全机器人心脏手术患者术前心理需求调查

Investigation of preoperative psychological requirement of patients undergoing total robotic cardiac surgery

目的探讨Da Vinic S心脏手术患者术前心理需求状况，为实施有效的针对性护理措施提供依据。方法随机选取106例择期行全机器人心脏手术患者，采用自行设计的问卷，分别在入院第1天和手术前2h进行问卷调查。结果全机器人心脏手术患者的心理需求是多方面的，主要体现在：希望了解机器人心脏手术的成功率（3．70±0．54）分，想知道病情进展及变化情况（3．68±0．51）分，了解机器人手术的治疗效果（3．64±0．59）分，想和已经接受机器人心脏手术患者交流（3．63±0．62）分。结论机器人心脏手术患者术前存在很多心理需求，应根据不同心理需求采取相应护理对策，重视对患者的健康指导，加强手术前后的访视，促进患者康复。

Objective To investigate the preoperative psychological requirement of patients undergoing da Vinic S Robotic Cardiac Surgery in order to provide scientific data for the effectively nursing interventions. Methods One hundred and six cardiac patients scheduled for Total Robotic operation were selected. They were surveyed on the first day in hospital and 2 hours before operation by self-designed questionnaire. Results Total score of the psychological requirement of patients undergoing total robotic cardiac surgery was 96 to 171 （ 137.52 ± 18.54）. The amount of items which necessary rate was more than 50% was 20, they occupied 48 percent of all items. The psychological requirements of patients undergoing total robotic cardiac surgery were various, which mainly embodied in the following：wanting to know the success rate of total robotic cardiac surgery（3.70 ±0.54）, wanting to understand the progress and changes of disease（3.68 ±0.51 ）, wanting to understand the effect of total robotic operation（3.64 ± 0.59）, wanting to communicate with the patients underwent total robotic cardiac surgery （3.63 ± 0.62）. Conclusions The patients have many psychological requirements before to receive total robotic cardiac operation, we should take corresponding nursing countermeasures based on different psychological needs, pay attention to the patient＇ s health guidance and the preoperative interview in order to promote recovery.