术前共情沟通对胆结石择期手术患者术前焦虑及术后遵医行为的影响

Effect of preoperative empathic communication on preoperative anxiety and postoperative compliance behavior of patients undergoing elective gallstones surgery

目的:分析术前共情沟通对胆结石择期手术患者术前焦虑及术后遵医行为的影响。方法:选取2020年1月-2021年10月某院收治的138例胆结石手术患者,依据入院先后顺序分为对照组(n=69)和研究组(n=69)。对照组实施常规临床干预,研究组在此基础上予以术前共情沟通干预。比较两组的术前焦虑、术后遵医行为、术后疼痛程度,并对比两组的生活质量、满意度及术后并发症情况。结果:干预后,两组自评量表(SAS)、汉密尔顿焦虑量表(HAMA)评分均下降,且研究组SAS、HAMA评分显著低于对照组(t=4.487,2.982;P<0.05);干预后,研究组的术后遵医行为、疼痛程度明显优于对照组(Z=2.849,2.128;P<0.05);干预后,两组世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各维度评分均提高,且研究组各评分显著高于对照组(t=4.952,5.870,9.727,5.048;P<0.05);研究组的满意度显著高于对照组(χ2=7.263,P<0.05);研究组术后的并发症总发生率明显低于对照组(χ2=4.525,P<0.05)。结论:术前共情沟通干预有助于减轻胆结石择期手术患者的术前焦虑状态,改善患者的术后遵医行为,缓解患者的术后疼痛程度,减少术后并发症的发生,并有助于提高患者的生活质量,具有较高的满意度。

Objective:To analyze the effect of preoperative empathic communication on preoperative anxiety and postoperative compliance behavior of patients undergoing elective gallstones surgery.Methods:A total of 138 patients with gallstone surgery in our hospital from January 2020 to October 2021 were selected and divided into control group(n=69)and study group(n=69)according to the order of admission.Routine clinical intervention was performed in the control group,and preoperative empathy communication intervention was performed in the research group.Preoperative anxiety,postoperative compliance behavior and postoperative pain were compared between the two groups,and the quality of life,satisfaction and postoperative complications were compared between the two groups.Results:After intervention,the scores of self-rating Scale(SAS)and Hamilton Anxiety Scale(HAMA)in both groups decreased,and the SCORES of SAS and HAMA in the study group were significantly lower than those in the control group(t=4.487,2.982;P<0.05).After intervention,the postoperative compliance behavior and pain degree of the study group were significantly better than that of the control group(Z=2.849,2.128;P<0.05).After intervention,the scores of all dimensions of the World Health Organization Quality of Life Scale(WHOQOL-BREF)in both groups were improved,and the scores of the study group were significantly higher than those of the control group(t=4.952,5.870,9.727,5.048;P<0.05).The satisfaction of the study group was significantly higher than that of the control group(χ~2=7.263,P<0.05).The total incidence of postoperative complications in the study group was significantly lower than that in the control group(χ~2=4.525,P<0.05).Conclusion:Preoperative empathy communication intervention is helpful to relieve preoperative anxiety,improve postoperative compliance behavior,relieve postoperative pain,reduce postoperative complications,and improve the quality of life of patients with a high degree of satisfaction,which is worthy of clinical application.