手术室专科护士术前干预对患者SAS焦虑评分及术后满意度的影响  

作　　者：李作菊[1] 李婷[1] 张权[1] 

机构地区：[1]武警河南总队医院麻醉科,郑州450052

出　　处：《中国实用医药》2012年第22期207-208,共2页China Practical Medicine

摘　　要：目的研究手术室专科护士术前干预对全麻患者术前焦虑及的影响,寻找评价手术室专科护士工作的指标与方法。方法选择于全麻下进行手术的患者120例。所有患者随机分为对照组和干预组,使用手术室专科护士和普通护士分别对干预组和对照组患者进行术前干预。采用问卷调查方法,用焦虑自评量表(SAS)于手术前1 d下午和术晨入手术室后15 min对患者进行评估,记录其分值。并于术后1 d随访,使用问卷调查患者对护理工作的满意度。结果两组患者干预前SAS评分无明显差异,而干预组患者干预后的SAS评分明显下降(P<0.01),对照组患者SAS评分则无明显改变。而两组患者对护理工作的满意度则无明显差异。结论①手术室专科护士对全麻患者有效的心理、行为干预可以明显减轻患者的焦虑感,消除其恐惧心理,使之更好地配合手术。②由于受到多种因素的干扰,患者满意度不适宜作为评价手术室专科护士对全麻患者围术期干预的客观指标。Objective Objective In order to study the influence of the operating room specialist nurses preoperative interventions to patients＇ anxiety with general anesthesia,looking for the evaluation of working subject index and method of the operating nurses.Methods Selected 120 patients with surgery under general anesthesia.All of the patients were randomized into control group and intervention group.The operating room specialist nurses and ordinary nurses preoperatively intervene on intervention group and control group patients respectively.Using questionnaire survey method,evaluate the patients and record its range with self anxiety scale（SAS） on the afternoon 1 day before the operation and 15 min in the morning after into the operating room.and in the 1 d follow-up,use questionnaire survey of patients＇ satisfaction for nursing job.Results The two groups of patients＇ SAS score have no obvious difference before the intervention,and intervention group patients＇ SAS rating decreased obviously（P 0.01） after the intervention,while the control group patients＇ SAS rating has no obvious change.And the two groups of patients＇ satisfaction for nursing job have no obvious difference.Conclusion ① The operating room specialist nurses＇ psychological,effective behavior intervention to the general patients can significantly reduce the patients＇ anxiety,eliminate their fears,and help them to better cooperate with surgery.②Due to the interference of many factors,patients＇ satisfaction is not appropriate act as objective measures for the evaluation of the operating room nurses＇ preoperative interventions to the general patients.

关 键 词：入手术室后 术后满意度 SAS评分 全麻患者 术前干预 专科护士 焦虑评分 焦虑自评量表 

分 类 号：R47[医药卫生—护理学]