目的通过研究分析局部麻醉腹式输卵管结扎术中可控制因疼痛而产生负性情绪,探索高效、安全的护理方法和控制负性情绪的措施。方法 100例进行局部麻醉腹式输卵管结扎手术的妇女,随机分为对照组与干预组,各50例。对照组采用《国家人口和计划生育技术服务护理指南》规定的术中不刺激语言护理方式进行护理,干预组采用0~10数字疼痛量表(NRS)作为术中牵拉痛测定方法 ,并在术中子宫复位,提取输卵管时实施循序渐进的心理疏导及抚触头部(胳膊微曲,掌心向下,配合前臂动作,用指腹从对象的前额发际向脑后持续循环轻抚给予理解、安慰的感受)。观察对比两个护理小组腹式输卵管结扎手术期间的护理效果。比较两个护理小组妇女腹式输卵管结扎手术中的心理情绪状况、不良反应情况以及疼痛程度。结果干预组妇女在腹式输卵管结扎术中心理情绪状况优于对照组,不良反应情况少于对照组,疼痛程度轻于对照组,差异具有统计学意义(P<0.05)。结论妇女在进行腹式输卵管结扎术时会出现不同程度的生理心理应激反应、不良反应以及疼痛症状等,掌握妇女在腹式输卵管结扎术时的心理生理特征给予适当的心理护理措施,提高妇女手术的配合度,减少术中疼痛状况以及术后不良反应,可大大促进结扎手术的顺利进行以及术后的康复。 Objective To investigate the negative emotions that can be controlled by pain due to local anesthesia in abdominal tubal ligation and to explore efficient and safe nursing methods and measures to control negative emotions. Methods 100 cases of local anesthesia abdominal tubal ligation of women, were randomly divided into control group and intervention group, 50 cases each. The control group was treated with the non-irritating language nursing procedure stipulated in the Guidance on Nursing Care of Technical Services for Population and Family Planning. The intervention group adopted 0-10 digital pain scale (NRS) as the method of intraoperative pain-relieving pain measurement. Intrauterine uterine reset, the implementation of tubal progressive step-by-step psychological counseling and touching the head (arm slightly bent, palm down, with the forearm movements, with the pulp from the forehead of the subject to the back of the head to continue the cycle of caresses, Comfort feeling). Observation and comparison of the two nursing teams abdominal tubal ligation during the nursing effect. The psychological and emotional conditions, adverse reactions, and the degree of pain in abdominal tubal ligation were compared between two care teams. Results The psychological status of women in intervention group was better than that of control group in abdominal tubal ligation, the adverse reaction was less than that in control group, and the degree of pain was lighter than that in control group. The difference was statistically significant (P <0.05). Conclusions Women may experience various physiological and psychological stress reactions, adverse reactions and pain symptoms during abdominal tubal ligation. To master the psychological psychological characteristics of women during abdominal tubal ligation and to improve women’s psychological health With the degree of surgery to reduce intraoperative pain and postoperative adverse reactions, can greatly facilitate the smooth progress of ligation and postoperative rehabilitation.