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Nursing Science 2025
等待接台手术期患者焦虑水平的调查研究分析
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Abstract:
目的:旨在调查分析2024年5月~2025年9月在我院行择期手术的300例手术期患者的焦虑水平。方法:成立研究小组,制定量表。选取手术前等待期范围内的三个时间点进行调查分析,具体调查时间分别为:手术前晚16:00至17:00,手术当日病房护士接到手术室电话通知时以及进入术前准备间后,前两个时间点评定地点为患者所在病房,后一个时间点评定地点为手术室。分别采用状态焦虑问卷和汉密尔顿焦虑量表进行问卷调查。问卷填写后当场回收。结果:与术前当晚比较,手术当日接台手术期患者S-AI、T-AI、HAMA均有不同程度升高,差异有统计学意义(P < 0.05);与手术当日比较,入手术室时接台手术期患者S-AI、T-AI、HAMA均有不同程度升高,差异有统计学意义(P < 0.05)。与术前当晚比较,手术当日接台手术期患者呼吸、心率、收缩压和舒张压均有不同程度升高,差异有统计学意义(P < 0.05);与手术当日比较,入手术室时接台手术期患者呼吸、心率、收缩压和舒张压均有不同程度升高,差异有统计学意义(P < 0.05)。结论:等待接台手术期患者存在一定程度的焦虑水平,且生命体征也有一定的变化。
Objective: To investigate and analyze the anxiety level of 300 patients undergoing elective surgery in our hospital from May 2024 to September 2025. Methods: A research group was established to develop the scale. Three time points within the waiting period were selected for investigation, specifically: 16:00 to 17:00 in the evening before the operation, when the ward nurse received the phone notification from the operating room on the day of the operation, and after entering the preoperative preparation room, the first two time points were evaluated as the ward where the patient was located, and the last time point was evaluated as the operating room. State anxiety questionnaire and Hamilton Anxiety Scale were used to conduct questionnaire survey. The questionnaire was completed and returned on the spot. Results: Compared with the night before surgery, S-AI, T-AI and HAMA of the patients at the stage of operation on the day of operation had statistical differences (P < 0.05). Compared with the day of operation, S-AI, T-AI and HAMA of patients in the stage of operation at the time of admission to the operating room had statistical differences (P < 0.05). Compared with the night before surgery, there were statistical differences in respiration, heart rate, systolic blood pressure and diastolic blood pressure (P < 0.05). Compared with the day of operation, there were statistical differences in respiration, heart rate, systolic blood pressure and diastolic blood pressure (P < 0.05). Conclusion: The patients have a certain degree of anxiety and their vital signs change during the waiting period.
[1] | 朱勤春, 吴燕. 诱导等待期间接台手术患者焦虑水平与信息需求的调查分析[J]. 中国临床医学, 2020, 27(2): 254-259. |
[2] | 杨雪, 邓怡, 冉珂. 虚拟现实技术在骨科接台手术患者术前焦虑中的应用及效果观察[J]. 心理月刊, 2023, 18(20): 135-137, 197. |
[3] | 成兰, 董玉燕, 左莉红, 沈海萍. 术前等待间手术患者焦虑与信息需求状况及其影响因素分析[J]. 中华全科医学, 2022, 20(10): 1797-1800. |
[4] | 邹艳贤, 谢红艳, 廖丽丽. 对接台手术术前禁饮食的调查研究及护理对策[J]. 岭南现代临床外科, 2016, 16(2): 248-249. |
[5] | 姚树桥, 杨彦春. 医学心理学[M]. 第6版. 北京: 人民卫生出版社, 2013: 174-175. |
[6] | 廖秋玲, 陈大翠, 汪康宁, 等. 2014-2015年广东医学院附属医院手术病人术前焦虑现状及影响因素分析[J]. 预防医学论坛, 2015, 21(9): 651-653. |
[7] | 高华栋, 张静平, 赵莉, 等. 术前焦虑对术后疼痛的影响及干预研宄进展[J]. 长治医学院学报, 2015, 29(2): 155-157. |
[8] | 李娅楠. 外科手术术前焦虑评分对临床预后的影响[J]. 现代医药卫生, 2015, 31(21): 3327-3329. |
[9] | 王妍. 手术等待期穴位按摩联合音乐疗法对患者术前焦虑的影响研究[D]: [硕士学位论文]. 南京: 南京中医药大学, 2015. |
[10] | 谢敏, 孙晓嘉. 术前焦虑的研究现状及进展[J]. 卫生职业教育, 2012, 30(15): 153-155. |
[11] | Fekrat, F., Sahin, A., Yazici, K.M. and Aypar, U. (2006) Anaesthetists’ and Surgeons’ Estimation of Preoperative Anxiety by Patients Submitted for Elective Surgery in a University Hospital. European Journal of Anaesthesiology, 23, 227-233. https://doi.org/10.1017/s0265021505002231 |
[12] | 李映兰. 胆囊切除病人术前焦虑与术后疼痛关系的调查分析[J]. 中华护理杂志, 1999, 34(12): 749-751. |
[13] | 冯雪, 袁洁, 李四维, 等. 比较两种测量方法对心脏外科手术术前患者焦虑抑郁的评估结果[J]. 中国循证心血管医学杂志, 2016, 8(11): 1386-1388, 1390. |
[14] | 徐广明. “没有精神健康就没有健康”: 精神卫生服务的挑战[J]. 神经疾病与精神卫生, 2015, 15(3): 305-307, 308. |