摘要
目的探讨认知行为护理干预减轻全麻手术患者术前焦虑的效果。方法将100例择期全麻手术患者随机分为干预组和对照组各50例,对照组给予术前常规护理,干预组在对照组的基础上加强认知行为干预。观察两组患者在入院与入手术室时的血压、心率变化值,并应用焦虑自评量表(SAS)测量患者在入院当天和术晨时的焦虑程度,并记录手术护理满意度调查表,最后进行统计学分析。结果采用认知行为护理的干预组术前SAS评分(41.78±5.43)明显低于对照组(48.74±6.04)(P<0.01),干预组入手术室时对比入院时的血压、心率变化明显较对照组稳定(P<0.01),干预组患者对手术护理满意度明显高于对照组(P<0.01)。结论认知行为护理干预可减轻全麻手术患者的术前焦虑,有利于手术的顺利进行,并提高患者对护理服务的满意度。
Objective To investigate the effect of cognitive behavior therapy on reducing the preoperative anxiety among general anesthetic patients Methods One hundred general anesthetic patients were divided into two groups randomly： test group （n=50） and control group （n=50）. Routine preoperative nursing were given to both groups, besides, cognitive behavior therapy were given to the test group. The values of blood pressure, heart rate, and Self-Rating Anxiety Scale （SAS） score were recorded at admission and before operation. The degree of nursing satisfaction was also observed. The results of two groups were analyzed by the statistical software of SPSS13.0 for Windows. Results Anxiety score in the test group was （41.78 ∫ 5.43） and （48.74 ∫ 6.04） in control group, and the difference was significant （P〈0.01）. Compared with control group, the blood pressure and heart rate were more stable in the test group （P〈0.01）. The nursing satisfaction increased in the test group （P〈0.01）. Conclusion Cognitive behavior therapy can reduce preoperative anxiety, which is beneficial to successful operation and recovery, and also raise the degree of nursing satisfaction.
出处
《医院管理论坛》
2013年第2期44-45,43,共3页
Hospital Management Forum
关键词
认知行为疗法
全麻
手术
焦虑
cognitive behavior therapy
general anesthesia
surgery
anxiety
