手术室联合麻醉科加强访视对妇科手术患者焦虑抑郁状态的影响  

Effects of enhanced preoperative interview by anesthesiologist and operating nurse together on the anxiety-depression status of patients undergoing gynecologic surgery

作　　者：王丽[1] 范灵云 何慧芬[1] 吴江南[3] 刘宇琦 WANG Li;FAN Lingyun;HE Huifen(Operating Room,Hospital for Obstetrics and Gynaecology,Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院手术室,上海市200011 [2]复旦大学附属妇产科医院麻醉科,上海市200011 [3]复旦大学附属妇产科医院流行病学教研室,上海市200011

出　　处：《河北医药》2018年第9期1430-1433,共4页Hebei Medical Journal

摘　　要：目的探讨手术室联合麻醉科加强访视对妇科手术患者焦虑抑郁状态的影响。方法 90例患者随机分为干预组和对照组,干预组由手术室护士和麻醉科医生共同访视患者,对照组按照各科室术前访视常规访视患者,并进行住院患者焦虑抑郁量表(HADS)评分。术后入麻醉复苏室时、术后30 min、60 min、6 h、12 h、24 h时随访患者的血压、心率及疼痛评分。24 h时再次进行HAD评分及满意度评分。结果共83例患者完成研究,其中干预组40例,对照组43例。2组患者术前HADS评分差异无统计学意义(P>0.05),术后24 h HADS评分干预组低于对照组(P<0.05)。术后60 min及6 h时干预组疼痛评分低于对照组(P<0.05),术后24 h时干预组收缩压低于对照组(P<0.05)。干预组非常满意的比例高于对照组(P<0.05)。其他各时点2组患者血压水平及疼痛评分差异无统计学意义(P>0.05)。结论手术室联合麻醉科加强访视有效缓解了患者的焦虑抑郁状态,且有助于术后改善患者疼痛评分。Objective To investigate the influence of enhanced preoperative interview by both anesthesiologist and operating nurse together on the anxiety-depression status of patients undergoing gynecologic surgery.Methods Nighty patients were randomly divided intervention group and control group.The patients in intervention group were interviewed before surgery by both anesthesiologists and operating nurses,however,the patients in control group were interviewed by regular practice.The Hospital Anxiety and Depression Scale(HADS)was used to evaluate the anxiety-depression status of patients in preoperative interview and at 24h after operation.Moreover patient’s blood pressure,heart rate,pain scores were observed when the patients were sent into anesthesia resuscitation room after operation,and at 30min,60 min,6h,12h,24h after operation,and HAD scores and satisfaction degree scores were observed and compared between two groups.Results A total of 83 patients received this atudy,in whom,40 patients were in intervention group and 43 patients in control group.There were no significant differences in HADS scores before operation,however,the HADS scores at 24h after operation in intervention group were significantly lower than those in control group(P<0.05),and the pain scores at 60min,6h after operation in intervention group were significantly lower than those in control group(P<0.05),moreover,the systolic pressure levels at 24h after operation in intervention group were significantly lower than those in control group(P<0.05).In addition there were no significant differences in pain scores and blood pressure levels in the other time points between two groups(P>0.05).Conclusion The enhanced preoperative interview by both anesthesiologists and operating nurses can effectively relieve patient’s anxiety-depression status,which is helpful to improve patient’s pain scores after surgery.

关 键 词：术前访视 焦虑抑郁状态 心理干预 疼痛评分 

分 类 号：R473.6[医药卫生—护理学]