手术室短期综合干预对经尿道前列腺电切术患者焦虑及术中配合的影响  

Impact of short-term comprehensive intervention in operating room on anxiety of the patients and intraoperative cooperation in the transurethral resection of prostate

作　　者：李秋明[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《齐鲁护理杂志（下旬刊）》2012年第1期1-2,共2页Journal of Qilu Nursing

摘　　要：目的:探讨手术室短期综合干预对经尿道前列腺电切术(TURP)老年患者焦虑及术中配合的影响。方法:将160例行TURP老年患者随机分为对照组和实验组各80例,对照组实施常规护理,实验组给予心理干预、行为干预、提醒告知等手术室短期综合干预,干预前后运用焦虑自评量表(SAS)对两组进行评估,记录操作配合(静脉置管、硬膜外置管)一次成功率、术中不适(体位不适、恶心、呕吐、胸闷、呼吸困难)的情况。结果:两组入手术室后焦虑评分比较差异无统计学意义(P>0.05),干预后比较差异有统计学意义(P<0.05);实验组静脉置管一次成功率高于对照组(P<0.01),体位不适发生率低于对照组(P<0.05);两组硬膜外置管一次成功率及恶心、呕吐、胸闷、呼吸困难发生率比较差异无统计学意义(P>0.05)。结论:手术室短期综合干预能减轻患者焦虑程度,使静脉通路建立与麻醉穿刺操作更顺利,术中经过更平稳,为患者术后恢复打下良好基础。Objective： To investigate the impact of short-term comprehensive intervention in operating room on anxiety of elderly patients and intraoperative cooperation in the transurethral resection of prostate（TURP）.Methods： 160 elderly patients were randomly divided into a control group and an experimental group（80 cases in each group）.The routine nursing care was implemented in the control group and the short-term comprehensive interventions in operating room were carried out in the experimental group,including psychological intervention,behavioral intervention,reminding and informing patients.Self-rating Anxiety Scale（SAS） was used to assess the patients＇ conditions in both groups before and after intervention,recording one time success rate of intraoperative cooperation（venous catheterization,epidural catheterization）,intraoperative discomfort（postural discomfort,nausea,vomiting,chest tightness and breathing difficulties）.Results： There was no statistically significant difference in the comparison of anxiety of the patients between the two groups after they were sent into operating room（P〈0.05）,and the difference was statistically significant after the interventions（P〈0.05）;one time success rate of venous catheterization was higher in the experimental group than the control group（P〈0.01）;the postural discomfort was lower in the experimental group than the control group（P〈0.05）;there were not statistically significant differences in the comparison of one time success rate of epidural catheterization,nausea,vomiting,chest tightness and breathing difficulties between the two groups（P〈0.05）.Conclusion： The short-term comprehensive interventions in operating room can reduce the degree of patient＇s anxiety so that the establishment of venous access and anesthesia puncture operation will be smoother and the process of surgery more stable,by which a good foundation will be laid for postoperative recovery of the patients.

关 键 词：手术室短期综合干预 经尿道前列腺电切术 焦虑 术中配合 

分 类 号：R473.6[医药卫生—护理学]