术前干预对造口旁疝手术患者的影响

Effect of before operation intervention on patients with parastomal hernia surgery

目的探讨术前干预对造口旁疝手术患者的影响。方法选取2018年6月至2019年4月在四川省广安市人民医院普外科行造口旁疝手术的42例患者作为观察对象,其中,男性23例,女性19例。患者平均年龄为38.5岁。按照随机数表法随机分为干预组和对照组,每组21例。对照组患者进行常规的术前检查、术中及术后护理。干预组患者在常规护理的基础上给予术前、术中及术后积极的心理疏导。记录2组患者的心率、血压等生命体征指标;使用Zung焦虑自评量表(SAS)测量患者的焦虑指数。结果干预组患者入手术室麻醉前及气管导管拔出时的血压均较对照组稳定[(116.25±8.79)mmHg vs(129.17±7.65)mmHg,(121.35±15.30)mmHg vs(126.17±10.85)mmHg],差异有统计学意义(t=5.24、8.173,P<0.05)。干预组在入手术室麻醉前及导管拔出时的心率较对照组稳定[(71.23±7.26)次/min vs(80.26±7.63)次/min,(77.39±5.63)次/min vs(85.26±11.69)次/min],差异有统计学意义(t=6.358、8.241,P<0.05)。麻醉前及术后3 d干预组SAS评分低于对照组[(42.63±76.69)分vs(48.26±6.62)分,(43.16±6.32)分vs(46.28±5.32)分],差异有统计学意义(t=2.356、2.145,P<0.05)。结论手术室心理干预对造口旁疝术患者的情绪及生理特征具有显著的稳定作用。

Objective To explore the influence of before operation intervention on the patients undergoing parastomal hernia repair.Methods From June 2018 to April 2019,42 patients who underwent parastomal hernia surgery in Guang'an people's Hospital were selected as the objects of observation,including 23 males and 19 females.The average age of the patients was 38.5 years old.According to the random number table,21 cases in each group were randomly divided into intervention group and control group.Patients in the control group received routine preoperative examination,intraoperative and postoperative care.The patients in the intervention group were given positive psychological guidance before,during and after operation on the basis of routine nursing.The heart rate,blood pressure and other vital signs of the two groups were recorded,and the anxiety index of the patients was measured by Zung self-rating anxiety scale(SAS).Results The blood pressure of the intervention group before anesthesia and when the tracheal tube was pulled out was more stable than that of the control group[(116.25±8.79)mmHg vs(129.17±7.65)mmHg,(121.35±15.30)mmHg vs(126.17±10.85)mmHg],the difference was statistically significant(t=5.24,8.173,P<0.05).The heart rate of the intervention group before anesthesia and when the catheter was pulled out was stable compared with that of the control group[(71.23±7.26)bpm vs(80.26±7.63)bpm,(77.39±5.63)bpm vs(85.26±11.69)bpm],the difference was statistically significant(t=6.358,8.241,P<0.05).Before anesthesia and 3 days after operation,the SAS score of the intervention group was lower than that of the control group[(42.63±76.69)scores vs(48.26±6.62)scores,(43.16±6.32)scores vs(46.28±5.32)scores],the difference was statistically significant(t=2.356,2.145,P<0.05).Conclusion The psychological intervention in operating room has a significant stabilizing effect on the emotional and physiological characteristics of the patients.