肺癌患者手术知识认知需求调查分析

INVESTIGATION AND STUDY ON THE COGNITION AND THE DEMAND OF LUNG CANCER PATIENTS DURING SURGERY

目的探讨肺癌患者对手术相关知识的认知需求,为术前宣教、访视及术中护理提供循征依据。方法按照纳入、排查标准筛选112例肺癌准备手术患者,应用自设手术知识认知需求问卷及焦虑自评量表(SAS)调查。结果问卷有效回收率为95.56%,88.79%肺癌手术患者对各条目的认知需求率≥70%,不同认知需求率患者不同时段的SAS焦虑评分差异有统计学意义(P<0.05)。结论肺癌患者对手术相关知识认知需求总体处于较高的水平,并伴有中、重度的焦虑,需要我们今后工作中完善术前访视及术中护理的措施,满足患者手术知识认知需求,减轻患者术前焦虑,保证手术安全与效果。

Objective To investigate the cognition and demand of lung cancer patients during surgery in or-der to provide evidence- based for preoperative education and visits and intraoperative care.Methods A self-designed questionnaire of the cognition and the demand to patients undergoing surgery and self-rat-ing anxiety scale was used to investigate 112 cases of patients of lung cancer need for surgery.Results The effective rate of the questionnaire was 95.56%.The cognition and demand rate for each item in 88.79% of lung cancer patients undergoing surgery was over 70%.SAS scores of patients had different rate of the cognition and demand was significant difference （P 〈0.05）.Conclusion The rate of cognition and demand of lung cancer patients during surgery is at a higher level overall,and they were accompanied by moderate or severe anxiety.In order to meet the cognition and demand of lung cancer patients during surgery and reduce their preoperative anxiety,the measures in the preoperative visits and intraoperative care would be improved in the future work for ensuring the safety and effectiveness of surgery.