摘要
目的探讨术前情景模拟适应性训练在局麻经皮椎体成形术患者中的应用效果。方法选取2021年1—12月医院收治的局麻经皮椎体成形手术患者96例,按照组间基本特征具有可比性的原则分为观察组与对照组,每组48例。对照组围手术期行常规护理指导,观察组行术前情景模拟适应性训练。比较两组干预前后应激反应、应对方式、自我效能及治疗配合度。结果干预后,两组患者应激反应、应对方式、自我效能均有明显改善,但观察组改善程度优于对照组,其中观察组干预后应激反应量表(ASDS)评分、消极应对方式评分及焦虑评分低于对照组,积极面对、自我效能评分高于对照组,组间比较差异均有统计学意义(P<0.05)。术前情景模拟适应性训练干预后,观察组治疗配合度评分高于对照组,手术时间短于对照组,组间比较差异均有统计学意义(P<0.05)。结论术前情景模拟适应性训练能有效减轻局麻经皮椎体成形手术患者的心理应激反应,增强患者应对疾病的信心,减轻患者术前焦虑感,使患者能以积极的方式应对疾病,提高患者围手术期治疗配合度,使手术能顺利开展。
Objective To explore the application ef fect of preoperative scenario simulation adaptive training in local anesthesia percutaneous vertebroplasty patients.Methods A total of 96 patients with local anesthesia percutaneous vertebroplasty admitted in the hospital from January to December 2021 were selected and divided into observation group and control group according to the principle of comparability of basic characteristics between groups,with 48 cases in each group.The control group received routine nursing guidance during perioperative period,and the observation group received preoperative situational simulation adaptive training.The stress response,coping style,self-e ffi cacy and treatment cooperation were compared between the two groups before and after intervention.Results After intervention,two groups of patients with stress,coping style and self-e ffi cacy were obviously improved,but improved observation group was better than the control group,the observation group after the intervention Acute Stress Disorder Scale(ASDS),negative coping style and anxiety score lower than the control group,facing positively,self-efficacy scores higher than the control group,there were signifi cant dif ferences between the two groups(P<0.05).After preoperative situational simulation adaptive training intervention,the treatment cooperation score of the observation group was higher than the control group,and the operation time was shorter than the control group,the dif ferences between the groups were statistically signifi cant(P<0.05).Conclusion Preoperative scenario simulation adaptive training could ef fectively reduce the psychological stress response of patients with local anesthesia percutaneous vertebroplasty,enhance the confi dence of patients to deal with the disease,reduce the preoperative anxiety of patients,so that patients could cope with the disease in a positive way,improve the perioperative treatment cooperation of patients,so that the operation can be carried out smoothly.
作者
尚鸿娣
黄玲
钱小红
SHANG Hongdi;HUANG Ling;QIAN Xiaohong(Nantong Third Hospital Affiliated to Nantong University,Nantong,226001,China)
出处
《护理实践与研究》
2022年第21期3267-3271,共5页
Nursing Practice and Research
基金
南通市卫生健康委员会科研课题立项(编号:QB2021018)。
关键词
经皮椎体成形手术
局麻
术前
情景模拟
适应性训练
心理应激反应
自我效能
Percutaneous vertebroplasty
Local anesthesia
Preoperative
Scenario simulation
Adaptive training
Psychological stress response
Self-efficacy
