威廉姆斯生活技能训练对全身麻醉择期手术患者术前焦虑及特质应对方式的影响

Influence of Williams life skills training on preoperative anxiety and trait coping syle in patients undergoing general anesthesia elective surgery

目的探讨威廉姆斯生活技能训练（WLST）对全身麻醉择期手术患者术前焦虑及特质应对方式的影响。方法将120例全身麻醉择期手术患者按照随机数字表法随机分为观察组和对照组各60例。对照组给予一般的术前护理干预，观察组在此基础上给予WLST。干预前后采用阿姆斯特丹术前焦虑量表及特质应对方式问卷对患者进行测评。结果干预前，2组患者各项指标差异均无统计学意义（P〉0.05）。干预后，观察组患者术前焦虑及信息需求评分分别为（10.02 ± 2.53）、（4.02 ± 1.05）分，优于对照组的（15.89 ± 3.20）、（7.96 ± 1.62）分，差异有统计学意义（t=7.952、8.447，P〈0.05）；消极应对评分为（29.07 ± 6.14）分，低于对照组的（33.86 ± 7.12）分，积极应对评分为（33.89 ± 7.64）分，高于对照组的（29.77 ± 6.71）分，差异有统计学意义（t=7.647、7.981，P〈0.05）。结论WLST能有效改善全身麻醉择期手术患者术前焦虑情绪，提高其应对能力，有利于麻醉和手术的顺利实施。

Objective To investigate the effect of Williams life skills training （WLST） on preoperative anxiety and trait coping strategies in patients undergoing general anesthesia for elective surgery. Methods A total of 120 patients undergoing general anesthesia for elective surgery were randomly divided into observation group and control group according to random number table method with 60 cases each. The control group was given general preoperative nursing intervention, on the basis of which the observation group gave WLST. Before and after the intervention, the Amsterdam Preoperative Anxiety and Information Scale and Trait Coping Style Questionnaire were used to evaluate the patients. Results Before intervention, there was no significant difference between the two groups （P〉 0.05）. After intervention, the preoperative anxiety and information needs scores of the observation group was （10.02 ±2.53） and （4.02 ± 1.05） points respectively, while in the control group was （15.89 ± 3.20） and （7.96 ± 1.62） points respectively, the difference was statistically significant （t = 7.952, 8.447, P 〈0.05）, and negative coping score was （29.07 ± 6.14） points lower than the control group （33.86 ± 7.12） points, positive response score was （33.89 ± 7.64） points higher than the control group （29.77 ± 6.71） points, the difference was statistically significant （t = 7.647, 7.981, P 〈0.05）. Conclusion WLST can effectively improve preoperative anxiety in patients undergoing general anesthesia and improve their coping ability, which is conducive to the successful implementation of anesthesia and surgery.