眼科手术场景预适应在恐惧症患者中的临床应用

doi:10.6040/j.issn.1673-3770.0.2018.543

Abstract

Abstract: Objective

To investigate the clinical application of surgical scene preconditioning for patients with phobia undergoing ocular surgery.

Methods

A total of 210 patients who underwent a routine ophthalmic surgery in our hospital from September 2017 to September 2017 were randomly divided into a preconditioning group (108 cases) and a control group (102 cases). The routine care methods were used in the control group, and the patients in the preconditioning group were pre-adapted using a simulation of the ophthalmic surgical scene based on the routine care method. The intraoperative interruption rate, changes in the vital signs at 7 am on the day of surgery, preoperative and postoperative vital signs, postoperative pain level, and surgical satisfaction were recorded and compared between the two groups.

Results

There were no significant changes in the systolic blood pressure and heart rate at 7 am on the day of surgery, preoperatively, and postoperatively in the preconditioning group. The between-group differences were not statistically significant. The control group had a higher blood pressure and faster heart rate after the surgery, and the difference between the two groups was statistically significant. The number of postoperative interruptions and postoperative pain level in the preconditioning group were significantly lower than those in the control group, and the preconditioning group was more satisfied than the control group; the difference was statistically significant.

Conclusion

The surgical scene preconditioning for patients with phobia undergoing ocular surgery can improve the patients’ tolerance and reduce their physiological and psychological stress response. This finding should be considered for promotion in clinical settings.

Key words: Ophthalmic surgery, Preconditioning, Phobia, Nursing care

CLC Number:

R779.6

Rui ZHANG,Chunbei GONG,Wenchun YU,Zhen WANG,Chunlian YAO. The clinical application of surgical scene preconditioning for patients with phobia undergoing ocular surgery[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 125-128.

Figures/Tables 3

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References 10

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	例数	男性（例）	年龄（岁）	手术时间（min）	手术类别
	例数	男性（例）	年龄（岁）	手术时间（min）	白内障	玻璃体	其他
预适应组	108	54	42.34±6.77	50.33±7.34	57	41	10
对照组	102	55	43.83±7.01	51.48±7.11	53	39	10
χ ²/t		0.018	1.567	1.152	0.014	0.002	0.018
P		0.895	0.119	0.251	0.906	0.968	0.893

	例数	心率（次/min）			F	P	收缩压（mmHg）			F	P
	例数	清晨7时	术前	术后	F	P	清晨7时	术前	术后	F	P
预适应组	108	71.44±3.76	76.38±8.99	78.79±7.43	1.256	0.210	114.72±5.68	117.16±9.88	118.68±8.74	1.196	0.232
对照组	102	72.36±4.15	75.44±9.31	82.79±6.55	6.521	＜0.001	113.63±5.71	116.93±8.47	124.35±7.71	6.543	＜0.001
t		1.685	0.744	6.161			1.386	0.181	4.974
P		0.093	0.458	＜0.001			0.167	0.857	＜0.001

	例数	手术中断例数	长海痛尺评分	手术满意度
预适应组	108	9	7.14±0.55	88.76±6.32
对照组	102	22	7.48±0.67	83.43±4.24
χ² /t		7.156	4.029	7.135
P		0.007	＜0.001	＜0.001

The clinical application of surgical scene preconditioning for patients with phobia undergoing ocular surgery

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