围手术期视频宣教在老年手术患者术前访视中应用的研究-现代医学

围手术期视频宣教在老年手术患者术前访视中应用的研究

单位：1. 重庆市第十三人民医院麻醉科, 重庆 400053;
2. 重庆市第十三人民医院肝胆乳甲外科, 重庆 400053;
3. 重庆市第十三人民医院胃肠神经外科, 重庆 400053

分类号：R473.6

出版年·卷·期（页码）：2020·48·第一期（114-118）

摘要：

目的： 探讨围手术期视频宣教在老年手术患者术前访视中的应用及效果。方法： 本研究采取前后对照试验：选取2018年12月至2019年3月新入院的老年手术患者100例作为对照组，选取2019年4月至2019年7月新入院的老年手术患者100例作为试验组。对照组患者采用口头宣教方式进行术前访视；试验组患者在口头宣教基础上采用围手术期视频宣教方式进行术前访视。采用Zung自评焦虑量表（SAS）评估两组患者术前1 d与进入手术室实施麻醉前的焦虑值变化以及血压、心率的变化。比较两组术前访视所用时间、患者手术配合程度、患者术前访视满意度及围手术期满意度。方法： 试验组和对照组患者术前1 d的焦虑评分、血压、心率的基线水平相当，差异无统计学意义（P > 0.05）；对照组患者术前1 d与麻醉前的焦虑评分和收缩压比较，差异无统计学意义（P > 0.05），心率与舒张压显著增加（P<0.05）；试验组患者术前1 d与麻醉前的焦虑评分、心率、收缩压及舒张压比较，差异均无统计学意义（P > 0.05）。进入手术室麻醉前，试验组患者的焦虑评分、血压、心率均显著低于对照组患者（P < 0.05）。试验组术前访视时间显著低于对照组，而患者术中配合程度评分显著高于对照组（P < 0.05）。试验组患者术前访视的总满意度为95.00%，显著高于对照组的86.00%（P < 0.05）。试验组患者围术期满意度评分显著高于对照组（P < 0.05）。方法： 老年手术患者术前访视中采用围术期视频宣教可有效缓解患者恐惧心理，增加患者术中配合度和围术期满意度，提高护理工作效率，值得推广和应用。

Objective: To investigate the application of perioperative video education in preoperative visits of elderly patients. Methods: A pre-and post-controlled trial was conducted in this study. 100 elderly patients admitted to our hospital from December2018 to Marth 2019were selected as control group. 100 elderly patients who were newly admitted to our hospital from April 2019to July 2019were selected as experimental group. The patients in the control group were given pre-operative visits by means of oral communication; the patients in the experimental group were given perioperative video education on top of preoperative visits.. The Zung Self-Assessment Anxiety Scale (SAS) was used to assess the changes in anxiety values. The blood pressure and heart rate between the two groups beforesurgery, entering the operating room before anesthesia were recorded. The time spent on preoperative visits, the degree of surgical cooperation, the preoperative visit satisfaction, and the perioperative satisfaction were compared between the two groups. Results: The experimental group and the control group had the same baseline level of anxiety score, blood pressure and heart rate on day 1 before operation,and there were no statistically significant differences between the two groups. In control group, there was no significant difference in anxiety score and systolic blood pressure between day 1 before surgery and preoperative anesthesia (P>0.05), but the heart rate and diastolic blood pressure increased significantly (P<0.05). In experimental group, there was no significant difference in anxiety score, heart rate, systolic blood pressure and diastolic blood pressure between day 1 before surgery and preoperative anesthesia (P>0.05). When entering the operating room before anesthesia, the anxiety score, blood pressure and heart rate of the experimental group were significantly lower than those of the control group (P<0.05). The preoperative visit time of the experimental group was significantly lower than that of the control group, and the score of the intraoperative cooperation was significantly higher than that of the control group (P<0.05). The total satisfaction of preoperative visits in the experimental group was 95.00%, which was significantly higher than that of the control group (86.00%) (P<0.05). The perioperative satisfaction score of the experimental group was significantly higher than that of the control group (P<0.05). Conclusion: Perioperative video education in preoperative visits of elderly patients can effectively alleviate patients' fear, increase the degree of intraoperative cooperation and perioperative satisfaction, and improve the efficiency of nursing work. It is worthy of promotion and application.

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