论文部分内容阅读
目的探讨药物治疗联合心理护理预防剖宫产术中寒战的效果,为临床预防和治疗剖宫产术中寒战提供理论依据。方法选择2014年1—10月到本院行剖宫产的400例ASAⅠ、Ⅱ级孕妇,随机分为对照组、心理护理组、药物干预组和药物+心理护理组。对照组不给予任何干预措施;心理护理组用症状自评量表进行心理评估,并在术前和术中给予心理护理;药物干预组给予静脉滴注曲马多和氟哌利多;药物+心理护理组给予心理评估及护理,同时给予药物干预,观察比较四个组别预防寒战的效果。计量资料采用t检验,计数资料采用Kruskal-Wallis秩和检验,P<0.05为差异有统计学意义。结果产妇术前存在明显的躯体化、抑郁、焦虑和恐怖这四方面的心理问题。对照组、心理护理组、药物干预组和药物+心理护理组寒战发生率分别为47.00%、23.00%、14.00%和8.00%,药物+心理护理组剖宫产术中寒战发生率低于其他各组,对比差异均有统计学意义(均P<0.05)。结论药物治疗联合心理护理能有效地预防剖宫产术中寒战的发生,显著降低寒战发生率和寒战程度。
Objective To explore the effect of drug therapy combined with psychological nursing in the prevention of chills in cesarean section and to provide a theoretical basis for clinical prevention and treatment of chills in cesarean section. Methods 400 ASA Ⅰ and Ⅱ pregnant women who underwent caesarean section from January to October 2014 were randomly divided into control group, psychological care group, drug intervention group and drug + psychological care group. The control group did not give any interventions; Psychological care group with psychological assessment of symptoms self-rating scale, and preoperative and intraoperative psychological care; drug intervention group given intravenous infusion of tramadol and droperidol; drug + psychological The nursing group was given psychological assessment and nursing care, meanwhile drug intervention was given to observe and compare the effectiveness of the four groups in preventing chills. Measurement data using t test, count data using Kruskal-Wallis rank sum test, P <0.05 for the difference was statistically significant. Results preoperative existence of obvious somatization, depression, anxiety and terror in these four aspects of psychological problems. The incidence of chills was 47.00%, 23.00%, 14.00% and 8.00% in the control group, the psychological nursing group, the drug intervention group and the drug + psychological nursing group respectively. The incidence of chills in the drug + psychological care group was lower than that of the other Group, the difference was statistically significant (all P <0.05). Conclusion The combination of medical treatment and psychological nursing can effectively prevent chills in cesarean section and significantly reduce the incidence of chills and chills.