健康研究
健康研究
건강연구
HEALTH RESEARCH
2014年
4期
416-418
,共3页
手术室%术前访视%心理状态%应激反应
手術室%術前訪視%心理狀態%應激反應
수술실%술전방시%심리상태%응격반응
department of surgery%pre-operative interview%psychological state%stress response
目的：探讨术前访视对择期手术患者心理及机体应激状态的影响。方法将择期手术患者152例随机分为观察组、对照组各76例，对照组采用常规术前护理方法，观察组在对照组的基础上加强术前访视工作，比较两组患者的心理及机体应激状态。结果访视前两组患者的抑郁自评量表（SDS）与焦虑自评量表（SAS）评分比较，差异无统计学意义（P＞0．05）；入手术室时两组患者的SDS、SAS评分均明显降低，以观察组改善更为明显（P＜0．05）。访视前两组患者的血压、心率比较差异无统计学意义（P＞0．05）；入手术室时两组患者的血压、心率值均明显降低，以观察组降低更为明显（P＜0．05）；观察组的手术并发症发生率为2．6％，明显低于对照组的13．2％，差异有统计学意义（ P＜0．05）。结论术前访视能够明显改善择期手术患者的心理状态，减少机体应激反应。
目的：探討術前訪視對擇期手術患者心理及機體應激狀態的影響。方法將擇期手術患者152例隨機分為觀察組、對照組各76例，對照組採用常規術前護理方法，觀察組在對照組的基礎上加彊術前訪視工作，比較兩組患者的心理及機體應激狀態。結果訪視前兩組患者的抑鬱自評量錶（SDS）與焦慮自評量錶（SAS）評分比較，差異無統計學意義（P＞0．05）；入手術室時兩組患者的SDS、SAS評分均明顯降低，以觀察組改善更為明顯（P＜0．05）。訪視前兩組患者的血壓、心率比較差異無統計學意義（P＞0．05）；入手術室時兩組患者的血壓、心率值均明顯降低，以觀察組降低更為明顯（P＜0．05）；觀察組的手術併髮癥髮生率為2．6％，明顯低于對照組的13．2％，差異有統計學意義（ P＜0．05）。結論術前訪視能夠明顯改善擇期手術患者的心理狀態，減少機體應激反應。
목적：탐토술전방시대택기수술환자심리급궤체응격상태적영향。방법장택기수술환자152례수궤분위관찰조、대조조각76례，대조조채용상규술전호리방법，관찰조재대조조적기출상가강술전방시공작，비교량조환자적심리급궤체응격상태。결과방시전량조환자적억욱자평량표（SDS）여초필자평량표（SAS）평분비교，차이무통계학의의（P＞0．05）；입수술실시량조환자적SDS、SAS평분균명현강저，이관찰조개선경위명현（P＜0．05）。방시전량조환자적혈압、심솔비교차이무통계학의의（P＞0．05）；입수술실시량조환자적혈압、심솔치균명현강저，이관찰조강저경위명현（P＜0．05）；관찰조적수술병발증발생솔위2．6％，명현저우대조조적13．2％，차이유통계학의의（ P＜0．05）。결론술전방시능구명현개선택기수술환자적심리상태，감소궤체응격반응。
Objective To evaluate the influence of pre-operative interview on psychological and physical stress state of patientsundergoingelectivesurgery.Method 152patientsadmittedtoLeqingHospitalfromDecember2012toMay2013 for elective surgery were chosen as the research subjects .They were divided into an experimental group and a control group in accordance with the principle of informed consent and random number table , each consisting of 76 cases.The control group were given conventional preoperative care while the experimental group were administered with a pre -operative interview in addition to the conventional cared as given to the control group .The psychological and physical stress state of the two groups were compared .Findings The self-rating depression scale ( SDS) and Self-Rating Anxiety Scale ( SAS) scores of both groups before pre-operative interview were compared .The difference was not statistically significant ( P>0.05);The SDS, SAS scores of both groups when entering the operating room were significantly lower .The experimental group improved more significantly (P<0.05).The blood pressure, heart rate values of both groups before pre-operative interview were compared.The difference was not statistically significant (P>0.05);the blood pressure, heart rate values of two groups when entering the operating room were significantly lower , and the experimental group decreased more significantly (P<0.05); The complication rate of the experimental group was 2.6%, significantly lower than that of 13.2% in the control group.The difference was statistically significant between the two groups (P<0.05).Conclusion Pre-operative interview on patients for elective surgery can significantly improve the patient 's mental state , reduce the body's stress response , and conducive to successful completion of surgery .
