摘要
目的减轻甲状腺日间手术患者术前焦虑,稳定生命体征。方法将78例甲状腺日间手术患者按入院先后顺序分为对照组和干预组各39例。对照组进行常规护理与指导,干预组在此基础上由专职护士于预约手术时、术前3d、术前1d、手术日等待手术时进行4次心理与信息支持干预。采用状态焦虑问卷(S-AI)评定患者预约手术时和手术日等待手术时的焦虑程度,并记录患者预约手术时及入手术室15min时的脉率、血压的变化。结果甲状腺日间手术患者预约手术时焦虑评分显著高于国内常模(P<0.05,P<0.01),干预后干预组焦虑评分显著低于对照组(P<0.01);干预组患者脉率、血压波动幅度显著小于对照组(均P<0.01)。结论早期心理与信息支持能有效缓解甲状腺日间手术患者术前焦虑程度,稳定生命体征,使患者顺利渡过围手术期。
Objective To relieve preoperative anxiety in day surgery patients undergoing thyroidectomy and stabilize their vital signs.Methods Totally,78 day surgery patients receiving thyroidectomy were equally divided into an intervention group and a control group according to the chronological order.Patients in the control group received conventional nursing care and instructions,while their counterparts in the intervention group were additionally given preoperative psychological and informational supports on such four time points as the day of making an appointment for surgery,3 d and 1 d before surgery,and the surgery day.The anxiety levels of patients were evaluated by using the S-AI scale,and pulse rates and blood pressure were measured on the day of making an appointment for surgery and the surgery day.Results The scores of anxiety of patients on the day of making an appointment for surgery were significantly higher than the norm （P0.05,P0.01）,and anxiety level of the intervention group was significantly lower than that of the control gropu （P0.01）;the fluctuations of pulse rates and blood pressure in the intervention group were statistically smaller than those in the control group （P0.01 for all）.Conclusion Early psychological and informational supports can effectively reduce preoperative anxiety of day surgery patients undergoing thyroidectomy,stabilize their vital signs.
基金
上海交通大学医学院科研基金资助项目(Jyh1011)
关键词
甲状腺结节
日间手术
心理支持
信息支持
应激
thyroid nodule
day surgery
psychological support
informational support
stress
