综合沟通交流在择期手术中的应用价值

Application value of comprehensive communication in elective surgery

摘要:

目的探讨综合沟通交流在择期手术患者中的应用价值。方法选择行择期手术患者435例,将患者随机分为观察组(n＝219)和对照组(n＝216),观察组给予综合沟通交流,对照组给予常规术前访视,采用正性负性情绪自评量表(PANAS)评估患者正性和负性情绪,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者焦虑、抑郁状况,比较两组患者术前收缩压(SBP)、舒张压(DBP)、心率(HR)、去甲肾上腺素、肾上腺素和麻醉完成时间。结果观察组干预后正性情绪评分高于对照组,负性情绪评分低于对照组(P＜0.05)；观察组干预后SAS、SDS评分低于对照组(P＜0.05)；观察组术前HR低于对照组(P＜0.05)；观察组术前去甲肾上腺素和肾上腺素水平低于对照组(P＜0.05)；观察组麻醉完成时间短于对照组(P＜0.05)。结论综合沟通交流在择期手术中有较好的应用价值,能改善患者负性情绪,提高患者麻醉配合度。

Abstract:

To explore the application value of comprehensive communication in patients undergoing elective surgery. Methods435 patients underwent elective surgery were selected, the patients were randomly divided into observation group (n＝219) and control group (n＝216). Patients in observation group were given comprehensive communication, patients in control group were given routine preoperative visit, the positive and negative emotions were assessed with the positive and negative PANAS, SAS and SDS were used to evaluate the anxiety and depression of the patients, the systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR), norepinephrine, epinephrine and completion time of anesthesia were compared between the two groups. ResultsAfter intervention, positive emotion score of observation group was significantly higher than that of control group, while negative emotion score of observation group was significantly lower than that of control group (P＜0.05); After intervention, SAS and SDS scores in observation group were significantly lower than those in control group (P＜0.05); The preoperative HR of observation group was significantly lower than that of control group(P＜0.05); Preoperative norepinephrine and epinephrine in observation group were significantly lower than those in control group(P＜0.05); The completion time of anesthesia in observation group was significantly shorter than that in control group(P＜0.05). ConclusionComprehensive communication has better application value in elective surgery, which can improve patients' negative emotions and improve patients' anesthesia cooperation degree.