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目的观察不同心理干预方式对喉切除术患者术后促肾上腺皮质激素(ACTH)、心率(HR)和血压的影响,寻求有效的缓解喉切除术患者术后应激反应的心理干预方式。方法将64例喉切除术患者随机分为二组,对照组32例,采用常规术前护理,观察组32例,在常规术前护理的基础上,辅以激励式心理干预法,患者于术前2d至术后7d,每天进行激励式心理干预3次,每次至少30min,于术后第八天早晨采集二组患者血浆ACTH、HR和血压值,并进行焦虑自评量表评分。结果经过激励式心理干预方式9d后观察组血浆ACTH、HR、血压值明显低于对照组,二组患者血浆ACTH、HR、血压值及焦虑自评量表评分进行比较,差异均有统计学意义(P<0.05)。结论激励式的心理干预方式能有效缓解喉切除术患者术后焦虑,减轻患者的应激反应,进一步减少手术并发症的发生率。
Objective To observe the effects of different psychological interventions on ACTH, HR and blood pressure in patients undergoing laryngectomy and to find an effective way to alleviate postoperative stress response in laryngectomy patients. Methods 64 cases of laryngectomy were randomly divided into two groups, the control group of 32 cases, the use of conventional preoperative care, observation group of 32 cases, based on conventional preoperative care, supplemented by incentive psychological intervention, patients with surgery In the first 2 days to the 7th day after operation, incentive psychological intervention was conducted 3 times a day for at least 30 minutes. Plasma ACTH, HR and blood pressure were collected on the 8th day after surgery and the self-rating anxiety scale was scored. Results The levels of plasma ACTH, HR and blood pressure in the observation group after 9 days of stimulated psychological intervention were significantly lower than those in the control group. There were significant differences in plasma ACTH, HR, blood pressure and anxiety scale between the two groups (P <0.05). Conclusion The incentive psychological intervention can effectively relieve postoperative anxiety in patients with laryngectomy, reduce the stress response and further reduce the incidence of surgical complications.