术前不同时间知情同意告知对400例近视眼准分子激光手术患者焦虑评分的影响

To Discuss the Effect of Different Time of Preoperative Informed Consent on the Anxiety Score of 400 Cases of Patients with Myopia Excimer laser Surgery

目的对术前不同时间知情同意告知对近视眼准分子激光手术患者焦虑评分的影响进行探讨。方法选取该院收治的400例行准分子激光术的近视眼患者为研究对象,按照随机数表法分为对照组和研究组各200例,对照组患者在手术当天由医护人员进行治疗知情同意告知,研究组患者在术前3 d进行常规检查并进行知情同意告知。采用VAS焦虑评分量表对两组患者术前3 d、手术当天、术前20 min焦虑状态进行记录与对比。结果研究组患者术前3d、手术当天焦虑状态与对照组相比差异无统计学意义(P>0.05),而术前20 min焦虑状态明显低于对照组,对比差异有统计学意义(P<0.05)。结论在近视眼准分子激光手术患者的临床治疗过程中,虽然在术前3 d给予知情同意增加了患者焦虑程度,但根据患者心理状态给予心理干预,能显著改善患者焦虑状态。

Objective To discuss the effect of different time of preoperative informed consent on the anxiety score of 400 cases of patients with myopia excimer laser surgery. Methods 400 cases of patients with myopia excimer laser surgeryin our hospital were selected as study subjects. Patients were divided into control group and the study group according to the random number table, 200 cases in each group. Patients in the control group were informed by the medical staff in the day of surgery. The patients in the study group were routinely examined and informed consent before the operation of three days.To record andcompare the VAS score between two groups in preoperative three days, the day of surgery,preoperative 20 min.Results There was no significant difference between the study group and the control group in the preoperative three days and the day of surgery, differences had no statistical significance（P〈0.05）. The anxiety status of preoperative 20 min in study group was significantly lower than the control group, differences had statistical significance（P〈0.05）. Conclusion In the process of clinical treatment in patients withmyopia excimer laser surgery, Althoughthe patient＇s anxiety level was increased in preoperative three days to give informed consent, it can significantly improve the patient＇s anxiety stateaccording to the psychological state of patients to give psychological intervention.