引导意象对局部麻醉下接受导管插管的癌症患者的患者舒适度、生命体征、疼痛、焦虑和满意度的影响:一项前瞻性随机对照研究。
Effect of Guided Imagery on Patient Comfort, Vital Signs, Pain, Anxiety, and Satisfaction in Cancer Patients Undergoing Port Catheterization With Local Anesthesia: A Prospective Randomized Controlled Study.
发表日期:2023 Oct 30
作者:
Kadriye Acar, Hasan Ersöz
来源:
HEART & LUNG
摘要:
端口导管置入通常是在局部麻醉下进行的手术。在局部麻醉干预期间保持清醒可能会导致焦虑和压力。本研究的目的是确定手术前和手术过程中进行的引导意象对患者生命体征以及舒适度、疼痛、焦虑和满意度的影响癌症患者在局部麻醉下接受输液港导管插入术。该研究共有 80 名患者。干预组患者接受标准治疗和护理,以及术前和术中各一次引导意象干预。对照组患者仅接受标准治疗和护理。与对照组患者相比,意象引导组患者的疼痛和焦虑评分较低,患者满意度较高,舒适度较高。手术结束时,意象引导组患者的呼吸频率和心率明显低于对照组。血压没有显着差异。在局部麻醉下进行的手术之前和过程中练习引导意象可以减轻癌症患者的疼痛,提高患者满意度和舒适度,并对他们的呼吸和心率产生积极影响。我们建议引导意象作为一种适用于接受局部麻醉的患者的实用、低成本的补充疗法。版权所有 © 2023 Wolters Kluwer Health, Inc. 保留所有权利。
Port catheter placement is usually an operation performed under local anesthesia. Being conscious during the interventions performed with local anesthesia can lead to anxiety and stress.The aim of this study was to determine the effect of guided imagery performed before and during the procedure on vital signs and comfort, pain, anxiety, and satisfaction levels in patients with cancer undergoing port catheterization with local anesthesia.A total of 80 patients were included in the study. Patients in the intervention group received standard treatment and nursing care, as well as a guided imagery intervention once before and once during the procedure. Patients in the control group received only standard treatment and nursing care.Patients in the guided imagery group reported lower pain and anxiety scores, higher patient satisfaction, and increased comfort compared with patients in the control group. Patients in the guided imagery group showed significantly lower respiratory rate and heart rate than the control group by the end of the procedure. There was no significant difference in blood pressure.Practicing guided imagery before and during a procedure performed under local anesthesia reduced cancer patients' pain, increased patient satisfaction and comfort, and had a positive effect on their respiratory and heart rates.We recommend guided imagery as a practical, low-cost complementary therapy for patients receiving local anesthesia.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.