术前访视对缓解女性肿瘤病人术前焦虑情绪的研究

Studyon the Anxiety Relief in Female Cancer Patients Through Preoperative Visit

目的研究术前访视对女性肿瘤病人术前焦虑情绪的影响。方法根据更年期女性对手术分应激反应更为强烈的生理特点,按照行为干预和心理暗示的原理,随机选取女性肿瘤择期手术病人86例,对其进行术前访视效果的对照研究。结果积极的术前访视,针对术前焦虑原因采取个性化心理干预,有利于减轻患者焦虑、抑郁、紧张、恐惧等不良情绪,将血压、心率控制在良好的范围之内,平稳度过手术期,减少术后并发症,促进早日康复,提高生活质量(P<0.05)。研究发现术前访视与否其焦虑情绪的体征表现如血压、心率有着明显的正相关性,术前访视对患者心理有较强的干预和引导作用,访视护士的交流技巧也与干预效果呈正相关的特征。治疗后脑血流动力学检查ADL量表测定、听觉P300测试组间比较有明显差异(P<0.05或P<0.01)。结论积极的术前访视和良好的交流技巧可以显著减轻女性病人的术前紧张、焦虑,稳定其生命体征。

Objective To study the effect of preoperative visit on anxiety relief in female tumor patients. Methods 86 cases of female cancer patients undergoing elective surgery were randomly selected and the effect of preoperative visit was analyzed according to the physiological characteristics of menopausal women who were with more intense stress to the surgery as well as the principle of behav- ior intervention and psychological suggestion. Results Positive preoperative visit and personalized psychological intervention aiming at the anxiety relief before surgery were conducive to reducing anxiety, depression, tension, fear and other negative emotions, keeping the blood pressure and heart rate in a good range, going through the operation period stably, reducing postoperative complications, promoting a speedy recovery and improving the life quality （ P 〈 0.05 ）. There were positive correlations between the preoperative visit and the physical signs such as blood pressure and heartbeats. Preoperative visit played an important role in the psychological interven- tion and guidance for patients and the communication skills of the visiting nurses were positively related to the effect of intervention. Af- ter the treatment, the cerebral blood flow dynamics, the ADL test and lY300 test group were significantly different （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusion The positive preoperative visit and good communication skills can not only significantly reduce the preoperative stress and anxiety and keep the physical signs of female patients stable, but also enable female patients to go through the operation safely and improve the quality of life.