积极心理干预对全身麻醉后苏醒期患者躁动发生率、心理状况的影响
The effect of positive psychological intervention on the incidence of agitation and psychological status in patients during the recovery period after general anesthesia
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2024, 51(4) |
| 作者 |
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| 作者单位 |
张家港市中医医院，麻醉科 ;
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| 摘要 |
【摘要】目的：研究旨在了解积极心理干预在全身麻醉后苏醒期患者中的应用效果及对躁动发生率、心理状况的影响。方法：选择了2021年1月至2023年12月之间接受斜视手术的学龄前儿童患者，共计160例。将这160例患者随机分为两组，研究通过随机分配的方式将患者分配到两组，以确保组间的比较更为可靠，每组各80例。干预组接受围术期心理干预，使用儿童麻醉苏醒期躁动评分（Pediatric anesthesia emergence delirium，PAED）量表对两组患者进行评估；焦虑、抑郁状态分别参照汉密顿焦虑量表（Hamilton Anxiety Scale，HAMA）、汉密顿抑郁量表（Hamilton Depression Scale，HAMD）。 结果：术后PAED评分干预组明显低于对照组，差异有显著性意义(P<0.01)。干预组EA发生率显著少于对照组，差异有显著性意义(P<0.01)。PACU滞留时间干预组少于对照组，差异有统计学意义(P<0.05)。两组治疗前心理状态差异无统计学意义（P＞0.05），治疗后研究组HAMA评分、HAMD评分较低（P＜0.05）。研究组发生苏醒躁动8例，对照组发生苏醒躁动24例，研究组苏醒期躁发生率10.00%，明显低于对照组30.00%（校正x2=5.487，P=0.019）。结论：接受围术期积极心理干预的患者在术后苏醒期躁动方面表现更为良好，心理状况更佳；且围术期积极心理干预可以缩短PACU滞留时间，提高麻醉安全性，减少术后并发症。
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| Abstract |
[Abstract] Objective: The purpose of this study was to understand the effect of positive psychological intervention on the incidence of agitation and psychological status of patients in the recovery period after general anesthesia. Methods: A total of 160 preschoolers who underwent strabismus surgery between January 2021 and December 2023 were selected. These 160 patients were randomly divided into two groups, and the study assigned patients to each group by random assignment to ensure more reliable comparison between groups, with 80 patients in each group. The intervention group received perioperative psychological intervention, and Pediatric anesthesia emergence delirium (PAED) scale was used to evaluate patients in both groups. The states of anxiety and depression were respectively referred to the Hamilton Anxiety Scale (HAMA) and the Hamilton Depression Scale (HAMD). Results: The PAED score of the intervention group was significantly lower than that of the control group (P<0.01). The incidence of EA in the intervention group was significantly lower than that in the control group, and the difference was significant (P<0.01). The PACU retention time in the intervention group was less than that in the control group, and the difference was statistically significant (P<0.05). There was no statistical significance in psychological state between the two groups before nursing (P > 0.05), and HAMA and HAMD scores were lower in the study group after nursing (P < 0.05). Waking agitation occurred in 4 cases in the study group and 12 in the control group. The incidence of waking agitation in the study group was 10.00%, which was significantly lower than that in the control group by 30.00% (correction x2=5.487, P=0.019).Conclusion: The patients who received perioperative positive psychological intervention had better performance in restlessness and psychological status in postoperative recovery period. Perioperative positive psychological intervention can shorten PACU retention time, improve anesthesia safety and reduce postoperative complications.
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| 关键词 |
关键词：心理干预；麻醉苏醒期躁动；儿童
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| KeyWord |
Key words: psychological intervention; Agitation during anesthesia recovery; Children
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| 基金项目 |
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| 页码 |
1247-1250 |
曹丽燕*.
积极心理干预对全身麻醉后苏醒期患者躁动发生率、心理状况的影响 [J].
国际精神病学杂志.
2024; 51; (4).
1247 - 1250.