摘要
目的探讨手术室术前舒适护理干预对≥60岁腹股沟疝患者心理状态及应激反应的影响。方法选取2017年11月至2019年8月,安徽医科大学第一附属医院64例择期在硬膜外麻醉或全麻下行腹股沟疝无张力修补术患者,按照入院顺序随机分为观察组(32例)和对照组(32例),其中对照组实施麻醉前常规手术室护理,观察组在对照组基础上实施舒适护理。观察比较2组患者入手术室时及麻醉前的焦虑自评量表(SAS)评分、视觉模拟评分(VAS)、血压、心率、生理舒适度及心理舒适度变化情况。结果入手术室时,观察组患者SAS与VAS评分与对照组比较,差异无统计学意义(P>0.05)。对照组麻醉前SAS与VAS评分与对照组入手术室评分比较,差异有统计学意义(P<0.05)。观察组麻醉前SAS与VAS评分与麻醉前对照组比较,差异有统计学意义(P<0.05)。入手术室时,观察组患者心率、收缩压及舒张压与对照组比较,差异无统计学意义(P>0.05)。麻醉前,观察组心率、收缩压及舒张压与对照组比较,差异有统计学意义(P<0.05)。观察组麻醉前与入手术室时心率、收缩压及舒张压比较,差异有统计学意义(P<0.05)。入手术室时,观察组患者生理舒适度与心理舒适度评分与对照组比较,差异无统计学意义(P>0.05);麻醉前,观察组患者生理舒适度与心理舒适度评分与对照组比较,差异有统计学意义(P<0.05)。结论手术室术前舒适护理有助于显著改善患者负面情绪和应激反应,提高患者围手术期舒适度,令患者临床获益。
Objective To investigate the effect of preoperative comfort nursing intervention in the operating room on the psychological state and stress response of elderly patients(aged≥60 years)with inguinal hernia.Methods A total of 64 patients with inguinal hernia tension-free repair under epidural anesthesia or general anesthesia were selected from November 2017 to August 2019 and randomly divided into observation group(n=32)and control group(n=32).The control group was given conventional operating room nursing before anesthesia,and the observation group was given comfort nursing on the basis of the control group.The anxiety self-assessment scale(SAS)score,fear visual analog score(FAVS)and changes in blood pressure and heart rate were compared between the two groups.Results When entering the operating room,there was no significant difference in the SAS score,FAVS score,blood pressure,heart rate,physiological comfort and psychological comfort between the two groups(P>0.05);The SAS score and FAVS score of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The heart rate and blood pressure before anesthesia of the observation group were significantly better than those in the control group(P<0.05);The comfort score of patients in the observation group before anesthesia was significantly lower than that in the control group(P<0.05).Conclusion Preoperative comfort nursing in the operating room can significantly improve patients’negative emotions and stress responses,improve patient comfort during perioperative period,and benefit patients clinically.
作者
费广梅
彭敬
王蓓
Fei Guangmei;Peng Jing;Wang Bei(High-tech Operating Room,First Affiliated Hospital of Anhui Medical University,Hefei 230000,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2020年第3期280-283,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
2018年度省学术和技术带头人科研活动经费资助项目(2018H160)。
关键词
舒适护理
疝
腹股沟
心理状态
应激反应
Comfort nursing
Hernia,inguinal
Mental state
Stress response
