[1]马 亮.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[J].医学信息,2021,34(20):135-138.[doi:10.3969/j.issn.1006-1959.2021.20.035]
　MA Liang.Effect of Different Preoperative Visit Modes on Pressure Source Perception andPostoperative Compliance in ICU Patients Undergoing Elective Surgery[J].Medical Information,2021,34(20):135-138.[doi:10.3969/j.issn.1006-1959.2021.20.035]
点击复制

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()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年20期
页码:
135-138
栏目:
临床研究
出版日期:
2021-10-20

文章信息/Info

Title:
Effect of Different Preoperative Visit Modes on Pressure Source Perception andPostoperative Compliance in ICU Patients Undergoing Elective Surgery
文章编号:
1006-1959（2021）20-0135-04
作者:
马 亮
佳木斯市中心医院ICU，黑龙江 佳木斯 154002
Author(s):
MA Liang
ICU,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China
关键词:
术前访视; 压力源感知; ICU; 治疗依从性
Keywords:
Preoperative visit; Pressure source perception; ICU; Treatment compliance
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2021.20.035
文献标志码:
A
摘要:
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。
Abstract:
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.

参考文献/References:

[1]许萍,赵青,任静.标准化流程管理可明显提高手术管理质量及降低感染发生率[J].基因组学与应用生物学,2019,38(6):394-398.[2]张园,周晓彬,黄强,等.心外科术后患者感知的ICU压力源及其影响因素的研究[J].国际精神病学杂志,2019,46(2):192-194,196.[3]刘延梅,潘竞,李恒彬,等.重症监护病房患者ICU综合征发生的相关因素研究[J].中国临床研究,2015,28(9):1181-1184.[4]Salluh JI,Wang H,Schneider EB,et al.Outcome of delirium in critically ill patients: systematic review and meta-analysis[J].BMJ,2015(35):h2538-h2539.[5]赖春燕,马建林.动机性访谈对冠脉介入术后患者服药依从性的影响[J].现代预防医学,2020,47(1):191-194.[6]Gesin G,Russell BB,Lin AP,et al.Impact of a delirium screening tool and multifaceted education on nurse’ knowledge of delirium and ability to evaluate it correctly[J].American Journal of Critical Care,2012,21(1):e1.[7]陈海萍,杨丹丹,马杰.以家庭为中心探视模式对重症监护病房综合征发生率的影响效果[J].中国药物与临床,2020,20(7):1227-1229.[8]黄晓明,廖瑞熹,赖妮.术前访视及术后回访对肿瘤手术患者心理影响的临床研究[J].中国现代医学杂志,2013,23(9):61-64.[9]秦淑玉,唐佳,李冬雪.多元化术前访视模式在手术室择期手术患者中的应用研究[J].重庆医学,2017,46(14):2008-2010.[10]张鸾.自制宣传教育视频+科普视频在外科手术患者术前访视中的应用[J].实用医技杂志,2020,27(5):569-571.[11]江永丽,池萍,权哲峰,等.体位图片在剖宫产时腰硬联合麻醉术前访视的应用效果[J].北京医学,2019,41(6):530-531.[12]徐倩.术前访视对乳腺癌患者术前睡眠质量的影响分析[J].世界睡眠医学杂志,2019,6(10):1376-1377.[13]李贝贝.ICU术前访视对心脏手术患者术后遵医行为及满意度的影响[J].现代医药卫生,2018,34(10):1570-1572.[14]Jane C.Acomparison of nurse’ and patients’ perception of intensive care unit stressors[J].Journal of Advanced Nurse,1989,14(12):1038-1043.[15]詹小芳,王丽芬,沈祝苹.术前心理及行为干预对甲状腺肿瘤患者气管拔管的影响[J].医院管理论坛,2019,36(8):36-38.[16]Carroll CL,Sala KA,Zucker AR,et al.Beta- adrenergic receptor polymorphisms associated with length of ICU stay inpediatric status asthmaticus[J].Pediatric Pulmonology,2012,47(3):233-239.[17]杨玉杰,孙青丽,李荣荣.SBAR沟通模式在择期手术术前访视中的应用研究[J].海军医学杂志,2019,40(2):186-187.[18]黄霞红,陈敏,袁榕,等.AIDET沟通模式在喉癌手术患者ICU术前访视中的应用效果分析[J].基层医学论坛,2020,24(30):4311-4313.[19]陈芬.术前访视与宣教对患者术前睡眠及不良情绪的影响[J].世界睡眠医学杂志,2021,8(1):92-93.

更新日期/Last Update: 1900-01-01