食管癌胸腔镜辅助根治术术前访视中AIDET沟通模式应用效果探讨

Discussion on the Effect of AIDET Communication Mode in Thoracoscopic Assisted Radical Operation Before Esophagectomy

目的探讨食管癌胸腔镜辅助根治术术前访视AIDET沟通模式应用效果。方法选取我院行胸腔镜辅助食管癌根治术患者50例,选取单日入院患者为观察组(n=26),双日入院患者为对照组(n=24),对照组接受常规术前访视,观察组在基于常规术前访视基础上运用AIDET沟通模式进行术前访视。观察两组患者T_1、T_2、T_3的AVAT、VAS和RS及术后第2天访视中患者对手术服务满意情况。结果两组患者T_1、T_2、T_3时间点AVAT、VAS、RS评分比较均差异有统计学意义(P<0.05),观察组T_1、T_2、T_3时间点AVAT、VAS、RS评分均低于对照组。观察组术后第2天访视满意度明显高于对照组,差异有统计学意义(P<0.05)。结论食管癌胸腔镜辅助根治术术前访视AIDET沟通模式可显著减轻患者术前焦虑紧张情绪,减少麻醉苏醒期躁动,提高手术室护理服务满意度。

Objective To explore the effect of AIDET communication mode before thoracoscopic assisted radical mastectomy for esophageal cancer. Methods 50 cases of thoracoscopic assisted radical resection of esophageal carcinoma in our hospital were selected, one-day hospitalized patients as observation group （n = 26）, the two-day hospitalized patients in the control group （n = 24）, the control group was given routine preoperative visit, observation group based on the routine preoperative visit using AIDET communication mode. The T1, T2, T3 point AVAT, VAS and RS of the two groups were observed and the satisfaction of the patients in the second days after the operation was observed. Results Two groups of patients with T1, T2, T3 point AVAT, VAS, RS score comparison difference was statistically signifcant （P 〈 0.05）, the observation group T1, T2, T3 point AVAT, VAS, RS scores were lower than the control group. Satisfaction with 2 days visit in observation group was obviously higher than that of control group, the difference was statistically signifcant （P 〈 0.05）. Conclusion Preoperative visit AIDET esophageal thoracoscope assisted radical communication mode can signifcantly reduce the preoperative anxiety in patients with tension, reduce anesthetic revival period agitation, improve the operating room nursing service satisfaction.