参观手术室环境对患者术前恐惧程度的影响

目的 探讨参观手术室环境对患者术前恐惧程度的影响.方法 选取入院后恐惧视觉模拟评分≥4分、首次行择期手术、活动无障碍、非糖尿病患者160例,年龄16～64岁,随机分为2组(n=80):对照组和试验组.对照组麻醉前行常规访视和告知,试验组在常规访视和告知后带患者参观手术室环境和有关医疗设备.于入院后第2天清晨(T1)、访视后当晚入睡前(T2)、人手术室后麻醉前(T3)记录恐惧视觉模拟评分、MAP和HR,于T1,3时测定血糖.结果 与对照组相比,试验组T2,3时MAP、HR、中度和重度恐惧发生率及T3时血糖明显降低(P<0.01).结论 参观手术室环境有助于减轻患者术前的恐惧程度.

Effect of patient's preoperative visit to operating room on the preoperative apprehension

Objective To evaluate the effect of the patient's preoperative visit to the operating room on the patient's apprehension before operation.Methods One hundred and Sixty patients aged 16-64 yr with fear visual analog scale (FVAS) score≥4 scheduled for elective surgery were randomly divided into 2 groups(n=80 each):control group and study group.In control group the anesthesiologists visited their patients the day before operation ns usual;while in study group the anesthesiologists brought their patients to the operating room,showed them the environment and anesthesia equipment and assured of the safety of the operation and anesthesia.The degree of fear was scored according to FVAS (O=no fear,1-3 mild,4-6 moderate,7-10 severe) and was evaluated on the 1st morning after admission(T1),the night before operation(T2)and before induction of anesthesia(T3).MAP and HR at T1-3 and blood glucose level at T1,3 were mensured and recorded.Results The patient's preoperative apprehension was significantly allayed by patient's preoperative visit to the operating room.The MAP,HR,incidence of moderate and severe fear at T2,3 and blood glucose level at T3 were significantly lower in study group than in control group.Conclusion Patient's preoperative visit to the operating room can allay precperative apprehension.