本科毕业论文——梁晶晶.doc

南方医科大学成人高等教育毕业论文 题目： 音乐疗法在全麻胸腔镜手术患者苏醒期的应用研究 作者姓名：梁晶晶 专 业：护理学 年 级：2010级专升本 学 号： 摘要 目的 探讨音乐疗法对全麻胸腔镜手术患者苏醒期的影响。 方法 将160例择期胸腔镜手术患者，随机分为对照组和实验组各80例。对照组术前1天接受常规麻醉医生访视和手术室护士心理护理，实验组则增设音乐疗法。观察两组患者围拔管期心率、血压的变化及发生躁动的情况。记录两组拔管的时间及并发症发生情况。( 结果 两组患者均按预期顺利完成手术，术后苏醒并顺利拔管。实验组拔管期躁动的发生率明显低于对照组(PO．05)；实验组在拔管期心率、血压与对照组比较更为平稳（P0.05）；两组拔管时间比较无显著性；两组患者均无重大并发症发生。 结论 实施音乐疗法护理干预较常规心理护理更能减轻患者苏醒期应激不良反应，有利于患者安全、减轻痛苦、舒适渡过麻醉恢复期，提高患者全麻苏醒护理质量。 【关键词 】 音乐疗法；胸腔镜手术；全麻；苏醒期；应用研究 Abstract Objective To investigate the purpose of therapy for gynecological laparoscopic surgery, anesthesia Wai extubation. Methods 120 patients undergoing elective gynecological laparoscopic surgery were randomly divided into control and experimental groups of 60 cases. The control group before surgery one day receive general anesthesia doctor visits and operating room nurses psychological care, the experimental group and the addition of music therapy. The tracheal extubation period, heart rate, blood pressure changes were observed and occurred restless. Record two sets of extubation time and occurrence of complications. ( Results Two groups of patients according to the expected successful completion of the surgery, postoperative recovery and was extubated. The experimental group extubation restlessness incidence was significantly lower than the control group (P O.05); the experimental group extubation heart rate, blood pressure, compared with control group is more stable (P 0.05); two groups time to extubation no significant; two groups of patients had no major complications. Conclusions Music therapy nursing intervention than conventional psychological care and also reduce extubation restlessness, stress adverse conducive to patient safety, reduce pain, comfortable ride anesthasia, improve the quality of care patients after general anesthesia. 【Key words】 Music Therapy；Laparoscopic surgery；Anesthesia；Extubation；Applied Research 目 录 绪论 研究目的与意义 国内外研究现状 音乐疗法的历史 音乐疗法对围术期病人的作用 资料与方法 研究对象 研