标准化音频引导短时正念干预对Ⅰ~Ⅲ期腹腔镜结肠癌手术患者术前焦虑及生理应激反应的影响
The Effect of Standardized Audio-Guided Short-Term Mindfulness Intervention on Preoperative Anxiety and Physiological Stress Response in Patients with Stage I~III Laparoscopic Colon Cancer Surgery
DOI: 10.12677/ns.2026.158243, PDF,   
作者: 单 晴, 高 逸, 姜春平*：海军军医大学第一附属长海医院麻醉科手术室，上海；任士冉：海军军医大学第一附属长海医院肛肠外科，上海
关键词: 标准化音频；正念干预；腹腔镜手术；结肠癌；焦虑；生理应激反应；Standardized Audio； Mindfulness Intervention； Laparoscopic Surgery； Colon Cancer； Anxiety； Physiological Stress Response
摘要: 目的：探讨标准化音频引导短时正念干预对I~III期腹腔镜结肠癌手术患者术前焦虑及生理应激反应的影响。方法：采用非同期对照研究设计，选取2024年11月至2025年10月在本院择期行腹腔镜手术的104例I~III期结肠癌手术患者，按入院顺序分成常规组(n = 52)和正念干预组(n = 52)。常规组接受科室标准护理流程，正念干预组在此基础上实施标准化音频引导短时正念干预。比较两组术前焦虑状况、生理应激反应(血压、心率)、术后疼痛度、镇痛泵按压次数、术后睡眠状况及术后恢复指标。结果：正念干预组术前30 min的焦虑评分(48.80 ± 4.62)分低于常规组(51.73 ± 5.35)分，差异有统计学意义(P < 0.05)。正念干预组术前30 min及麻醉诱导前5 min的血压、心率均低于常规组，差异均有统计学意义(P < 0.05)。正念干预组术后12 h、24 h及48 h静息性疼痛评分均低于常规组，术后48 h镇痛泵按压次数少于常规组，差异均有统计学意义(P < 0.05)。正念干预组术后第1 d、第2 d睡眠状况评分均高于常规组，差异均有统计学意义(P < 0.05)。正念干预组首次下床时间短于常规组，差异有统计学意义(P < 0.05)。结论：标准化音频引导短时正念干预可缓解I~III期腹腔镜结肠癌手术患者术前焦虑，减轻生理应激反应，降低术后静息性疼痛感知，改善术后睡眠质量并促进早期下床活动。
Abstract: Objective: To explore the effect of standardized audio-guided short-term mindfulness intervention on preoperative anxiety and physiological stress response in patients with stage I~III laparoscopic colon cancer surgery. Methods: A total of 104 patients with stage I~III colon cancer who underwent elective laparoscopic surgery in our hospital from November 2024 to October 2025 were selected and divided into routine group (n = 52) and mindfulness intervention group (n = 52) according to the order of admission. The routine group received routine intervention, and the mindfulness intervention group implemented standardized audio-guided short-term mindfulness intervention on the basis of the routine group. The preoperative anxiety, physiological stress response (blood pressure, heart rate), postoperative pain, analgesic pump pressing times, postoperative sleep status and postoperative recovery indexes were compared between the two groups. Results: At 30 min before operation, the anxiety score (48.80 ± 4.62) in the mindfulness intervention group was lower than that in the conventional group (51.73 ± 5.35), and the difference was statistically significant (P < 0.05). The blood pressure and heart rate in the mindfulness intervention group at 30 min before operation and 5 min before anesthesia induction were lower than those in the conventional group, and the differences were statistically significant (P < 0.05). At 12 h, 24 h and 48 h after operation, the resting pain scores in the mindfulness intervention group were lower than those in the conventional group, and the number of analgesic pump compressions at 48 h after operation was less than that in the conventional group, the differences were statistically significant (P < 0.05). The sleep status scores of the first and second days after operation in the mindfulness intervention group were higher than those in the conventional group, the differences were statistically significant (P < 0.05). The first time to get out of bed in the mindfulness intervention group was shorter than that in the conventional group, and the difference was statistically significant (P < 0.05). Conclusion: Standardized audio-guided short-term mindfulness intervention can relieve preoperative anxiety, reduce physiological stress response, reduce postoperative resting pain perception, improve postoperative sleep quality and promote early ambulation in patients with stage I~III laparoscopic colon cancer surgery.
文章引用：单晴, 高逸, 任士冉, 姜春平. 标准化音频引导短时正念干预对Ⅰ~Ⅲ期腹腔镜结肠癌手术患者术前焦虑及生理应激反应的影响[J]. 护理学, 2026, 15(8): 20-30. https://doi.org/10.12677/ns.2026.158243

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