护理干预对286例神经外科择期手术患者术前焦虑的效果分析

目的：探讨综合护理干预措施对预防神经外科择期手术患者术前焦虑的影响。方法经患者知情同意和医院伦理委员会批准，将2011年1月至2011年5月286例在我院神经外科接受手术治疗的患者按护理方法分为实验组（150例）和对照组（136例）。对照组按照神经外科择期手术术前常规进行护理；实验组在常规护理的基础上给予加强心理护理，并进行音乐疗法、按摩、图文示意卡和做好医护沟通等综合护理干预措施。比较对照组和实验组焦虑值。结果实验组神经外科择期手术患者术前焦虑值（46．0±5．1）分低于对照组（61．0±7．0）分，差异有统计学意义（P＜0．01）。结论综合护理干预措施可以显著降低神经外科择期手术患者术前焦虑，有利于手术的顺利进行和术后疾病的恢复。

Effects of nursing intervention on pre-surgical anxiety in 286 patients having elective surgery

Objective To explore the effects of comprehensive nursing intervention measures on the prevention of pre -surgical anxiety in patients having elective neurosurgery .Methods In accordance with different nursing methods , 286 patients, who received neurosurgical treatment in the Neurosurgery Department of our hospital from Jan , 2011 to May, 2012, were divided into 2 groups：the experimental group （150 cases） and the control group （136 cases）.The patients in the control group received routine nursing care , be-fore elective neurosurgical surgery .In addition to routine nursing care , the patients in the experimental group received intensified psy-chological care plus comprehensive nursing interventions , such as musical therapy , massage, graphic beckoned card and better commu-nications between patients and nurses .Then, anxiety values were compared between the 2 groups.Results Pre-surgical anxiety value of the patients in the experimental group was （46.0 ±5.1）, which was lower than （61.0 ±7.0） of the control group.And statistical significance could be seen, when comparisons were made between them （P〈0.01）.Conclusion Comprehensive nursing intervention could significantly decrease pre-surgical anxiety of elective surgical patients and proved to be helpful to the performance of surgery and recovery of patients .