Forum pracy nad projektem wskrzeszenia The Forge

[xp052505]

Psychological intervention on perioperative cataract Effect of blood pressure stability


Of: Xieqing Mei, Liu Jie, such as, Xiao Hongying, Ping Qu, Lin Jinying Abstract Objective: To investigate the psychological intervention on perioperative cataract Effect of blood pressure stability. Methods: 103 cases of cataract surgery were randomly divided into two groups, the intervention group 52 cases, the control group, 51 cases, two were routine surgery and care. Intervention group psychological intervention on the basis of two groups were compared surgery blood pressure. Results: The intervention group compared with the control group blood pressure difference was significant P <0.01. Conclusion: The psychological intervention in patients with cataract surgery, can reduce the adverse psychological reactions of patients to improve perioperative blood pressure stability. Chinese papers League finishing. Key words cataract surgery; psychological intervention; blood pressure human eye is the most important and most special sense organs [1]. Surgical treatment for cataract patients is one thing both hope and fear, despite the patients before admission have been made in fully prepared, but the surgery will have some before and after the implementation of the stress response, affect the patient's mental activity , mental activity and can affect results of operations and surgery, postoperative blood pressure [2]. Inpatient surgery patients before surgery, after surgery for targeted psychological intervention and found that their patients can produce soothing,[link widoczny dla zalogowanych], so that patients understand the surgical situation, does not produce anxiety, tension, fear, to prevent rapid heart rate, blood pressure have a certain effect. Non-specific reactions can be reduced to improve the stability of blood pressure before and after surgery. May 2002 to May 2004, we have cataract surgery in patients with psychological intervention, will now report as follows. 1 Materials and methods 1.1 General Information We have chosen May 2002 to May 2004 the first 103 patients for cataract surgery, male 69 cases, 34 females, age 25 years old 85 years old. There was no significant preoperative cardiovascular, pulmonary organic diseases, hypertension and other medical history. Education: illiteracy in 19 cases, 48 ​​cases of middle school, high school and over 36 cases. Will take 103 patients randomly divided into intervention group (52 cases) and control group (51 cases), two groups of age, sex, educational level by the statistical treatment, the difference was not statistically significant (P> 0.05), with comparable sex. 1.2 methods, apart from the usual care intervention group, but also understand the patient's preoperative history and emotion, according to the educational level of patients with the patients and their families can understand the language of conversation, that the purpose of operation, methods, pay attention to matters, anesthesia, etc.; prompted all sorts of possible intraoperative discomfort (such as hear the sound of ultrasonic emulsifier to attract and monitor sound of a motor, which is required procedure is safe. injection of anesthetic when the pain, etc.); How to meet the doctors, psychological and physical well adjusted; tell patients do not have too much tension. Surgeon described the situation, so that patients understand the security operation, but also to explain the factors that influence pain: such as mood, character and focus of the Church of patients through the imagination, conversation, slow rhythmic breathing and transfer of the scattered attention. After surgery, patients nurses consciously Qingwo hand, to show comfort and care, take the initiative to talk with patients, distraction, patiently answered questions from patients. If pain and discomfort, so slow rhythm of breathing, relax muscles, to effectively guide patients to reduce tension and pain. Nurse standing beside the patient. According to the literature: nurses and patients is only 5 min ~ 10 min to do the necessary talking, the analgesic effect of patients can be sustained 18 h [3]. 1 day before surgery the control group of nurses inform patients surgery tomorrow, according to usual care, the non-psychological intervention. 1.3 Observation method control group and intervention group at rest, into the operating room and back to the ward with the electronic device to record systolic blood pressure, take the average. 2 results the control group systolic blood pressure (average) resting 136.4 mmHg, into the operating room when the 167.1 mmHg, returned to the ward 166.4 mmHg, patients who used antihypertensive drugs 3; the intervention group, systolic blood pressure (average) resting 141.7 mmHg, into the operating room when the 159.5 mmHg, returned to the ward 151.6 mmHg, intraoperative use of antihypertensive drugs in 1 case, quiet, and back to the ward when the contraction degree of pressure increase compared to the intervention group was significantly lower than the control group was statistically significant (P <0.01). Therefore, psychological intervention that controls the rise in blood pressure before and after surgery.