CAJ | 학술논문

目的探讨手术室护士与麻醉医生、术者之间的“正性暗示语言”,对初次手术的患者术前恐惧程度、术中心率和血压的影响.方法根据入住日期单双日,将86例硬膜外麻醉下实施手术的普外和骨科患者分为研究组(n=44)和对照组(n=42).两组患者均接受相同的术前护理干预及麻醉医生和手术室护士的术前访视.术日当天入手术间后也接受巡回护士的安抚性语言.研究组患者除此之外,还接受提前设计好的“正性暗示语言”.评估患者进入手术室时和手术开始前的恐惧程度、术中心率和血压,术后比较两组患者对“正性暗示语言”及传统的安抚性语言的满意程度.结果研究组患者手术开始前的恐惧程度显著低于对照组,差异有统计学意义;术中研究组患者的心率和血压均低于对照组,但差异无统计学意义;研究组患者对进入手术室接受的“正性暗示语言”的效果的满意程度显著高于对照组患者接受的传统的安抚性语言.结论手术室医护之间的“正性暗示语言”能有效缓解患者术前恐惧,获得了患者好评,值得推广使用.
목적탐토수술실호사여마취의생、술자지간적“정성암시어언”,대초차수술적환자술전공구정도、술중심솔화혈압적영향.방법근거입주일기단쌍일,장86례경막외마취하실시수술적보외화골과환자분위연구조(n=44)화대조조(n=42).량조환자균접수상동적술전호리간예급마취의생화수술실호사적술전방시.술일당천입수술간후야접수순회호사적안무성어언.연구조환자제차지외,환접수제전설계호적“정성암시어언”.평고환자진입수술실시화수술개시전적공구정도、술중심솔화혈압,술후비교량조환자대“정성암시어언”급전통적안무성어언적만의정도.결과연구조환자수술개시전적공구정도현저저우대조조,차이유통계학의의;술중연구조환자적심솔화혈압균저우대조조,단차이무통계학의의;연구조환자대진입수술실접수적“정성암시어언”적효과적만의정도현저고우대조조환자접수적전통적안무성어언.결론수술실의호지간적“정성암시어언”능유효완해환자술전공구,획득료환자호평,치득추엄사용.
Objective To discuss the influence of positive hint language used by anesthetist, operation nurse and surgeons on preoperative fear and intraoperative heart rate and blood pressure of patients undergone the first surgery. Methods A total of 86 patients from department of general surgery and orthopaedics receiving operation with epidural anesthesia were divided into experiment group (n=44) and control group (n=42). Patients in both group received preoperative nursing intervention and doctor-nurse interview meanwhile comfort language was applied by circulating nurse for all patients on the operation day. Beside that, patients in experiment group received designed positive hint language to evaluate the extent of fear at the moment of entering the operation room and at the beginning of surgery, the intraoperartive mean blood pressure and heart rate. Satisfaction with positive hint language and traditional comfort language were compared in two groups. Results There was less preoperative fear in experiment group, which showed statistical significance, the intraopeartive mean heart rate and blood pressure were lower in experiment group than those in control group, but without statistical significance. Patients in experiment group were more satisfied with positive hint language. Conclusion Preoperative fear could be relieved effectively with positive hint language given by medical staff. Patients are satisfied positive hint language, which is worthy to be popularized.