Effects of extended preoperative information on perioperative stress: an anaesthetic nurse intervention for patients with breast cancer and total hip replacem

An anaesthetic nurse intervention was performed in order to evaluate the effects of extended preoperative information, given by anaesthetic nurses, on perioperative stress in patients operated on for breast cancer or total hip replacement (THR). Forty-six consecutive patients scheduled for surgery for breast cancer, and 55 for THR, were randomized into two groups which were given different modes of preoperative information. Patients in the control group were informed about pre- and postoperative routines by a ward nurse. Patients in the intervention group were given extended formalized information by an anaesthetic nurse. Wilcoxon rank sum test was used to show relations between variables. There were no significant differences between the intervention group and control group for patients with breast cancer or for patients with THR. Breast cancer patients in the intervention group were significantly more anxious than THR patients in the intervention group (P < 0.01). Breast cancer patients in the intervention group showed the highest anxiety scores on the Hospital Anxiety and Depression Scale (HADS) scale on the day of surgery. This information may reflect an increased level of anxiety due to the extended information given preoperatively. The information may thus have had a negative effect on breast cancer patients, resulting in an increased state of anxiety. The result indicates a need for individualized modes of information to provide a proper balance between enough and too much information.     

Determining the impact of a surgical liaison nurse role in the paediatric operating room

A two-group (N = 92) quasi-experimental pre-post test design was used to examine the effects of intra-operative communication by a surgical liaison nurse (SLN) on parental anxiety. Group I received in person progress reports from the SLN. Group II received routine perioperative care. The Speilberger's State-Trait Anxiety Inventory (STAI) Scale and investigator developed family rating scales were distributed to both groups and used as a quantitative as well as a qualitative approach to determine what was helpful for the family members during the operative period. Two hundred and eighty feedback forms were dispersed to various health care professionals including all anaesthetists, surgeons, nurses and other staff in the perioperative care team, including the operating room, day surgery unit and the post anaesthetic recovery room areas. Feedback forms were also circulated to staff from the intensive care unit and the surgical in-patient units. The results showed the anxiety levels were lower for the families who received in person progress reports but the difference by group was not statistically significant. Thematic written responses provided examples of improved care and effective time management behaviours on the part of the health care professionals. Written responses provided validation for the scale scores for both families and health care professionals and were an indication of the support for the role of the surgical liaison nurse. Qualitative findings implied that the surgical liaison nurse facilitated the transfer of necessary information between the perioperative care team and the family thus providing a support mechanism for families under stress.     

术前访视对预防心脏外科术后患者ICU综合征的效果观察

目的:通过ICU护士术前访视降低心脏外科手术患者ICU综合征的发生率。方法:将60例心脏外科手术患者随机分为试验组(30例)和对照组(30例),对照组患者由外科病房护士和手术室护士进行常规术前准备和宣教,试验组患者在此基础上由ICU护士进行术前访视。比较两组患者术后的谵妄值、焦虑值及护理满意度。结果:试验组患者的焦虑值和谵妄值均明显低于对照组(P<0.01)。试验组患者的护理满意度高于对照组(P<0.05)。结论:ICU护士术前访视能有效降低心脏外科术后患者ICU综合征的发生率,同时也可以使患者以积极的心态配合ICU治疗和护理,有助于提高ICU护理满意度。     

An individualized teaching programme following primary uncomplicated myocardial infarction

This paper describes the planning and implementation of an individualized teaching programme for patients and their families following primary uncomplicated myocardial infarction. This preliminary study was designed and implemented by a senior nurse while working in the clinical area. Patients were randomly allocated to a control or study group. Both groups of patients were interviewed on the fourth day following admission to hospital and again at 2 and 6 months after discharge. Nurse intervention in the form of individually planned consecutive teaching sessions achieved a reduction in anxiety and modification of identifiable risk factors (smoking, obesity, diet, exercise) in the patients included in the teaching programme.     

产科护士门诊病房一体化模式对妊娠期糖尿病患者妊娠结局、焦虑及满意度的影响

目的探讨产科护士门诊病房一体化模式对妊娠期糖尿病患者妊娠结局、焦虑及满意度的影响,以期为产科护理学科的发展与完善提供一定依据。方法 2012年5月1日至2013年4月30日,便利抽样法选择上海市某三级甲等综合性医院产科建卡并定期产检的妊娠期糖尿病孕妇304例为研究对象。按随机数字表法将其分为观察组(n=150)和对照组(n=154)。观察组患者除接受常规产前门诊外,还参加由产科病房资深护士开设的门诊,并继续接受产后服务即对应责任制护理;对照组患者只进行常规产前门诊。比较两组患者有关妊娠结局、焦虑及满意度等指标。结果观察组患者入组时和分娩前焦虑程度的差异无统计学意义(P0.05),对照组患者分娩前的焦虑程度高于入组时,差异有统计学意义(P0.05)。观察组患者自然分娩率和患者满意率均高于对照组,差异均有统计学意义(均P0.05)。观察组产妇新生儿体质量低于对照组,差异有统计学意义(P0.05)。结论产科护士门诊病房一体化模式可以降低妊娠期糖尿病产妇的焦虑水平,优化分娩结局,提高自然分娩率和孕妇围产期满意度。     

舒适护理在肾移植手术病人围术期中的应用

[目的]探讨舒适护理在肾移植手术病人围术期中的应用效果。[方法]将80例肾移植手术病人随机分为对照组和观察组各40例,观察组病人围术期给予舒适护理,对照组病人围术期给予常规护理。[结果]观察组病人血压及心率比对照组平稳、焦虑程度及术后不良反应发生率低于对照组、对手术的满意度高于对照组,差异均有统计学意义(P均<0.05)。[结论]舒适护理应用于肾移植病人围术期中使病人的生命体征相对平稳,可明显缓解病人对手术的焦虑情绪及提高病人对手术满意度。     

治疗性沟通系统对乳腺癌患者围手术期焦虑抑郁情绪的影响

目的探讨治疗性沟通对乳腺癌患者围术期焦虑抑郁情绪的影响。方法选择100例乳腺癌手术患者,随机分为对照组和观察组,每组各50例。对照组给予一般的健康教育和指导,观察组在此基础上依据治疗性沟通系统中的交际性沟通、评估性沟通、治疗性沟通3方面,分阶段、分主次进行护理干预。采用焦虑自评量表和抑郁自评量表评价2组患者干预前后的焦虑和抑郁状况。结果观察组干预前无焦虑、轻度焦虑、中度焦虑、重度焦虑的例数分别为0、11、17、22例,对照组分别为0、10、17、23例,2组比较差异无统计学意义（Z=1.46,P〉0.05）;干预后观察组分别为15、18、10、7例,对照组分别为0、15、21、14例,2组比较差异具有统计学意义（Z=-2.03,P〈0.05）。观察组干预前无抑郁、轻度抑郁、中度抑郁、重度抑郁的例数分别为0、10、18、22例,对照组分别为0、9、19、22例,2组比较差异无统计学意义（Z=1.43,P〉0.05）;干预后观察组分别为14、17、10、9例,对照组分别为0、15、20、15例,2组比较差异有统计学意义（Z=-1.99,P〈0.05）。结论乳腺癌患者围术期焦虑、抑郁等负性情绪明显,治疗性沟通系统能有效降低乳腺癌患者围手术期的焦虑和抑郁水平。     

Music therapy as an adjunctive treatment in the management of stress for patients being weaned from mechanical ventilation

This project investigated music therapy (MT) in managing anxiety associated with weaning from mechanical ventilation. The use of sedation to treat anxiety during weaning is problematic because side effects (e.g., respiratory depression) are precisely the symptoms that cause the weaning process to be interrupted and consequently prolonged. Study goals were to determine the feasibility of incorporating MT into the weaning process and to evaluate the efficacy of the intervention, based on levels of anxiety, Days to Wean (DTW), and patient/nurse satisfaction. Adult patients received multiple MT sessions per week while undergoing weaning trials from mechanical ventilation. Feasibility was determined by successful enrollment in the study and nurse survey. Efficacy was evaluated through anxiety, as measured by heart rate, respiratory rate, and patient/nurse survey; DTW; and patient/nurse satisfaction. Nurse surveys reported that MT was successfully incorporated into the milieu and 61 subjects were enrolled. Significant differences in heart rate and respiratory rate were found from the beginning to the end of MT sessions (p < .05 and p < .0001, respectively), indicating a more relaxed state. No significant difference in mean DTW was found between study and control subjects. Patient/nurse satisfaction was high. Music therapy can be used successfully to treat anxiety associated with weaning from mechanical ventilation. Limitations and suggestions for further research are discussed.     

产科护士门诊病房一体化模式对妊娠期糖尿病患者的影响研究

目的探讨产科护士门诊病房一体化模式运用于妊娠期糖尿病患者对妊娠结局及负性情绪的影响。方法选择妊娠糖期尿病患者共98例,分为对照组和观察组各49例。观察组行产科护士门诊病房一体化模式护理,结合医生和护士,实施护士门诊和病房联动模式给予患者支持照护;对照组行常规产前门诊护理。比较两组患者护理前后焦虑评分、妊娠结局和护理满意度。结果观察组护理后焦虑评分低于对照组,差异有统计学意义(P0.05);观察组自然分娩率高于对照组,新生儿体质量低于对照组,护理满意度高于对照组,差异有统计学意义(P0.05)。结论产科护士门诊病房一体化模式运用于妊娠期糖尿病患者可有效缓解产妇焦虑情绪,提高自然分娩率,改善分娩结局,提高护理满意度,值得推广应用。     

Preferences in surgical waiting area amenities

The purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and surveyed. The findings indicate that family members have preferences for specific amenities. Items of highest importance include the service of a surgical nurse coordinator and a private room for consulting with physicians. Items of average importance include beepers and educational materials about the procedure. Items of least importance include a food cart and soft music. AORN J 75 (June 2002) 1077-1083.     

一站式智能预约模式在护理临床技能培训中的应用效果

目的:分析一站式智能预约模式在临床护理技能培训中的实践效果.方法:采用随机数字表法将我院新入职护士分为实验组和对照组,最终共210人完成研究,实验组和对照组各105人.对照组予以传统方式,实验组予以一站式智能预约模式.观察护士操作考核成绩、缺考率、考前焦虑水平及考核等待时间,以及考核双方满意度.结果:实验组操作考核成绩...     

围手术期护理在子宫脱垂圆韧带悬吊术的临床效果

目的:研究分析子宫脱垂圆韧带悬吊术的围手术期护理措施.方法:选取本院2018年1月至2020年3月收治的82例子宫脱垂患者为研究对象.随机分为对照组与观察组,每组例数均为41例.所有患者均采用圆韧带悬吊术进行治疗,对照组患者围手术期进行常规护理措施,观察组患者围手术期在常规护理基础上增加护理干预.护理后,对比两组患者焦...     

心理护理干预对前列腺电切术病人围术期焦虑的影响

[目的]探讨心理护理干预对经尿道前列腺电切术（TURP）病人焦虑的影响。[方法]180例TURP病人随机分为干预组和对照组。干预组采用围术期心理护理方法,对照组采用常规的传统护理方法。分别观察术前1d、手术当天和术后3d病人心率、血压和焦虑状况。[结果]两组病人焦虑水平在术前1d差异无统计学意义（P〉0．05）,而手术当日、术后3d差异有统计学意义（P〈0．01）。对照组手术当日血压、心率较术前基础值明显增高（P〈0．01）。[结论]围术期实施有效的护理干预可缓解TURP病人焦虑心理,降低病人血压、心率变化幅度。     

康复护理对喉癌患者围手术期焦虑、抑郁情绪的影响

目的：探讨康复护理干预对喉癌患者围手术期焦虑、抑郁情绪的影响。方法：喉癌患者37例,随机分为对照组18例和康复组19例,对照组给予常规护理,康复组采用围手术期系统的康复护理。采用抑郁自评量表（SDS）与焦虑自评量表（SAS）分别在人院和出院时对2组患者进行测评。结果：人院时2组SDS及SAS评分差异无统计学意义,出院时康复组SDS及SAS评分均明显低于人院时及对照组（P〈0．05）。结论：康复护理可改善喉癌患者围手术期的焦虑和抑郁情绪,促进康复。     

A controlled trial of music and pre-operative anxiety in Chinese men undergoing transurethral resection of the prostate

AIM OF THE STUDY: To test the effects of music intervention on pre-operative anxiety in Chinese males undergoing transurethral resection of the prostate. RATIONALE: No studies have measured the effects of music intervention in reducing pre-operative anxiety for patients with transurethral resection of the prostate (TURP). Previous studies have examined the effects of music on pre-operative anxiety but have not examined the possible effects of the presence of a carer as an independent variable in pre-operative anxiety levels of patients in addition to the music intervention. The cultural validity of applying a music intervention to the reduction of pre-operative anxiety was also investigated. DESIGN: A quasi-experimental design with three groups: music intervention, nurse presence and control group. METHOD: Thirty patients having TURP were randomly assigned (n = 10 each group) to one of the three groups. Pre- and post-test measures of systolic and diastolic blood pressure, heart rate and state anxiety using the Chinese State-Trait Anxiety Inventory (C-STAI) were obtained for the three groups. RESULTS: The findings showed that the music intervention significantly reduced all blood pressure levels for the patients. A reduction in state anxiety level was also found for the music intervention group. No significant reductions in blood pressure, heart rate and state anxiety level were found in the nurse presence and control groups. CONCLUSION: The results support the cross-cultural validity of using a music intervention in pre-operative anxiety reduction, in this case for TURP patients waiting in the theatre holding area.     

Strategies to Relieve Patients' Preoperative Anxiety Before Anesthesia: Experiences of Nurse Anesthetists

PurposeTo investigate nurse anesthetists' experiences of strategies that alleviate adult patients' preoperative anxiety before anesthesia administration.DesignThe study has a qualitative approach wherein the data were collected through semistructured interviews. The study included interviews with six active nurse anesthetists with at least 5 years of experience who worked in a hospital in southern Sweden.MethodsCritical incident technology was used to analyze the data.FindingsFour different categories emerged: behavior of nurse anesthetist, preoperatively providing information, diverting attention to create security, and medicine as an alternative.ConclusionsAwareness can increase the use of different strategies by both new and experienced nurse anesthetists, as well as by nurses in preoperative units, which in turn alleviates patient anxiety about anesthesia. This may result in a better perioperative experience for the patient.     

Effects of Lavender on Preprocedural Anxiety in Patients Undergoing Image-Guided Biopsies

Patients undergoing biopsy in interventional radiology (IR) often have increased preprocedural anxiety. IR nurses are with these patients throughout their admission and procedure, and in a position to find innovative ways to ameliorate this patient anxiety. The aim of this study is to describe and measure the effect of aromatherapy on reported levels of preprocedural anxiety in IR patients undergoing image-guided biopsies in a community hospital. A prospective experimental pretest-posttest control group design of 90 subjects were randomly assigned to receive a lavender impregnated aromatherapy patch (n = 45) or a jojoba oil patch (n = 45). Self-reported anxiety levels were measured at the time of admission and immediately before the procedure utilizing a 100 mm visual analog scale. Subjects’ anxiety scores decreased significantly from admission to just before their procedure among the whole sample, F(1, 88) = 5.43, p < .05; however, changes in pretest to post anxiety scores did not evidence a statistically significant effect by study group (i.e., aromatherapy vs. jojoba oil), F(1, 88) = .23, p = .63. As clinicians strive for evidence of decreased anxiety in patients undergoing IR procedures, additional research may include a control arm with IR nurse interaction, consistent with other arms. Selection of the best varieties and formulations of lavender should also be addressed in future study. Results from this study reveal a statistically significant decrease in patient-reported anxiety preprocedurally; although this decrease was consistent for patients in the intervention and placebo groups. It is important to determine if this overall decrease in anxiety is due to IR nurse interaction, patient satisfaction, or another unknown variable.     

疼痛护理干预对全腹壁整形术围手术期焦虑及术后疼痛态度的影响

目的 探讨术前疼痛护理干预对全腹壁整形围手术期焦虑水平、疼痛态度及疼痛干扰的影响.方法 于2018年1月～2020年3月年进行随机对照研究,共有54例患者纳入研究,随机分为对照组(n=26)和试验组(n=28);对照组接受常规护理,试验组除常规护理外还实施了术前疼痛护理干预.使用视觉模拟量表(VAS-A)评估焦虑程度、...     

心理干预对围手术期患者的影响

目的:探讨手术室实施心理干预对围手术期患者心理应激反应的影响。方法:选取住院择期手术患者120例,随机分为干预组和对照组各60例。干预组分别在术前1 d、术晨入手术间、麻醉前进行心理干预,对照组除了不接受心理干预外,其余护理措施同干预组。对两组患者术前焦虑值及生命体征指标(心率、血压)进行测定,并进行术后满意度调查。结果:两组患者术前生命体征指标无明显差异,而术晨入手术间和麻醉前干预组焦虑值及生命体征指标明显优于对照组,术后回访满意度高于对照组。结论:手术室护士术前对择期手术患者进行心理干预特别在术晨入手术间至麻醉前这一时段,可有效缓解患者焦虑、恐惧情绪,并且能够稳定其生命体征,术前心理干预在围手术期护理中发挥着积极作用。     

患者自身伦理道德对围术期心理护理效果的影响

目的探讨患者自身伦理道德对围术期心理护理效果的影响,为责任护士对围术期患者进行心理护理寻求更有效的方法。方法将66例患者按便利抽样法分为实验组和对照组,两组均33例。实验组采用发放调查问卷和面对面交流法,全面了解患者对手术治疗和生活的态度,综合分析后从患者自身伦理道德角度进行干预;对照组采用传统的说教式健康教育法。两组患者均采用汉密顿抑郁量表和焦亚萍围手术期心理护理效果评分表评估,并比较其焦虑程度和心理护理效果满意度。结果实验组焦虑程度明显低于对照组（P〈0．05）,心理护理效果满意度明显高于对照组（P〈0．05）。结论患者自身伦理道德对围术期心理护理效果有正面影响。