综合护理干预对手术等候区患者心理状态的影响  

Comprehensive Nursing Intervention on Psychological State of the Patients in Surgical Waiting Area

作　　者：陈聪[1,2] 郑秋星[1,2] 邱良智[1,2] 戴晓静[1,2] 项小婵[1,2] 

机构地区：[1]温州医学院附属第三医院 [2]瑞安人民医院

出　　处：《医院管理论坛》2015年第1期47-49,共3页Hospital Management Forum

基　　金：温州市2014年度医药卫生科学研究项目(2014B74)

摘　　要：目的探讨综合护理干预措施对手术等候区患者心理状态的影响。方法选择2014年4月至2014年8月我院手术室施行硬膜外麻醉患者200例,随机分成对照组和研究组各100例,对照组患者术前进行常规护理宣教;研究组患者在进行常规护理宣教基础上,在进入等候区后进行综合护理干预措施,评估及比较两组患者在各时间段心理状态(病区T1、手术等候区T2、手术间T3、手术后T4),内容包括:焦虑状态(采用焦虑自评量表SAS)、心率、平均动脉压、血液肾上腺素和去甲肾上腺素水平。结果两组患者在术前病区时心理应激反应情况差异无统计学意义(P>0.05);而在手术等候区、术中及术后心理应激反应研究组明显低于对照组,研究组在SAS评分、心率、平均动脉压、血肾上腺素和去甲肾上腺素水平各方面指标均低于对照组(P<0.05),差异有统计学意义(P<0.01)。结论手术等候区实施综合护理干预措施能有效缓解患者焦虑状态,减轻患者心理应激反应,保证手术安全,促进术后康复,从而进一步提高护理质量,值得在手术室推广和应用。Objective To investigate the effect of comprehensive nursing interventions on psychological status of the patients in the surgical waiting area. Methods 200 patients who received epidural anesthesia were randomized devided into two groups from April 2014 to August 2014 in our hospital, according to the method of random number table. 100 patients in the control group received routine nursing care and missionary while patients in experimental group received additional comprehensive care interventions after entering the surgical waiting area. Parameters of psychological status including Self-Rating Anxiety Scale （SAS）, ventricular rate, mean arterial pressure, the concentration of adrenaline and noradrenaline in the peripheral blood were compared between two groups in four different periods （in the ward, in the surgical waiting area, in the operation room, post-operation）. Results No significant difference was found when the patients in the ward, however there were statistical differences between two groups in the other periods respectively regarding parameters of psychological status. The parameters in the experimental group including SAS score, ventricular rate, mean arterial pressure, the concentration of adrenaline and noradrenaline in the peripheral blood were statistically lower than those in the control group （P〈0.05）. Conclusions Comprehensive care interventions for the patients in the surgical waiting area can reduce anxiety and psychological stress of the patients effectively, and can enhance patient safety and postoperative rehabilitation as well. It is strongly recommended to be popularized and applied in the operation room as comprehensive care interventions can achieve further improvement in nursing quality.

关 键 词：手术等候区 综合护理 心理状态 

分 类 号：R587.1[医药卫生—内分泌]