雁阵效应对女性压力性尿失禁手术患者术前负性情绪和手术配合度的影响

The effect of wild goose queue effect on preoperative negative emotion and operative cooperation of female patients with stress urinary incontinence

目的探讨雁阵效应对女性压力性尿失禁手术患者术前负性情绪和手术配合度的影响。方法选取2019年1月—2020年12月期间拟行手术治疗的女性压力性尿失禁患者为研究对象,根据手术室实施雁阵效应管理的时间分组,2019年1—12月期间未实施雁阵效应管理为对照组,共46例,2020年1—12月期间实施雁阵效应管理为管理组,共42例,采取抑郁自评量表(SDS)和焦虑自评量表(SAS)对患者术前访视及术前30 min时的抑郁及焦虑状况进行评估,自制调查表对患者手术配合度、术前准备质量进行评估,调查护理满意度。结果两组患者在术前访视时的SDS及SAS评分比较差异无统计学意义(t=0.180,t=0.144,P>0.05),在术前30 min时评分低于术前访视时,且管理组低于对照组,差异有统计学意义(均P<0.01)。管理组患者术中手术体位摆放[(2.73±0.23)分]、麻醉体位摆放[(2.57±0.29)分]及动静脉穿刺[(2.85±0.15)分]的配合度评分明显高于对照组[(2.31±0.30)分、(2.14±0.22)分、(2.69±0.19)分],差异均有统计学意义(均P<0.01)。管理组患者对遵嘱禁食禁饮、正确更衣、不携带私人物品及膀胱有效排空准备质量评分明显高于对照组,差异均有统计学意义(均P<0.01)。管理组患者对服务态度、护理水平、护理技术及护理内容的满意度评分明显高于对照组,差异均有统计学意义(均P<0.01)。结论对女性压力性尿失禁患者实施雁阵效应管理干预,能有助于缓解患者术前焦虑和抑郁情绪,提高手术配合度和术前准备质量,同时患者对护理工作的满意度高。

Objective To investigate the effect of wild goose queue effect on preoperative negative emotion and operative cooperation of female patients with stress urinary incontinence.Methods We collected female patients with stress urinary incontinence who planned to undergo surgical treatment from January 2019 to December 2020,the grouped according to the time of implementation of wild goose queue effect management in the operating room,the control group was not managed by fwild goose queue effect from January to December 2019(46 cases),the management group was managed by fwild goose queue effect from January to December 2020(42 cases),the Self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were used to evaluate the depression and anxiety status of patients during preoperative visit and 30min before surgery,the self-made questionnaire was used to evaluate the degree of surgical cooperation and the quality of preoperative preparation,and survey nursing satisfaction.Results There was no significant difference in SDS and SAS scores between the two groups during preoperative visit(t=0.180,t=0.144,P>0.05),the score at 30 min before surgery was lower than that at during preoperative visi,the management group was lower than the control group,the difference was statistically significant(all P<0.01).The coordination score of operation position placement[(2.73±0.23)points],anesthesia position placement[(2.57±0.29)points]and arteriovenous puncture[(2.85±0.15)points]were significantly higher in the management group than in the control group[(2.31±0.30)points、(2.14±0.22)points、(2.69±0.19)points],the difference was statistically significant(all P<0.01).The quality scores of abstaining from food and drinking as instructed,correctly changing clothes,not carrying personal belongings and effective bladder empty-preparation were significantly higher in the management group than in the control group,the difference was statistically significant(all P<0.01).The satisfaction score of service attitude,nursing level,nursing technology and nursing content in management group were significantly higher in the management group than in the control group,the difference was statistically significant(all P<0.01).Conclusion The wild goose queue effect managed female patients with stress urinary incontinence,it can help relieve patients'anxiety and depression before surgery,to improve the degree of operation cooperation and the quality of preoperative preparation,and patients have high satisfaction with nursing work.