术前访视中应用AIDET沟通模式对改善腹股沟疝修补术术前应激状态的效果

Effect of applying AIDET communication mode on preoperative visits to improve preoperative stress status of inguinal hernia repair

目的探析腹股沟疝修补术患者术前访视中应用问候-介绍-过程-解释-致谢(AIDET)沟通模式对改善应激状态的效果。方法收集2018年9月至2019年8月,安徽天长市中医院腹股沟疝修补术患者120例。按照术前访视方法分成对照组和试验组,每组60例。对照组给予常规术前访视;试验组给予常规术前访视联合AIDET沟通模式。对比2组汉密尔顿焦虑量表(HAMA)、血压及心率等应激反应,同时对比2组患者对此次手术室护理的满意程度。采取SPSS 22.0统计学软件进行数据处理。结果试验组研究对象HAMA评分、血压、心率在手术前30 min与对照组比较,差异有统计学意义(P<0.05);试验组的护理满意率明显高于对照组,差异有统计学意义(P<0.05)。结论腹股沟疝修补术术前访视中应用AIDET沟通模式能够明显减轻患者的应激状态,维持良好的护患关系,对改善患者治疗预后有着积极的意义。

Objective To analyze the effect of applying AIDET communication mode on the improvement of stress state in preoperative visits of patients with inguinal hernia repair.Methods A total of 120 patients with inguinal hernia repaired in Tianchang city hospital of Traditional Chinese Medicine from September2018 to August 2019 were divided into control group(n=60,routine preoperative visit)and experimental group(n=60,routine preoperative visits combined with the AIDET communication model)were used to compare stress responses such as HAMA scores(anxiety scores),blood pressure(BP),and heart rate between the two groups,and to compare the satisfaction of the two groups of patients with the operating room care.Results The HAMA score,BP,and heart rate of the experimental group were significantly different from those of the control group 30 minutes before the operation(P<0.05).The satisfaction rate of care in the experimental group was significantly higher than that of the control group(P<0.05).Conclusion The application of AIDET communication mode during preoperative visits to inguinal hernia repair can obviously reduce the stress state of patients and maintain a good nurse-patient relationship.It has positive significance for improving the treatment prognosis of patients.