国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
7期
1046-1049
,共4页
图文宣教%术前访视%心脏手术
圖文宣教%術前訪視%心髒手術
도문선교%술전방시%심장수술
Education with text and pictures%Preoperative interview%Cardiac surgery
目的 探讨图文宣教访视方法在心脏手术术前访视中的应用价值,提高心脏手术术前访视的质量.方法 将100例住院心脏手术患者随机分成2组:图文宣教术前访视组(A组)、普通术前访视组(B组).采用状态一特质焦虑(STAL)量表进行焦虑情绪测评,均在访视前和麻醉前评测,并测定入院时和麻醉前血压、脉率,术后进行心理满意度调查.结果 术前2组患者焦虑均值、脉率、血压波动差异无统计学意义；麻醉前15 min,患者焦虑均值升高幅度和生理指标变化幅度A组＜B组,2组间差别有统计学意义,P＜ 0.05.术后A组心理满意度调查明显高于B组,2组间差别有统计学意义,P＜ 0.05.结论 图文宣教法术前访视能较普通术前访视更好地缓解心脏手术患者术前应激反应,稳定生命体征,便于麻醉手术顺利进行,便于术后康复,提高手术室护理质量.
目的 探討圖文宣教訪視方法在心髒手術術前訪視中的應用價值,提高心髒手術術前訪視的質量.方法 將100例住院心髒手術患者隨機分成2組:圖文宣教術前訪視組(A組)、普通術前訪視組(B組).採用狀態一特質焦慮(STAL)量錶進行焦慮情緒測評,均在訪視前和痳醉前評測,併測定入院時和痳醉前血壓、脈率,術後進行心理滿意度調查.結果 術前2組患者焦慮均值、脈率、血壓波動差異無統計學意義；痳醉前15 min,患者焦慮均值升高幅度和生理指標變化幅度A組＜B組,2組間差彆有統計學意義,P＜ 0.05.術後A組心理滿意度調查明顯高于B組,2組間差彆有統計學意義,P＜ 0.05.結論 圖文宣教法術前訪視能較普通術前訪視更好地緩解心髒手術患者術前應激反應,穩定生命體徵,便于痳醉手術順利進行,便于術後康複,提高手術室護理質量.
목적 탐토도문선교방시방법재심장수술술전방시중적응용개치,제고심장수술술전방시적질량.방법 장100례주원심장수술환자수궤분성2조:도문선교술전방시조(A조)、보통술전방시조(B조).채용상태일특질초필(STAL)량표진행초필정서측평,균재방시전화마취전평측,병측정입원시화마취전혈압、맥솔,술후진행심리만의도조사.결과 술전2조환자초필균치、맥솔、혈압파동차이무통계학의의；마취전15 min,환자초필균치승고폭도화생리지표변화폭도A조＜B조,2조간차별유통계학의의,P＜ 0.05.술후A조심리만의도조사명현고우B조,2조간차별유통계학의의,P＜ 0.05.결론 도문선교법술전방시능교보통술전방시경호지완해심장수술환자술전응격반응,은정생명체정,편우마취수술순리진행,편우술후강복,제고수술실호리질량.
Objective To explore the value of education with text and pictures in preoperative interviews of cardiac surgery and to improve the quality of preoperative visits.Methods One hundred patients undergoing cardiac surgery were randomly divided into two groups:group of preoperative education with text and pictures ( group A ) and group of common preoperative interview ( group B ).Levels of anxiety were assessed using the State-Trait Anxiety Inventory ( STAL ) before interview and anesthesia.Blood pressure and pulse rate were measured at admission and before anesthesia.Psychological satisfaction was surveyed postoperatively.Results Before surgery,mean levels of anxiety,pulse rate,and changes in blood pressure did not differ significantly.15 min before anesthesia, the mean level of anxiety and physiological indexes were greater in group B than in group A,with a significant statistical difference ( P ＜ 0.05 ).Postoperative psychological satisfaction was higher in group A than in group B,with a significant difference ( P ＜ 0.05 ).Conclusions Education with text and pictures in preoperative interviews can better alleviate preoperative stress response in patients schedualed for cardiac surgery and stabilize vital signs,and is benefical for smooth anesthesia and surgery,postoperative rehabilitation,and improvement of nursing quality of the operating room.
