聚焦解决模式在降低胸腔镜手术患者焦虑情绪中的作用  

Effect of solution-focused approach on preoperative anxiety in patients undergoing thoracoscopy

作　　者：刘慧[1] 邹岚[1] 陈元芝[1] 

机构地区：[1]中山大学附属第三医院手术麻醉中心,广东广州510630

出　　处：《现代临床护理》2012年第4期55-56,共2页Modern Clinical Nursing

摘　　要：目的探讨聚焦解决模式在降低胸腔镜手术患者焦虑情绪中的作用。方法选取行择期胸腔镜手术患者80例,采用随机数字表法将患者随机分为实验组和对照组,每组各40例。对照组接受术前常规护理和健康指导,实验组在此基础上运用聚焦解决模式进行干预。应用Zung焦虑自评量表测量患者术前晚和术晨焦虑程度。结果实验组患者术晨焦虑程度均较对照组和术前晚降低,组间和组内比较,均P<0.05,差异具有统计学意义。结论采用聚焦解决模式可减轻患者术前的焦虑程度,降低或消除其心理应激反应,有助于手术的顺利进行。Objective To investigate the effect of solution-focused approach on preoperative anxiety in the patients undergoing video- assisted thoracoscopy. Methods 80 patients undergoing elective thoracoscopy were equally randomized by random digits table into test group and control group. The control group received routine health instruction and the solution-focused approach besides routine health instructions were used in the test group. The blood pressure and heart rate were recorded. The preoperative anxiety status was investigated by Zung＇s Anxiety Self-rating Scale. Results The anxiety levels were lowered between pre- and post-operation between the groups and within each group, respectively （all P 〈 0.05）. Conclusion Solution-focused approach can reduce the preoperative anxiety, which is beneficial for the successful completion of operation as well as the enhanced nursing satisfaction.

关 键 词：胸腔镜手术 焦虑 聚焦解决模式 

分 类 号：R473.6[医药卫生—护理学]