在使用新可用的多模式方法的患者中降低手术前焦虑 - - 叙述性综述
Weronika Kisielewska1, Michał Kościółek2, Weronika Kowalczyk3
1Faculty of Medical and Health Sciences, University in Siedlce, 08-110 Siedlce, Poland.
Journal of clinical medicine
|May 14, 2025
概括
手术前的焦虑影响了许多患者. 本综述涵盖药理和非药理方法,如药物和疗法,以减少手术前的焦虑.
科学领域:
- 麻醉学 麻醉学
- 心理学 心理学 心理学
- 在外科手术期间的医学.
背景情况:
- 手术前的焦虑影响了绝大多数接受手术的成年患者.
- 过度的术前焦虑会增加术后并发症的风险.
- 有效的管理策略对于患者的安全和结果至关重要.
研究的目的:
- 审查有关药理和非药理干预措施的当前知识,以减少手术前的焦虑.
- 探索各种减轻焦虑的方法的有效性和适用性.
主要方法:
- 关于手术前焦虑管理现有文献的叙事综述.
- 药理和非药理干预的识别和合成.
- 讨论支持性关系,信息提供和心理治疗技术.
主要成果:
- 药理选择包括二,胺和芬太尼;抗抑郁药需要长期使用.
- 非药物治疗方法包括支持性关系,信息,虚拟现实,呼吸技术,音乐治疗和认知行为治疗.
- 还讨论了精油和整合干预措施的整体方法.
结论:
- 有一系列的干预措施来管理手术前的焦虑.
- 非药理学方法为各种患者群体提供了可访问的选择.
- 需要进一步的研究来确定针对特定患者群体的最佳,可行的干预措施.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
9.2K
相关概念视频
General Anesthesia: Overview
157
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
157
Stages of General Anesthesia
314
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
314
Behavior Therapy
34
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
34
Anxiolytic Drugs: Overview
203
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
203
Parenteral Anesthetics: Overview
86
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
86
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
32
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
32
