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| The effects of psychological intervention of watching anesthesia-related video on the stress response in patients underwent laparoscopic hysterectomy |
| WANG Lihong1 QUAN Hujie2 DUAN Haixia1 JIANG Wanwei1 |
1.Department of Anesthesia, Affiliated Zhongshan Hospital of Dalian University, Liaoning Province, Dalian 116001, China;
2.Department of Cardiology, Dalian (Municipal) Friendship Hospital, Liaoning Province, Dalian 116001, China |
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Abstract Objective To explore the effects of psychological intervention of watching anesthesia-related video on the stress response in patients underwent laparoscopic hysterectomy. Methods Sixty cases of patients underwent laparoscopic hysterectomy from September 2015 to April 2016 in Affiliated Zhongshan Hospital of Dalian University were enrolled as research objects and divided into two groups by random number table, with 30 cases in each group. The control group was given conventional anesthesia and the observation group added with preoperative psychological intervention by watching anesthesia-related video. Self-rating anxiety scale (SAS) was used to evaluate the anxiety status of the patients in preoperative visit and before anesthesia. Interleukin-2 (IL-2) , interleukin-6 (IL-6) , mean blood press (MAP) and the heart rate (HR) were compared at different time points such as before anesthesia induction (T0), endotracheal intubation immediately (T1) and 30 minutes after pneumoperitoneum (T2). Results There was no statistically significant difference in the scores of SAS between the two groups in preoperative visit (P ＞ 0.05). Before anesthesia, the score of SAS in the control group was increased and was higher than that of preoperative visit, with statiscally significant difference (P ＜ 0.05) , and that in the observation group was decreased, with statiscally significant difference compared with that of preoperative visit (P ＜ 0.05). MAP and HR at the time point of T1 were all higher than that of T0 and reduced at T2 in the two groups, with statiscally significant difference (P ＜ 0.05) , and MAP , HR at the time point of T0 and T1 in the observation group were all lower than those of control group, with statiscally significant differences (P ＜ 0.05). There was no statistically significant difference of IL-2 at the time point of T1 and T2 compared to T0 in the two groups (P ＞ 0.05) . At the point of T0, T1 and T2, the IL-2 in the observation group were all higher than those of control group, with statiscally significant differences (P ＜ 0.05). At the time poin of T1 and T2, IL-6 were all higher than T0 in the two groups, with statiscally significant differences (P ＜ 0.05), and that in observation group were all lower than those of control group, with statiscally significant differences (P ＜ 0.05). At the time point of T0, T1 and T2, the IL-6 in the observation group were all lower than those of control group, with statiscally significant differences (P ＜ 0.05). The satisfaction rate in the observation group (93.33%) was higher than that of control group (73.33%), with statiscally significant difference (P ＜ 0.05). Conclusion Preoperative psychological intervention by watching anesthesia-related video can effectively reduce the stress level of patients underwent laparoscopic surgery and promote the satisfaction. It is worthy of promotion and application.
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