AIDET沟通模式对妇科腹腔镜围手术期护理质量的影响

Application of AIDET communication mode in perioperative nursing care for patients undergoing laparoscopic gynecologic surgery

目的探讨AIDET沟通模式对腹腔镜妇科手术围术期护理质量的影响。方法全麻下行妇科腹腔镜手术患者共40例,随机分为A组和B组,各20例,B组按常规术前访视方法进行访视,A组在B组的基础上运用AIDET沟通模式进行术前访视。观察2组患者入室后10 min(T_1)、拔管后15 min(T_2)、拔管后30 min(T_3)的汉密尔顿焦虑量表(HAMA)评分、疼痛视觉模拟评分法(VAS)评分、躁动(RS)评分。观察2组患者拔管时间、苏醒时间及术后第2天患者的满意度调查评分。结果 A组T_1、T_2、T_3时刻HAMA评分均低于B组,T_2、T_3时刻RS评分均低于B组,差异有统计学意义(P<0.05)。A组术后满意度评分高于B组,差异有统计学意义(P<0.05)。结论术前访视采用AIDET沟通模式可减轻妇科腹腔镜手术患者术前焦虑紧张,减少苏醒期躁动,提高护理满意度。

Objective To investigate the effect of AIDET communication mode on periopera-tive nursing quality in patients undergoing laparoscopic gynecologic surgery. Methods A total of 40 patients undergoing laparoscopic gynecologic surgery were randomly divided into group A and group B , with 20 cases in each group, Both two groups received conventional methods of preoper-ative visit, and the group A received AIDET communication mode additionally, the Hamilton Anxiety Scale （HAMA） , visual analogue scale （VAS） and Restless Scale （RS） at 10 minutes of admission （Tt） ^15 minutes after extubation（T2） and 60 minutes after extubation （T3） were com-pared between two groups. The extubation time and recovery time were recorded, and the nursing satisfaction of patients was evaluated. Results Compared with the group B , the HAMA score （U and RS score （T2_3） in group A were lower , with a significant difference（ P 〈 0. 05）.The nursing satisfaction of group A was s higher than that of group B （P 〈 0.05）. Conclusion Using AIDET communication mode for patients undergoing laparoscopic gynecologic surgery is helpful to reduce preoperative anxiety and the degree of anesthesia agitation.