基于多学科协作模式的术前访视对初次手术患者心理应激的影响  

Effectiveness of multidisciplinary cooperation model-based preoperative visit on the psychological stress of patients to undergo surgery for the first time

作　　者：余霞[1] 朱泉 刘一卓[1] Yu Xia;Zhu Quan;Liu Yizhuo(Department of Operating Room,the Center Hospital of Xiaogan,Hubei Province,Xiaogan 432000,China)

机构地区：[1]湖北省孝感市中心医院手术室,432000

出　　处：《中国实用护理杂志》2019年第31期2417-2422,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨基于多学科协作模式的术前访视对初次手术患者心理应激的影响。方法选择2018年7-12月孝感市中心医院行初次手术治疗的100例患者,按照随机数字表法分为研究组50例和对照组50例。对照组实施传统一对一术前访视干预,研究组采取基于多学科协作模式的术前访视干预。比较2组患者访视前后心理恐惧程度、焦虑和抑郁状况、应激应对方式和手术知识知晓度。结果观察组术前访视后和进入手术间时视觉模拟评分(VAS)分别为(6.05±1.11)分和(7.32±1.09)分,均低于对照组的(6.77±0.67)分和(8.22±1.37)分,差异有统计学意义(t=3.881,3.527,P<0.05)。访视后,研究组焦虑自评量表(SAS)、焦虑自评量表(SDS)和回避、屈服评分为(38.65±4.42)、(40.38±3.87)、(10.53±1.37)、(6.09±0.80)分,均明显低于对照组的(45.25±3.08)、(46.49±4.62)和(12.68±1.98)、(7.37±0.84)分,差异有统计学意义(t=6.129~8.453,P<0.05);研究组面对和手术知晓度评分分别为(22.61±3.87)、(44.00±5.36)分,明显高于对照组的(18.70±2.97)和(40.02±6.30)分,差异有统计学意义(t=5.518、3.313,P<0.05)。结论基于多学科协作模式的术前访视可以降低初次手术患者心理应激水平,提高患者手术知晓度,是一种有效的术前访视模式。Objective To explore the effectiveness of multidisciplinary cooperation model-based preoperative visit on the and psychological stress of patients who undergo surgery for the first time.Methods A total of 100 patients who undergo surgery for the first time in the Central Hospital of Xiaogan between July 2018 and December 2018 were enrolled in the present study.Fifty patients were assigned to the research group and another 50 patients to the control group according to the random number table method.Patients in the control group received traditional one-to-one peroperative visit,while multidisciplinary cooperation model-based preoperative visit was carried out in the research group.The changes of fear scores,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)scores,stress and coping mode as well as knowledge related to operation were compared before and after visit intervention.Results VAS scores in the research group after preoperative visit(6.05±1.11)and enter the operating room(7.32±1.09)were significantly higher than those in the control group(6.77±0.67 and 8.22±1.37),the difference was statistically significant(t=3.881,3.527,P<0.05).After preoperative visit,the socres of SAS(38.65±4.42),SDS(40.38±3.87),avoidance and resignation(10.53±1.37 and 6.09±0.80)in the research group were lower than those in the control group(45.25±3.08,46.49±4.62 and 12.68±1.98,7.37±0.84),(t=6.129-8.453,P<0.05).The scores of confronce(22.61±3.87)and knowledge related to operation(44.00±5.36)in the research group were higher than those in the control group(18.70±2.97 and 40.02±6.30),there were significant differences between the two groups(t=5.518,3.313,P<0.05).Conclusion Multidisciplinary cooperation model-based might be a useful preoperative visit model in decreasing the levels of psychological stress and promoting surgical cognition in patients undergoing surgery for the first time.

关 键 词：多学科协作 术前访视 初次手术 应激反应 

分 类 号：R47[医药卫生—护理学]