术前访视对手术病人干预效果研究

目的 探讨术前访视对手术病人的干预效果。方法 将103例病人随机分为观察组（接受术前访视）和对照组（未接受术前访视）。并测定其术焦虑、心率、收缩压、舒张压、疼痛指标。结果 观察组手术前焦虑及血压波动和Ⅱ、Ⅲ级疼痛病人显著低于对照组。结论 术前访视能有效缓解术前焦虑，提高疼痛阈值，减少血压、心率波动，加速术后身体恢复。     

手术病人术前护理访视效果评价

目的评估术前访视对消除或减轻手术对病人所致负性心理的效果。方法300例手术病人按疾病种类的不同用数字随机表分成访视组和未访视组各150例,于手术前日对病人自身疾病认知等情况进行调查,对访视组病人介绍疾病的诊断、治疗、麻醉、手术的基本情况,解答病人的疑难问题,做好解释、疏导工作。结果访视组的病人对自身疾病、麻醉、手术的认知高于未访视组;术前恐惧、焦虑紧张症状较未访视组减轻;经字2检验均有显著性差异(P均<0.005)。术前晚失眠人数少于未访视组,经字2检验有显著性差异P<0.05。基础血压与麻醉前血压、基础心率与麻醉前心率两组各自经t检验,访视组P>0.05,无显著性差异;未访视组P<0.01,有显著性差异。两组比较,经t检验,基础血压、心率无显著性差异,P>0.05;麻醉前血压、心率有显著性差异,P<0.01,说明访视组血压、心率比未访视组平稳。结论通过访视能消除或减轻病人术前焦虑、恐惧、紧张不安心理,积极配合手术,使手术顺利进行。     

术前访视对清醒手术病人的影响

目的 探讨术前访视对清醒手术病人生命体征及相关因素的影响和主要护理措施。方法 将256例人院手术病人随机分成实验组130例,对照组126例,实验组采用术前访视的方法,对照组采用病区一般心理护理。结果 实验组对生命体征影响较小,患者疾病相关知识及对护理工作的满意度均高于对照组,差异具有统计学意义(P＜0.01)。结论 对清醒手术病人实施术前访视,提高了病人对手术的耐受性,调动了患者积极配合手术治疗的积极性,促进了护理人员工作的主动性。     

术前访视对甲状腺手术患者心理干预效果研究

目的:探讨术前访视对行甲状腺手术的患者心理因素的影响。方法:按手术日期单双号将120例患者分为实验组和对照组各60例,对患者术中焦虑程度、遵医行为、术中不良反应及对护理工作满意度等进行比较。结果:实验组术中焦虑值显著低于对照组(P<0.01),遵医行为优于对照组(P<0.05),术中不良反应发生明显低于对照组(P<0.01),对护理工作满意度高于对照组(P<0.01)。结论:术前访视可减轻甲状腺手术患者的紧张焦虑情绪,提高其遵医行为,使术中不良反应明显减少,并能提高患者对护理工作的满意度。     

日间手术病人术前访视需求调查

[目的]了解日间手术病人术前访视需求状况,为手术室护理人员针对性的护理服务提供依据。[方法]采用自行设计的术前访视需求问卷,对284例日间手术病人进行调查。[结果]日间手术病人术前访视需求总分为56.7分±11.5分。位居需求前5位的项目依次为手术室环境信息、手术安全信息、手术过程信息、心理支持信息、感受或不舒适信息。[结论]手术室护理人员应重视日间手术病人的术前访视需求,通过实施及时有效的术前评估并给予针对性的心理信息支持,满足病人需求,改善日间手术病人的就医体验,提高手术室护理质量和工作效率,促进病人康复。     

术前访视对缓解手术病人术前紧张情绪的作用及分析

目的 通过术前访视,护士向患者介绍手术及麻醉注意事项,缓解患者紧张情绪,增强其对手术的信心,使手术能顺利进行。方法 选择泗泾医院2013年6月-7月择期手术病人70例：其中男性40例、女性30例;外科手术病人50例、妇科和骨科病人各10例,随机分为对照组和试验组,对试验组进行术前访视,对照组未进行术前访视,两组患者均无心血管、肺器质性疾病,年龄、性别、文化程度等无显著性差别,具有可比性。观察2组患者进入手术室后表现进行调查分析资料,采用常规统计学意义（P<0.05）。结果 试验组患者进入手术室后情绪稳定,能尽快适应手术室环境,完成角色转换,并能配合麻醉师进行麻醉,处于接受手术的最佳心理和生理状态;对照组患者情绪紧张,处于焦虑状态,对体位配合也无所适从,一定程度上影响了手术进程。结论 术前访视对缓解手术病人紧张情绪有明显作用。     

对择期手术病人进行术前访视

目的 适应现代医学模式的需要，转变传统手术室护士只在手术时间配合为主的工作方法，进行术前访视，体现以人为本的整体护理，提高护理质量。方法我院手术室从2002年开始对择期手术病人进行术前访视，本人共访视手术病人400余名，仔细阅读病历，全面了解病人一般情况、病史、术前诊断、手术名称及部位。根据病情的轻重、麻醉方式、年龄、性别、文化程度、职业等，采取不同的交谈方式，使病人及家属能够明白和接受。结果均取得满意的效果，改善了医患关系，增强了患者治病信心。结论 通过深入到病房对病人进行术前访视，既促进了护患和谐之情，又了解了病人的心理需求，保证了手术的顺利进行。     

术前访视对择期手术病人手术的影响

目的 探讨术前访视对择期手术病人心理应激的影响,保证手术顺利进行.方法 将800例择期手术行硬膜外阻滞麻醉病人随机分为观察组和对照组,观察组病人采用自行设计的术前访视单进行术前访视,对照组仅给予常规护理.两组病人进入手术室后测定疼痛程度、血压、心率、呼吸及不良反应的发生率,并进行统计学分析.结果 观察组的病人经过术前访视后,在疼痛程度、不良反应发生率、血压、心率、呼吸的比值与对照组相比差异有统计学意义(P＜0.01).结论 对择期手术病人进行术前访视及心理疏导,对使病人处于最佳的心理状态来应对手术,具有重要的意义.     

急诊手术病人的术前访视探讨

目的 探讨急诊手术病人术前访视的必要性及效果。方法 对需作急诊手术的清醒病人进行术前访视。结论 病人能接受术中体位安置，主动配合麻醉及手术。     

术前不同时间访视对手术病人的影响

[目的]比较术前不同时间访视对手术病人的影响,提高术前访视质量.[方法]选取择期病人手术120例,随机分为A组、B组,A组术前1 d在病房进行术前访视,B组术前20 min在手术室转床间进行术前访视.对两组病人访视前后的生理指标(血压、心率)、焦虑值、配合手术程度进行比较.[结果]A组访视后血压、心率、焦虑得分显著高于访视前(P<0.05),B组访视前后血压、心率、焦虑得分比较,差异无统计学意义(P>0.05),且B组焦虑得分、血压、心率得分显著低于A组(P<0.05),而配合手术程度优于A组(P<0.01).[结论]术前20 min在手术室转床间进行访视较术前1 d访视,能有效缓解病人术前焦虑状态,减少血压、心率波动,提高病人的配合程度.     

对患者术前访视需求状况的调查分析

目的提高术前访视的质量减轻患者术前的焦虑程度.方法对2001年9～12月98例胸外科患者术前焦虑及71例手术患者术前访视需求状况进行分析.结果术前访视后患者的术前焦虑程度明显低于访视前(P＜0.01);术前1日访视后患者的术前焦虑程度明显低于未访视患者(P＜0.01);目前术前访视的内容、方式不能完全满足患者的需求.结论调查结果显示了术前访视可以减轻术前患者焦虑.要求护士应根据患者需求寻找和选择一种最佳的术前访视内容和方式;术前访视还应满足患者情感与心理的需求.     

对患者术前访视需求状况的调查分析

目的 提高术前访视的质量减轻患者术前的焦虑程度。方法 对2001年9～12月98例胸外科患者术前焦虑及71例手术患者术前访视需求状况进行分析。结果 术前访视后患者的术前焦虑程度明显低于访视前(P<0.01);术前1日访视后患者的术前焦虑程度明显低于来访视患者(P<0.01);目前术前访视的内容、方式不能完全满足患者的需求。结论 调查结果显示了术前访视可以减轻术前患者焦虑。要求护士应根据患者需求寻找和选择一种最佳的米前访视内容和方式;术前访视还庄满足患者情感与心理的需求。     

Medical Evaluation of the Patient Before Operation

Evaluation of the patient about to undergo operation is a responsibility the surgeon often wishes to share with the internist. Careful and critical appraisal is of inestimable value in accomplishing the primary objective—a living patient who has been benefited by his operation. This paper reviews some of the problems, foreknowledge of which will help toward that objective.     

眼科局麻手术术前访视效果观察

按照现代应激学之父汉斯·塞利的应激原理[1] ,手术事件、手术室的陌生环境、孤独都是一种应激源 ,引起非特异性反应 ,如心率加快、血压上升等生理反应 ,产生应激综合征 ,加重病情。手术室护士加强术前访视对病人能产生安抚作用 ,使患者了解手术情况 ,不产生孤独感 ,减少非特异性反应 ,防止心率加快、血压上升有一定的作用。1　资料与方法1 1　一般资料。 2 0 0 1年 10月～ 2 0 0 2年 5月 ,我院为 10 0例眼病患者做了手术 ,其中白内障摘除 35例 ,小梁切除 2 6例 ,视网膜脱离修复 2 7例 ,玻璃体切割 12例。病人年龄 18～81岁 ,平均年龄 5 3 2…     

The Effect of an Operating Room Nurse Visit on Surgical Patient Anxiety

PurposeThe purpose of this study was to evaluate the effect of an operating room nurse visit on the anxiety levels of surgical patients.DesignA prospective, interventional, quasi-experimental design.Methods80 patients were divided into the control group (n = 40) and the intervention group (n = 40). The control group was given routine care, and the intervention group was visited preoperatively by the operating room nurse in addition to routine care.FindingsThe State-Trait Anxiety Inventory (STAI TX-1) mean score of the control patients who had information about anesthesia was low, while the STAI TX-1 mean score of the patients who had concerns about surgery was high. The STAI-TX-1 mean score of the control group patients who had information about anesthesia was significantly lower. There was no statistically significant difference in the STAI TX-1 scores between the two groups before and after surgery (P > .05). However, the STAI TX-1 mean score of the control patients was high in the post-operative period.ConclusionsIn an effort to reduce anxiety, the psychological preparation of the patient undergoing urological surgery should involve an anesthesia team member and the operating room nurse together.     

Teaching Patient Empathy The ED Visit Program

OBJECTIVE: Residency programs only are not challenged with developing competent emergency clinicians, but should strive to develop caring, empathetic, and community-minded physicians. An exercise was designed to help residents experience emergency department (ED) visits from the patient's perspective. METHODS: This study occurred in emergency medicine residency program at an urban teaching institution with an annual ED census of 94,000. On the first day of residency orientation, each resident was given a clinical scenario and registered through triage into the ED. Nurses were blinded to the study. The study concluded when the examining physician entered the exam room. Residents were then presented with a simulated bill based on their scenario. Residents completed a survey initially and at six months. Survey ratings were measured using a 100-mm visual analog scale (VAS) (0 = not at all; 100 = a great deal). RESULTS: Twenty-five residents participated over two years. Sixty-four percent had never been an ED patient before. Median length of stay was 139 minutes. This exercise was found to improve resident empathy for patients on initial survey, 66 mm (range 16-71), and at follow-up, 66 mm (range 23-91). Residents found the exercise useful both initially, 50 mm (range 4-86), and at follow-up, 49 mm (range 15-81). Ninety-two percent of the residents thought the goals of the exercise had been met. Residents also stated the study changed their approach to patient care (45 mm, range 4-76) and made them a better physician (49 mm, range 5-80). CONCLUSIONS: The ED visit study enhanced patient empathy within residents and was useful in improving patient care attitude.     

Cognitive Screening Before the Medicare Annual Wellness Visit

Dementia is a devastating illness with increasing prevalence, possibly due to the pervasiveness of untreated modifiable risk factors. While early identification and treatment can improve outcomes, few standardized screening protocols exist. Primary care is uniquely positioned to implement such a screening program. This quality improvement (QI) project implemented dementia screenings in the primary care setting to identify cognitive decline for patients ≥ 60 years old. Statistically significant differences were found in the screening rates between the baseline and implementation groups. Implementing a standardized dementia screening within the primary care setting resulted in improved identification of patients with cognitive changes.