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早期心理与信息支持对甲状腺日间手术患者术前应激的影响
引用本文:杨霞,卢惠娟,赵爱平,胡文娟,陈哲颖,周亚芬.早期心理与信息支持对甲状腺日间手术患者术前应激的影响[J].护理学杂志,2011,26(2):54-56.
作者姓名:杨霞  卢惠娟  赵爱平  胡文娟  陈哲颖  周亚芬
作者单位:1. 复旦大学护理学院,上海,200032;上海交通大学医学皖附属仁济医院手术室
2. 复旦大学护理学院,上海,200032
3. 上海交通大学医学皖附属仁济医院手术室
基金项目:上海交通大学医学院科研基金
摘    要:目的 减轻甲状腺日间手术患者术前焦虑,稳定生命体征.方法 将78例甲状腺日间手术患者按入院先后顺序分为对照组和干预组各39例.对照组进行常规护理与指导,干预组在此基础上由专职护士于预约手术时、术前3 d、术前1 d、手术日等待手术时进行4次心理与信息支持干预.采用状态焦虑问卷(S-AI)评定患者预约手术时和手术日等待手...

关 键 词:甲状腺结节  日间手术  心理支持  信息支持  应激

Effects of early psychological and informational supports on preoperative stress in day surgery patients undergoing thyroidectomy
Yang Xia,Lu Huijuan,Zhao Aiping,Hu Wenjuan,Chen Zheying,Zhou Yafen.Effects of early psychological and informational supports on preoperative stress in day surgery patients undergoing thyroidectomy[J].Journal of Nursing Science,2011,26(2):54-56.
Authors:Yang Xia  Lu Huijuan  Zhao Aiping  Hu Wenjuan  Chen Zheying  Zhou Yafen
Institution:(College of Nursing,Fudan University,Shanghai 200032,China)
Abstract:Objective To relieve preoperative anxiety in day surgery patients undergoing thyroidectomy and stabilize their vital signs.Methods Totally,78 day surgery patients receiving thyroidectomy were equally divided into an intervention group and a control group according to the chronological order.Patients in the control group received conventional nursing care and instructions,while their counterparts in the intervention group were additionally given preoperative psychological and informational supports on such four time points as the day of making an appointment for surgery,3 d and 1 d before surgery,and the surgery day.The anxiety levels of patients were evaluated by using the S-AI scale,and pulse rates and blood pressure were measured on the day of making an appointment for surgery and the surgery day.Results The scores of anxiety of patients on the day of making an appointment for surgery were significantly higher than the norm (P<0.05,P<0.01),and anxiety level of the intervention group was significantly lower than that of the control gropu (P<0.01);the fluctuations of pulse rates and blood pressure in the intervention group were statistically smaller than those in the control group (P<0.01 for all).Conclusion Early psychological and informational supports can effectively reduce preoperative anxiety of day surgery patients undergoing thyroidectomy,stabilize their vital signs.
Keywords:thyroid nodule  day surgery  psychological support  informational support  stress
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