| 仇馨颐,沈洁芳.标准化术前访视在心脏外科手术患者中的应用研究[J].上海护理,2015,15(3): |
| 标准化术前访视在心脏外科手术患者中的应用研究 |
| Application research of standard preoperative visit on cardiac surgical patients |
| DOI： |
| 中文关键词: 标准化 术前访视 心脏外科择期手术 焦虑 生理应激 |
| 英文关键词:standardization preoperative visit elective cardiac surgery anxiety physiological stress |
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| 中文摘要: |
| [目的] 探讨标准化术前访视模式在心脏外科手术患者中的应用效果。[方法] 将100例心脏外科择期手术患者随机分为两组,试验组50例采取标准化术前访视,对照组50例采取常规术前访视。采用焦虑自评量表(SAS)评价患者焦虑程度,比较两组患者访视前、入室后5min SAS评分以及心率、血压水平。[结果] 两组手术患者访视前SAS评分比较无差异(P=0.617)。两组手术患者入室后5min SAS评分均低于访视前(试验组P=0.001, 对照组P=0.014)。与对照组患者入室后5min 相比,试验组患者入室后5min SAS评分更低 (P=0.046)。两组手术患者访视前血压、心率比较无差异(收缩压P=0.187,舒张压P=0.062,心率P=0.056)。试验组入室后5min与术前1d相比,血压、心率无明显变化(收缩压P=0.734,舒张压P=0.375,心率P=0.502)。对照组入室后5min 血压、心率明显高于术前1d(收缩压P=0.001,舒张压P=0.003,心率P=0.003)。[结论] 标准化术前访视模式可以有效降低心脏外科择期手术患者焦虑程度及生理应激水平。 |
| 英文摘要: |
| [ ] Objective To explore the application effect of standard preoperative visit on cardiac surgical patients. Method 100 patients scheduled to receive cardiac surgery were divided into two groups randomly. The test group received standard preoperative visit, and the control group received normal preoperative visit. We analyzed the anxiety by SAS Questionnaires. The scores of SAS, heart rate and blood pressure of two groups before preoperative visit and after entry into operation room for 5 minitues were compared. Results No significant difference were found between the two groups on the scores of SAS before preoperative visit ( P=0.617). The scores of SAS after entry into operation room for 5 minutes of two groups were lower than those of before preoperative visit(P=0.001 vs P=0.014). And the scores of SAS after entry into operation room for 5 minutes of the test groups were lower than those of the control group(P=0.046). The heart rate and blood pressure before preoperative visit had no significant intergroup difference (all P > 0.05). The heart rate and blood pressure after entry into operation room for 5 minutes of the test group had no significant change compared to one day before operation (all P > 0.05), and those of the control group were significantly higher than one day before operation (all P < 0.05). Conclusion Standard preoperative visit was helpful for reducing the levels of anxiety and physiological stress for elective cardiac surgical patients |
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