Observation and intervention effect on stress response of patients before otolaryngology operation
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摘要: 目的 考察耳鼻喉手术患者的应激反应及对其进行临床干预的效果。 方法 2017年1—12月在嘉兴市第一医院耳鼻咽喉科共纳入100例行耳鼻喉手术的患者,观察其应激反应的发生情况,及对其施行临床干预的效果。 结果 患者手术均顺利完成,所用时间平均为(21.23±5.66)min。术后随访无并发症发生。疼痛比较:术后1 h(干预前)及术后1 d、3 d、1周时的视觉模拟评分(VAS)分别是(4.69±1.42)分、(2.75±1.03)分、(1.63±0.84)分、(0.59±0.45)分,差异有统计学意义(F=308.951,P<0.001)。术后1 h(干预前)VAS疼痛等级分别是0级10例、Ⅰ级23例、Ⅱ级54例、Ⅲ级13例,术后1周分别是0级40例、Ⅰ级49例、Ⅱ级10例、Ⅲ级1例,差异有统计学意义(Hc=67.920,P<0.001)。SAS评分及SDS评分比较:术前及术后1 d、3 d、1周时的SAS评分分别是(56.42±9.78)分、(46.30±7.98)分、(40.12±10.47)分、(33.25±8.45)分,差异有统计学意义(F=113.671,P<0.001)。术前及术后1 d、3 d、1周时的SDS评分分别是(48.55±6.59)分、(46.20±5.33)分、(35.89±4.60)分、(34.70±4.52)分,差异有统计学意义(F=175.614,P<0.001)。 结论 耳鼻喉手术患者中多数可发生应激性反应,经施行疼痛干预和心理疏导等临床干预可减轻其不良情绪,缓解和改善术后疼痛感受。Abstract: Objective To investigate the stress response of patients undergoing otorhinolaryngologic surgery and the effect of clinical intervention. Methods From January to February 2017, 100 cases of otorhinolaryngologic surgery were included in the Department of Otolaryngology of Jiaxing first hospital to observe the occurrence of stress reaction and the effect of clinical intervention. Results The operation completed successfully, the average time was(21.23±5.66) min. No complications occurred in the follow-up. Pain comparison:the VAS pain scores at 1 hour after operation(before intervention) was(4.69±1.42) scores and in 1 th day, 3 th day and 7 th day(1 week) after operation were(2.75±1.03) score,(1.63±0.84) score,(0.59±0.45) score,the difference was statistically significant(F=308.951, P<0.001). There was statistically significant difference in VAS pain level at 1 hour after operation(before intervention) with Grade 0 of 10 cases, grade Ⅰ of 23 cases, grade Ⅱ of 54 cases, grade Ⅲ of 13 cases, and 7 th day(1 week) after operation with Grade 0 of 40 cases, grade Ⅰ of 49 cases, grade Ⅱ of 10 cases, grade Ⅲ of 1 case, the difference was statistically significant(Hc=67.920, P<0.001).The SAS scores before the operation and at the 1 th day, 3 th day and 7 th day(1 week) after operation were(56.42±9.78) score,(46.30±7.98) score,(40.12±10.47) score, and(33.25±8.45) score, respectively.There were statistically significant differences in SAS score(F=113.671, P<0.001). There SDS scores before the operation and at the 1 th day, 3 th day and 7 th day(1 week) after operation were(48.55±6.59) score,(46.20±5.33) score,(35.89±4.60) score, and(34.70±4.52) score, respectively. There were statistically significant differences in SDS score(F=175.614, P<0.001). Conclusion Most of the patients with otorhinolaryngologic surgery have stress reaction. The clinical intervention such as pain intervention and psychological counseling can reduce their bad mood, relieve and improve the postoperative pain feeling.
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Key words:
- Stress response /
- Otolaryngology /
- Pain /
- Bad mood /
- Quality of life
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