微信视频术前宣教对椎管内麻醉患者手术效果的影响

The effects of preoperative education via WeChat video on surgery in patients with intraspinal anesthesia

目的 探讨微信视频术前宣教对椎管内麻醉患者手术效果的影响.方法 将2016年2-11月收治的160例椎管内麻醉患者依据随机数字表法分为试验组和对照组,每组80例,对照组给予常规术前护理,试验组在此基础上由手术室护士利用微信与手术患者进行动画短片术前访视.观察2组患者在满意度、麻醉配合度、访视前后焦虑情况、手术停台/延台率方面的差异.结果 试验组患者满意度为96.3%（77/80）,高于对照组的80.0%（64/80）,差异有统计学意义（x2=8.60, P〈0.05）.试验组患者麻醉配合度为94.9%（74/78）,高于对照组的86.8%（66/76）,差异有统计学意义（x2=5.13,P〈0.05）.试验组患者手术停台/延台率为2.5%（2/80）,低于对照组的12.5%（10/80）,差异有统计学意义（x2=4.41,P〈0.05）.试验组和对照组访视前焦虑得分分别为（63.35 ± 5.76）、（63.66 ±6.61）分,访视后焦虑得分分别为（44.23 ± 5.96）、（49.23 ± 5.85）分,2组患者访视前的焦虑得分比较差异无统计学意义（P〉0.05）,2组患者访视后的焦虑得分比较差异有统计学意义（t=2.21, P〈0.01）.结论 利用微信与手术患者进行动画短片术前访视可减轻手术患者焦虑情绪、降低手术停台率、增加患者麻醉配合度,保证手术顺利进行,提高手术室工作质量.

Objective To explore the effect of preoperative education via WeChat video on surgery in patients with intraspinal anesthesia. Methods Totally 160 patients with intraspinal anesthesia enrolled from February to November,2016 were divided into experimental group（80 patients）and control group（80 patients）by random digits table method.The control group was given routine preoperative care, while the experimental group was added preoperative animations education via WeChat. Postoperative satisfaction,anesthesia cooperation degrees,anxiety scores and operation stop/delay rates were recorded. Results The satisfaction rate was 96.3%（77/80）and 80.0%（64/80）in the experimental group and the control group, there was significant difference between the two groups（x2= 8.60, P 〈0.05）. Anesthesia coordination degree was 94.9% （74/78） and 86.8% （66/76） in the experimental group and the control group, there was significant difference between the two groups （x2= 5.13, P〈0.05）. Surgical shutdown/extension rate was 2.5%（2/80）and 12.5%（10/80）in the experimental group and the control group,there was significant difference between the two groups （x2= 4.41, P〈0.05）. The postoperative anxiety scores before visit in the experimental group and the control group were（63.35±5.76）and（63.66±6.61）points, there was no significant difference between the two groups （P〉0.05）. After visit, the S-AI scores in the experimental group and the control group were（44.23±5.96）and（49.23±5.85）points,there was significant difference between the two groups（t=2.21, P〈0.01）. Conclusions Preoperative education via WeChat video can reduce patients＇ anxiety, lower operation stop rate, increase patient＇s anesthesia cooperation degree,improve the operation quality and ensure the operation smoothly.