手术进程查询系统缓解手术患者家属心理焦虑的效果

Effect of the operation process query system on alleviating the psychological anxiety of the family members of the surgical patients

目的探讨手术进程查询系统的应用效果及对手术患者家属心理的影响。方法选取2019年4—10月同济大学附属东方医院手术时间>1 h的患者家属198名,根据患者手术顺序分为对照组和观察组,每组各99名。两组均实施术前访视、术前评估、术前宣教措施。对照组实施常规手术室护理,未特殊告知家属术中手术进程信息,观察组家属可在手术进程查询系统查看手术进程信息。采用状态焦虑量表(S-AI)评估两组患者家属焦虑状态,比较两组家属术前和术中脉搏、呼吸和血压变化情况,比较两组家属术后满意度。结果两组患者家属在术中焦虑评分和生命体征均较术前呈现一定程度的升高,观察组患者家属术中焦虑状态评分为(49.01±7.91)分,脉搏(92.97±8.76)次/min,呼吸(20.13±1.64)次/min,收缩压(122.06±11.69)mmHg,舒张压(82.86±6.45)mmHg,均低于对照组,差异有统计学意义(t值分别为20.494、6.749、26.784、4.387、8.139;P<0.01)。观察组患者家属在患者术后总满意度为95.96%(95/99),对照组为63.64%(63/99),差异有统计学意义(χ^(2)=34.932,P<0.01)。结论手术进程查询系统的应用能有效地减轻手术患者家属的心理焦虑状态,提高患者家属对手术的满意度。

Objective To explore the effect of the operation process query system and the psychological impact on the surgical patient's family members.Methods From April to October 2019,198 family members of patients whose operation time>1 hour were selected from the Shanghai East Hospital,Tongji University.The patients were divided into a control group and an observation group according to the order of operation,with 99 cases in each group.Both groups implemented preoperative visits,preoperative assessments,and preoperative education.The control group performed routine nursing of Operating Room and did not specifically inform family members of the information about the operation process during the operation.The family members of the observation group could view information about the operation process in the operation progress query system.The State-Trait Anxiety Inventory(S-AI)was used to assess the anxiety of the family members of the two groups of patients,and we compared the changes of pulse,respiration and blood pressure before and during the operation of the two groups of family members,and compared the satisfaction of the family members of the two groups after the operation.Results The anxiety scores and vital signs of the family members of the two groups of patients during the operation were higher than those before the operation.The family members of the observation group had an intraoperative anxiety score of(49.01±7.91),pulse(92.97±8.76)times/min,respiration(20.13±1.64)times/min,systolic blood pressure(122.06±11.69)mmHg,diastolic blood pressure(82.86±6.45)mmHg,all lower than those of the control group,the differences were statistically significant(t=20.494,6.749,26.784,4.387,8.139;P<0.01).The total satisfaction of the family members of the observation group after the operation was 95.96%(95/99),and that of the control group was 63.64%(63/99),and the difference was statistically significant(χ^(2)=34.932,P<0.01).Conclusions The application of the operation query system can effectively alleviate the psychological anxiety of the family members of the surgical patients and improve the satisfaction of the family members of the patients with the operation.