术前心理及行为干预对甲状腺肿瘤患者气管拔管的影响

Effect of Preoperative Psychological and Behavioral Interventions on Tracheal Extubation in Patients with Thyroid Tumors

目的探讨手术室护士对全麻甲状腺肿瘤手术患者术前进行针对气管拔管的心理和行为干预对减少拔管时的躁动及提高拔管配合程度的影响。方法选择我院择期甲状腺手术患者60例,年龄17~69岁,其中男20例,女40例,良性肿瘤8例,恶性肿瘤52例。随机分为观察组和对照组,每组各30例。两组患者术前均接受病房护士的术前宣教以及麻醉医生和手术室护士的常规术前访视。观察组患者术前进入预麻室后再次接受针对气管拔管的心理和行为干预。结果观察组患者拔管时躁动情况明显低于对照组,配合程度明显高于对照组。结论术前心理及行为干预可以减少患者在麻醉苏醒期拔管时的躁动以及提高拔管配合程度。

Objective To explore the effect of psychological and behavioral interventions taken by nurses in the operating room before tracheal extubation on reducing agitation during extubation and improving compliance in patients with thyroid cancer under general anesthesia.Methods Sixty patients aged 17-69 who underwent elective thyroidectomy in our hospital were selected,including 20 males,40 females,8 cases of benign tumors and 52 cases of malignant tumors.They were randomly divided into the observation group and the control group,each made up of 30 cases.Both groups received preoperative education from ward nurses and routine preoperative visits from anesthesiologists and operating room nurses.After entering the preanesthesia room,the observation group received psychological and behavioral interventions on tracheal extubation before the operation.Results The occurrence of restlessness in the observation group was significantly lower than that in the control group,while the level of compliance in the observation group was significantly higher than that in the control group.Conclusion Preoperative psychological and behavioral interventions can reduce extubation agitation of patients during anesthesia recovery period and improve the level of compliance.