集中术前访视在胃肠手术患者中的应用效果

Effects of centralized preoperative interview in patients with gastrointestinal operation

目的:探讨集中术前访视在胃肠手术患者中的应用效果.方法:选取在东阳市人民医院手术室接受胃肠手术的患者160例,根据患者术前访视的方式不同将患者分为对照组和观察组,每组患者80例,接受常规术前访视的患者为对照组,接受集中术前访视的患者为观察组,比较两组患者访视率以及总访视时间,两组患者术后抑郁焦虑状况,两组患者术后并发症的发生,以及术后满意度.结果:观察组患者访视率明显高于对照组(t=20.949,P=0.000),总访视时间明显短于对照组(t=26.881,P=0.000);干预前,两组患者焦虑和抑郁的评分的差异无统计学意义,干预后,两组患者焦虑和抑郁的评分与干预前均有显著下降,观察组患者焦虑(t=9.438,P=0.000)和抑郁(t=8.641,P=0.000)评分明显的低于对照组;观察组患者术后恶心(t=21.055,P=0.000)、咽喉疼痛(t=25.004,P=0.000)以及切口感染(t=5.129,P=0.024)例数明显低于对照组;观察组患者的十分满意例数(t=20.783,P=0.000)以及总满意度(t=12.471,P=0.000)均明显高于对照组,且差异均具有统计学意义.结论:集中术前访视应用与胃肠手术患者不仅可以有效地提升访视率,缩短总访视时间,改善患者的焦虑和抑郁情绪,改善患者术后并发症的发生,还可以有效地提升患者的满意度,值得临床推广.

AIM：To investigate the effects of preoperative interview in patients with gastrointestinal operation.METHODS：One hundred and sixty patients undergoing gastrointestinal operation at People’s Hospital of Dongyang City were divided into an observation group and a control groups according to the way of preoperative interview,with 80 cases in each group.The control group received conventional preoperative interview,and the observation group received centralized preoperative interview.The rate of interview,total interview time,anxiety and depression status,complications,and postoperative satisfaction were compared for the two groups.RESULTS：The rate of interview in the observation group was significantly higher than that in the control group（t=20.949,P=0.000）,but the total interview time was significantly shorter than the control group（t=26.881,P=0.000）.Before the intervention,anxiety and depression scores had no statistical differences between the two groups;after intervention,anxiety and depression scores were significantly decreased in both groups,and the decrease was more significant in the observation group（t=9.438,P=0.000;t=8.641,P=0.000）.The numbers of cases of postoperative nausea（t=21.055,P=0.000）,sore throat（t=25.004,P=0.000） and wound infection（t=5.129,P=0.024） in the observation group were significantly lower centralized than in the control group.The number of patients who were very satisfied（t=20.783,P=0.000） and the total satisfaction（t=12.471,P=0.000） were significantly higher in the observation group than in the control group.CONCLUSION：Centralized preoperative interview can effectively improve the interview rate,shorten the total interview time,improve anxiety and depression,reduce postoperative complications,and improve the patient’s satisfaction.