| 谢杜娟,谢海英,王玲娟.中医五音疗法对经T管窦道胆道镜联合激光碎石术患者生理和心理应激的影响[J].实用中西医结合临床,2019,19(10): |
| 中医五音疗法对经T管窦道胆道镜联合激光碎石术患者生理和心理应激的影响 |
| Effect of five-tone therapy on physiological and psychological stress in Patients undergoing choledochoscopy combined with laser lithotripsy through T tube sinus. |
| 投稿时间：2019-03-30 修订日期：2019-03-30 |
| DOI： |
| 中文关键词: 五音疗法 胆道镜检查 应激 焦虑 疼痛 |
| 英文关键词: Five-tone therapy Choledochoscopy Stress Anxiety Pain |
| 基金项目:福建省科技拥军项目(2016Y5006) |
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| 中文摘要: |
| 目 的 探讨中医五音疗法对经T管窦道胆道镜联合激光碎石术患者生理和心理应激的影响。方 法 收集2018年10月至2019年3月我院90例经T管窦道胆道镜联合激光碎石术患者,随机分为对照组和实验组,每组45例。对照组接受常规护理方案,包括术前宣教、心理护理和舒适护理。实验组在常规护理方案基础上围手术期接受中医五音疗法,根据患者不同证型选取对应的传统乐曲。采用状态-特质焦虑问卷(STAI)中状态焦虑分量表(STAI-S)评估2组患者围手术期状态焦虑程度,对比2组患者围手术期平均动脉压(MAP)和心率(HR)水平,采用疼痛视觉模拟量表(VAS)评估2组患者围手术期疼痛程度,采用简化舒适状况量表(GCQ)评估患者围手术期舒适状况。结 果 2组术前1d MAP、HR、STAI-S、疼痛VAS评分和GCQ评分差异均无统计学意义(P＞0.05)。术前30min和术后6h,实验组STAI-S评分显著低于对照组(P＜0.05),MAP和HR水平显著低于对照组(P＜0.05)。术后6h,GCQ评分显著高于对照组,疼痛VAS评分显著低于对照组(P＜0.05)。结 论 中医五音疗法可以改善围手术期焦虑状况,保持血流动力学稳定,降低术后疼痛,提高患者舒适度,有利于减轻经T管窦道胆道镜联合激光碎石术患者生理和心理应激,可以作为心理护理和舒适护理的辅助措施。 |
| 英文摘要: |
| Objective To investigate the effects of five-tone therapy on physiological and psychological stress in patients undergoing T-tube sinus choledochoscopy combined with laser lithotripsy. Methods From October 2018 to March 2019, 90 patients underwent T-tube sinus choledochoscopy combined with laser lithotripsy were randomly divided into control group and experimental group, 45 cases in each group. The control group received routine nursing program, including preoperative education, psychological nursing and comfortable nursing. The experimental group received pentatonic therapy of traditional Chinese medicine in five-tone therapy on the basis of routine nursing scheme, and selected corresponding traditional music according to different syndromes of patients. The subscale of state anxiety (STAI-S) in the State-Trait Anxiety Inventory (STAI) was used to assess the degree of perioperative anxiety in the two groups. The levels of mean arterial pressure (MAP) and heart rate (HR) were compared between the two groups. Pain visual analogue scale (VAS) was used to assess the degree of perioperative pain in the two groups. Simplified Comfort Status Questionnaire (GCQ) was used to assess the comfort status of patients during perioperative period. Results There were no significant differences in MAP, HR, STAI-S, VAS and GCQ scores between the two groups on the day before operation (P > 0.05). At 30Sminutes before surgery and 6h after surgery, the STAI-S score in the experimental group was significantly lower than that in the control group (P < 0.05), the MAP and HR levels were significantly lower than those in the control group (P < 0.05). At 6h after surgery, the GCQ scores were significantly higher than those in the control group, and the pain VAS scores were significantly lower than those in the control group (P < 0.05). Conclusion The five-tone therapy of TCM can improve perioperative anxiety, maintain hemodynamic stability, reduce postoperative pain and improve patients"comfort. It is helpful to alleviate the physiological and psychological stress of patients undergoing T-tube sinus cholangioscopy combined with laser lithotripsy. It can be used as an auxiliary measure of psychological nursing and comfortable nursing. |
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