术前访视与宣教对患者不良情绪及睡眠质量影响效果

A Study on the Effect of Preoperative Visits and Education in the Operating Room on Patients′Adverse Emotions and Sleep Quality before Surgery

目的:评估手术室术前访视与宣教应用在手术患者中的效果及对术前不良情绪、睡眠质量的影响。方法:选取2021年5月至2023年5月福建省立医院收治的手术患者82例作为研究对象,按照随机数字表法分为对照组和观察组,每组41例。对照组采用常规术前指导,观察组采用手术室术前访视与宣教,评价组间不良情绪、匹兹堡睡眠质量指数(PSQI)、医学应对策略量表(MCMQ)、生理应激反应。结果:干预前,组间不良情绪[抑郁(SDS)、焦虑(SAS)自评量表]、PSQI、MCMQ(“屈服”“回避”“面对”)、生理应激反应[舒张压(DBP)、收缩压(SBP)、心率(HR)]比较,差异无统计学意义(P>0.05);入室前,观察组不良情绪(SDS、SAS)、PSQI、MCMQ(“屈服”“回避”)评分及生理应激反应(DBP、SBP、HR)比对照组更低,MCMQ(“面对”)评分比对照组更高,差异有统计学意义(P<0.05)。结论:对手术患者实施手术室术前访视与宣教,可以减轻焦虑、抑郁情绪,改变应对方式,提高睡眠质量,减轻生理应激反应,值得推广。

Objective:To evaluate the effectiveness of preoperative visits and education in surgical patients and its impact on preoperative negative emotions and sleep quality.Methods:A retrospective analysis was conducted on the data of 82 surgical patients admitted to Fujian Provincial Hospital from May 2021 to May 2023.According to the random number table method,the patients were divided into a control group(n=41)and an observation group(n=41).The control group received routine preoperative guidance,while the observation group received preoperative visits and education in the operating room.Adverse emotions,Pittsburgh Sleep Quality Index(PSQI),Medical Coping Strategy Scale(MCMQ),and physiological stress responses were evaluated between the groups.Results:Prior to intervention,there were no significant differences in adverse emotions between groups,including depression(SDS),anxiety(SAS)self-assessment scale,PSQI,MCMQ(surrender,avoidance,and facing),physiological stress response(diastolic blood pressure(DBP),systolic blood pressure(SBP),and heart rate(HR),with P>0.05;Before entering the room,the observation group had lower scores for negative emotions(SDS,SAS),PSQI,MCMQ(surrender,avoidance),and physiological stress response(DBP,SBP,HR)compared to the control group,while the MCMQ(face)score was higher than the control group,the difference was statistically significant with P<0.05.Conclusion:Implementing preoperative visits and education in the operating room for surgical patients can alleviate anxiety and depression,change coping styles,improve sleep quality,and alleviate physiological stress reactions,which is worth promoting.