标准化术前访视对面神经瘫痪修复重建手术治疗的影响  

Effect of standardized preoperative visit on repair of facial paralysis

作　　者：王慧[1] 龚黎青 郭洪芳 顾晓琳 WANG Hui;GONG Liqing;GUO Hongfang;GU Xiaolin(Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院整复外科,上海市200011

出　　处：《组织工程与重建外科》2023年第3期294-297,共4页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：上海市科委项目(上海市整形与修复重建临床医学研究中心,22MC1940300)。

摘　　要：目的探讨标准化术前访视在面神经瘫痪修复重建手术中的应用效果。方法回顾性分析80例面神经瘫痪修复患者资料,根据时间先后分为对照组和观察组,先入院的40例为对照组,对照组根据传统流程入院手术,后入院的40例为观察组,观察组根据新改进的流程实施标准化术前访视。比较两组患者入院时焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,术前准备时间、手术完成率、平均住院日情况。结果观察组SAS评分31.93±2.43、SDS评分31.525±2.82,显著低于对照组的46.03±2.31和44.02±2.06(P<0.001);观察组术前准备时间(2±0)d,明显少于对照组的(2.41±0.9)d(P<0.01);观察组手术完成率97.5%,高于对照组的90%;观察组平均住院日(6.45±1.31)d,少于对照组的(8.08±2.23)d(P<0.05)。结论应用标准化术前访视方法,可以提前、及时、有效评估和护理干预手术相关系统性风险,缓解患者焦虑、抑郁情绪,筛查手术风险,缩短入院后的术前准备时间,提高手术完成率,缩短患者住院时间,值得临床推广。Objective To explore the effect of standardized preoperative visit in patients undergoing facial paralysis repair.Methods Eighty patients with facial paralysis were divided into control group and observation group according to the operation time.Forty patients admitted first were in the control group.The patients in control group was admitted to the hospital for surgery according to the traditional process.And 40 patients admitted later were in the observation group.The observation group implemented the standardized preoperative visit method according to the newly improved process.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared between the two groups.The average length of preoperative preparation time,the operation completion rate and the average length of stay were also observed.Results The SAS score of the observation group was 31.93±2.43 and SDS score was 31.525±2.82,which were significantly lower than the SAS score(46.03±2.31)and SDS score(44.02±2.06)of the control group(P<0.001).The preoperative preparation time of the observation group was(2±0)days,which was significantly less than that of the control group,which was(2.41±0.9)days(P<0.01).The operation completion rate of the observation group(97.5%)was higher than that of the control group(90%).The average hospital stay of the observation group was(6.45±1.31)days,which was lower than that of the control group,which was(8.08±2.23)days(P<0.05).Conclusion The application of standardized preoperative visit method can provide early,timely and effective assessment and nursing intervention of systemic risks associated with repair of facial paralysis,alleviate patients’anxiety and depression,screen operation risks,shorten the preoperative preparation time after admission,improve the operation completion rate,and shorten the average hospital stay of patients.It is worthy of clinical promotion.

关 键 词：标准化术前访视 面神经瘫痪 术前护理干预 

分 类 号：R473.6[医药卫生—护理学] R622[医药卫生—临床医学]