手术图谱在术前访视中的实施与效果评价  

The evaluation on implementation and effect of operation atlas

作　　者：崔福荣[1] 王淑华[1] 

机构地区：[1]聊城市人民医院手术室,山东聊城252000

出　　处：《中国医学装备》2014年第5期104-106,共3页China Medical Equipment

摘　　要：目的:探讨手术室护士术前访视时应用手术图谱对缓解手术患者焦虑的效果。方法:将39例需进行手术的癌症患者随机分为应用图谱组(19例)及常规访视组(20例)。应用图谱组患者在原有访视内容基础上由手术室护士携带手术图谱相册,向手术患者介绍手术室工作环境、手术注意事项、体位等情况时,根据相册中的相关内容给患者解释。常规访视组患者给予常规的术前访视内容。同时采用焦虑自评量表测量患者入院时、入手术室后焦虑值及患者的血压、心率、疼痛强度、首次下床时间、排气时间及拆线时间,并比较其差异。结果:入手术室后应用手术图谱组患者的焦虑值、收缩压和心率均低于常规访视组,差异有统计学意义(t=2.28,t=4.756,t=10.28;P<0.05);两组术后疼痛强度、首次下床时间、排气时间比较差异均有统计学意义(t=3.04,t=3.06,t=2.56;P<0.01)。结论:应用手术图谱进行系统化、规范化术前访视是一项重要心理指导,可以降低手术患者的焦虑水平,有效提高围术期医疗质量。Objective： To investigate the effect of Operation Maps application on relieving anxiety of patients of the nurses of operation room preoperative visits. Methods： 39 cases of operation were randomly divided into the application of operation maps 19 cases and routine visit group 20 cases, regular visiting group received routine preoperative interview content, and on the basis of content, the original application mapping group are visited by nurses carrying atlas album, and accordingto the related content the nurses explain to patients in the album when they introduce the patients the operating room environment surgery, surgical notes, position, etc. At the same time, the self rating anxiety scale measurement measures the anxiety of patients when they are admitted and after into operation room, and blood pressure, heart rate, pain intensity, the first time getting out of bed, exhaust time, clearing time, and they compare the difference. Results： The anxiety values of the original application mapping group mapping group, systolic blood pressure, heart rate are lower than regular visits group（t=2.28, t=4.756, t=10.28; P〈0.05）. Intensity of pain after operation in the two groups, get out of bed the first time, exhaust time showed no significant differences（t=3.04, t=3.06, t=2.56; P〈0.01）. Conclusion： Application of operation atlas of systematic, standardized preoperative visit is an important psychological guidance, and it can reduce the anxiety level of patients and effectively improve the quality of medical operation period.

关 键 词：手术图谱 焦虑 术前访视 

分 类 号：R248.2[医药卫生—中医临床基础]