù)理；焦慮；應(yīng)激反應(yīng)【中圖分類號(hào)】R473．71【文獻(xiàn)標(biāo)識(shí)碼】B【文章編號(hào)】1673-9701(2014)31—0079—03Influenceofcomprehensivenursingintervent
3、iononcesareansectionperi-operativeanxietyandstressreactioninperioperativeperiodZHANGAihuiDepartmentofObstetrics，ShenyangCitytheFifthPeople’SHospitalinLiaoningProvince，Shenyang110023，China【Abstract】ObjectiveToexploretheinfluenceonperioperativeanxietyandstressreactioninperioperativeperiodofco
4、mprehensivenursinginterventiononcesareansection．MethodsOnehundredcasesinourhospitalwererandomlydi—videdintointerventiongroupandcontrolgroup，50casesineachgroup，thecontrolgroupreceivedroutinenursing，in-terventiongrouponthebasisofcontrolgroupcontrolgroupcomprehensivenursingintervention，atsecon
5、ddays，1daysbe~retheoperation，thechangesofSASthirddaysafteroperationandtwogroupsofpatientsbe~reoperation(T0)，fetalchildbirthtime(T1)，endofoperation(T2)changesinMAP，HR，CORTlevelwerecomparedbetweenthetwogroups，respectively．ResIlltsAfteroperationthirddays．theSASofinterventiongroupandthecontrolg
6、roupofpatientswithweresignificantlylowerthanthosebeforeintervention，andsignificantlylessthanbeforeoperation1days，butSASscoreoftheinterventiongroupafteroperationthirddayswassignificantlylowerthanthatofthecontrolgroup，thedif-ferencewasstatisticallysignificant(P<0．o5)．TheMAP，CORTlevelsofinterv
7、entiongroupinT1significantlyincreasedthanTO，butcomparedwiththecontrolgroup，MAP，CORTleveloftheinterventiongroupinT1loweredthanthatofthecontrolgroup，thedifferencewasstatisticallysignificant(P
