中华普外科手术学杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 347 -350. doi: 10.3877/cma.j.issn.1674-3946.2022.03.030 × 扫一扫
论著
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Xiaoyi Sha1, Xuemei Hao1,†(), Xiaojun Wang1, Fang Wang1
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沙笑伊, 郝雪梅, 王筱君, 王芳. 多元化医护合作式术前访视在胃肠道手术患者中应用研究[J]. 中华普外科手术学杂志(电子版), 2022, 16(03): 347-350.
Xiaoyi Sha, Xuemei Hao, Xiaojun Wang, Fang Wang. Application of multi-medical care cooperative preoperative visit in patients undergoing gastrointestinal surgery[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(03): 347-350.
探讨多元化医护合作式术前访视在胃肠道手术患者中应用效果。
选择2019年12月至2021年7月220例行择期胃肠道手术患者进行前瞻性研究。按照随机数字表法随机分为两组,每组110例。对照组采用常规术前访视方案,实验组在此基础上利用彩色宣传画册、图片、情景微视频以及对家属访问等进行医护合作式术前访视模式,评估两组患者术前访视前后焦虑状况与血压等指标,并进行术后满意度调查。采用统计学软件SPSS 20.0进行分析,血压、焦虑自评量表(SAS)评分等计量资料以(
入手术室后,实验组患者的收缩压(115.4±7.3)mmHg、舒张压(64.1±8.4)mmHg明显低于对照组(P<0.01);实验组患者术前焦虑评分(41.9±4.4)分低于对照组得分(49.0±9.6)分,P<0.01;实验组患者术后满意度(93.6)高于对照组(76.4),P<0.01。
对择期胃肠道手术患者,实行多元化医护合作式术前访视可缓解患者术前焦虑,提高护理质量,改善患者对医疗护理服务的满意度。
To explore the effect of multi-medical cooperative preoperative visit in patients undergoing gastrointestinal surgery.
A prospective study was conducted in 220 patients who underwent elective gastrointestinal surgery from December 2019 to July 2021. They were randomly divided into two groups with 110 cases in each group. The control group used routine preoperative visit program,and the experimental group used color brochures,pictures,scene micro-videos and family visits to carry out cooperative preoperative visit mode. The anxiety status and blood pressure and other indicators of patients in the two groups before and after preoperative visit were evaluated,and postoperative satisfaction survey was conducted. SPSS 20.0 was used for analysis. Blood pressure,self-rating Anxiety Scale(SAS)score and other measurement data were expressed as(
Patients’ preoperative systolic blood pressure of(115.4±7.3)mmHg and diastolic blood pressure of(64.1±8.4)mmHg were observed in experimental group were significantly lower than those in control group respectively(P<0.01). Preoperative anxiety score of(41.9±4.4)Points in the experimental group were lower than that in the control group score of(49.0±9.6)Points,(P<0.01). The postoperative satisfaction of experimental group(93.6)was higher than that in the control group 76.4,(P<0.01).
For patients undergoing elective gastrointestinal surgery,the implementation of diversified cooperative preoperative visits can relieve patients' preoperative anxiety,improve the quality of nursing care,and improve patients' satisfaction with medical care services.
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