术前访视路径对初次手术患者应激程度的影响

Effect of preoperative visit pathway in reducing the surgical stress of patients to undergo surgery for the first time

目的探讨术前访视路径在缓解初次手术患者手术应激中的作用。方法 110例初次手术的患者随机分为观察组和对照组各55例,对照组采用常规术前访视,观察组给予术前访视路径,比较两组患者的手术应对方式及手术应激情况。结果观察组干预后的回避评分、屈服评分低于对照组,面对评分高于对照组,差异均有统计学意义(P<0.05);观察组术前30min的焦虑评分低于对照组,皮质醇、肾上腺素低于对照组,差异有统计学意义(P<0.05)。结论术前访视路径能够使初次手术的患者积极面对手术,减轻手术应激,确保手术的安全性。

Objective To evaluate the effect of preoperative interview pathway in reducing the surgical stress of patients to undergo operation for the first time. Method 110 patients to have surgery for the first time were randomly divided into an experimental group （n = 55） and a control group （n = 55）. The control group were administered with conventional preoperative visit while the experimental group were administered with preoperative visit pathway. The coping styles of the two groups were compared. Findings The yield score and avoidance score after the intervention in the experimental group were lower than those in the control group, with the face score being higher than that in the control group. The differences were statistically significant （P〈0.05）. The anxiety score as observed 30 minutes beforethe operation in the experimental group was lower than that in the control group. The level of cortisol and epinephrine was lower than that in the control group. The difference was statistically significant （P〈0.05）. Conclusion Preoperative visit pathway can make operation patients for the first time face the operation actively, reduce the surgical stress and ensure the safety of the operation.