意向放松训练在胸腔镜肺叶切除术后静脉自控镇痛泵患者中的应用

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Abstract Objective To investigate the application value of intentional relaxation training in patients with patient-controlled intravenous analgesia (PCIA) after thoracoscopic lobectomy. Methods According to the random number table method, a total of 100 patients with PCIA after thoracoscopic lobectomy who were admitted to Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine from February 2020 to March 2021 were divided into two groups, with 50 cases in each group. The control group received routine nursing, while the observation group received routine nursing plus intentional relaxation training. The sedation (Ramsay score) and analgesia (visual analog scale [VAS] score) were compared between the two groups at 12, 24, and 48 h after operation. The anxiety level (self-rating anxiety scale [SAS] score) was evaluated before and 48 h after operation in the two groups, while nursing satisfaction was compared between the two groups 48 h after operation. Results There were statistically significant differences in VAS, Ramsay score time, between groups, and interaction between the two groups (P ＜ 0.05). Among them, within the group comparison, the VAS and Ramasy scores of the two groups at 24 and 48 h after operation were lower than those at 12 h after operation, and the scores 48 h after operation were lower than those at 24 h after operation, and the differences were statistically significant (P ＜ 0.05); compared between groups, the VAS and Ramasy scores of the observation group at 24 and 48 h after operation were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The SAS score at 48 h after operation in the two groups was lower than that at two hours before operation, while the observation group was lower than that in the control group, and the differences were statistically significant (P ＜ 0.05). The total nursing satisfaction of the observation group was higher than that of the control group at 48 h after operation, and the difference was statistically significant (P ＜ 0.05). Conclusion Intentional relaxation training can enhance the sedative and analgesic effect of PCIA patients after thoracoscopic lobectomy, improve patients’ nursing satisfaction, and improve anxiety.

Key words： Thoracoscopic lobectomy Patient-controlled intravenous analgesia pump Intentional relaxation training Anxiety Satisfaction

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	NI Qiong FENG Xiaolan▲

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NI Qiong FENG Xiaolan▲. Application of intentional relaxation training in patients with patient-controlled intravenous analgesia pump after thoracoscopic lobectomy[J]. 中国医药导报, 2022, 19(16): 194-封三.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I16/194

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