摘要
目的分析术前护理干预在外科手术患者焦虑情绪的临床护理效果。方法 本研究通过选取我院外科2014年1月~2015年3月收治的180例手术患者,采取随机奇偶数字的分组方法 ,将180例外科手术患者的患者分为实验组和对照组,每组各90例。实验组采用临床术前护理干预。采取外科常规护理。运用蒙特利尔认知评估量表（Montreal Cognitive Assessment,Mo CA）、睡眠质量指数（Pittsbllrgh sleep qualityindex,PSQI）和生活质量评定量表（Generic Quality of Life Inventory）评价两组患者的认知功能、焦虑情绪、睡眠状态和生活质量水平。结果干预前两组研究对象的Mo CA各项分值差异无统计学意义（P〉0.05）,术前护理干预后两组在视空间与执行力、命名记忆力、注意力、语言能力、抽象思维力、延迟回忆力以及定向力等7个方面得分均存在显著差异,实验组明显高于对照组（P〈0.05）。术前护理干预后,实验组睡眠障碍评分明显低于对照组（χ2=16.39,P=0.021）。实验组护理后患者生理功能、精神健康、躯体疼痛、生理职能、情感职能、生命活力、社会功能及总体健康评分均显著高于对照组,且差异有统计学意义（P〈0.05）。结论 术前护理干预在外科患者救治过程中具有明显的优势,能提高患者的睡眠质量和生活质量水平,有效缓解外科手术患者的焦虑情绪。
Objective To analyze the effect of preoperative nursing on anxiety of patients receiving surgical operation. Methods 180 surgical patients treated in our hospital from January 2014 to March 2015 were selected and randomly divided into study group and control group, each with 90 cases. The study group was given preoperative nursing, while the control group was given routine nursing. The cognitive function, anxiety, sleep state, and life quality of patients in both groups were evaluated by Montreal Cognitive Assessment（MoCA）, Pittsbllrgh sleep qualityindex（PSQI）, and Generic Quality of Life Inventory. Results There was no significant difference in MoCA subitem scores between two groups （P〉 0.05）. After intervention, the scores of the study group were significantly higher than those in the control group in 7 items： visual space and executive force, nomenclature memory, attention, language competence, abstract thinking ability, delayed memory, and orientation （P〈0.05）. After intervention, the scores of sleep disorder were significantly lower in the study group than in the control group（x2=16.39, P=-0.021）. After intervention, the scores of physiological function, mental health, body pain, physiological role, emotional role, life vitality, social function, and overall health were signifi- cantly higher in the study group than in the control group（P〈0.05）. Conclusion Preoperative nursing has significant ad- vantages in treatment of surgical patients, which can improve the sleep quality and life quality of patients, and effec- tively relieve anxiety of patients.
出处
《中国现代医生》
2016年第15期145-149,共5页
China Modern Doctor
基金
浙江省医药卫生一般研究计划(2013KYB277)
关键词
外科
术前护理干预
焦虑情绪
睡眠障碍
生活质量
Surgery
Preoperative nursing intervention
Anxiety
Sleepdisorder
Life quality
