情景式术前访视对乳腺癌患者不良情绪及应激水平的影响

Effect of situational preoperative visit on unhealthy emotions and stress level of patients with breast cancer

目的:观察情景式术前访视对乳腺癌患者不良情绪及应激水平的影响。方法:将60例乳腺癌患者随机分为观察组和对照组,两组入院时均查空腹静脉血皮质醇,但观察组是在术前到手术室专用的情景式模拟手术间访视后抽取静脉血,对照组则由手术室巡回护士到病房进行传统式常规术前访视后采静脉血。比较两组患者进入手术室后麻醉开始前的皮质醇水平,用心理行为评定量表(SAS SDS)对患者情绪状况进行评分。结果:两组入院时皮质醇水平比较无统计学差别(P>0.05);进行情景式术前访视和传统式术前访视后,观察组皮质醇水平低于对照组(P<0.05);观察组的SAS、SDS量表得分低于对照组(P<0.05)。结论:情景式术前访视能有效降低乳腺癌患者术前应激激素的分泌水平,改善不良情绪,提高自我效能,有助于患者康复。

Objective： To observe the effect of situational preoperative visit on unhealthy emotions and stress level of patients with breast cancer.Methods： Sixty patients with breast cancer were randomly divided into observation group and control group,fasting cortisol levels in venous blood of patients in the two groups were detected on admission,the venous blood samples in observation group were abstracted after situational preoperative visit in simulation operating room,while the venous blood samples in control group were abstracted after traditional preoperative visit in ward.The levels of cortisol before start of anesthesia in operating room in the two groups were compared,SAS and SDS were used to evaluate the emotional status of patients.Results： There was no statistically significant difference in cortisol level on admission between the two groups（P 0.05）;after situational preoperative visit and traditional preoperative visit,cortisol level in observation group was statistically significantly lower than that in control group（P 0.05）;SAS and SDS scores in observation group were statistically significantly lower than those in control group（P 0.05）.Conclusion： Situational preoperative visit can effectively reduce the levels of stress hormones before operation in patients with breast cancer,improve unhealthy emotions and self-efficacy,which is helpful to rehabilitation of patients.