术前不同访视模式对ICU择期手术患者压力源感知及术后依从性的影响

Effect of Different Preoperative Visit Modes on Pressure Source Perception and Postoperative Compliance in ICU Patients Undergoing Elective Surgery

目的探讨术前不同访视模式对ICU择期手术患者的压力源感知及对患者术后依从性的影响。方法选取2019年10月-2020年9月佳木斯市中心医院接受择期手术治疗且术后拟入住ICU病房的80例危重症患者作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。对照组实施传统术前访问模式,观察组在对照组基础上联合ICU主治医生及护士形成协作术前访视模式,比较两组压力程度、焦虑抑郁程度、治疗依从性及满意度。结果观察组ICUESS物理环境、人文环境、治疗环境与患者自身感受各维度评分与总分、SAS与SDS评分低于对照组,差异有统计学意义(P<0.05);观察组治疗依从性和满意度均高于对照组,差异有统计学意义(P<0.05)。结论由主治医生、手术室护士与ICU护士协同合作的术前访视可降低ICU择期手术患者的压力,缓解患者焦虑抑郁水平,提高治疗依从性与满意度。

Objective To investigate the effect of different preoperative visit modes on pressure source perception and postoperative compliance in ICU patients undergoing elective surgery.Methods A total of 80 critically ill patients who underwent elective surgery in Jiamusi Central Hospital from October 2019 to September 2020 and planned to stay in ICU after surgery were selected as the research objects.They were divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group received traditional preoperative visit mode,while the observation group received collaborative preoperative visit mode combined with ICU attending doctors and nurses on the basis of the control group.The stress level,anxiety and depression level,treatment compliance and satisfaction were compared between the two groups.Results The scores of ICUESS physical environment,humanistic environment,treatment environment and patients'own feelings and total scores,SAS and SDS scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The treatment compliance and satisfaction of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The preoperative visit coordinated by the attending physician,operating room nurses and ICU nurses can reduce the pressure of patients undergoing elective surgery in ICU,alleviate the anxiety and depression of patients,and improve treatment compliance and satisfaction.