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[手术室手术等待时间对术前患者的影响研究]

[A study on the effect of waiting time for operations in the operating room on preoperative patients].

作者信息

Lee H W, Lee K C, Kim H O, Lee H O, Kim H S

出版信息

Taehan Kanho. 1990 Aug 30;29(3):36-48.

PMID:2214654
Abstract

This study was attempted to provide us with basic information on how to improve understanding with patients for operation, and to offer them better nursing and treatment. This kind of study will help scientific application to nursing practice and operating room. The data was collected by interviewing 29 patients who underwent the elective surgery under the general anesthesia at Y hospital in Seoul. The interview ran from October 15 to December 15, 1989. The research instrument was a anxiety measurement device (SAAI) originally developed by Spielberger, et al and modified by Jung-Tack Kim. 1. Hypothesis Testing Hypothesis one was that there would be a difference in state anxiety level according to a time difference in waiting for operation. This hypothesis was rejected (state anxiety level one hour before operation P greater than .05, r = .747, State anxiety level half an hour before operation P greater than .05, r = .1550, state anxiety level just before operation, P greater than .05, r = .1099). However, state anxiety level appeared to be associated with a longer waiting period, like one day before operation (P less than .05, r = .4628). Hypothesis two was that there would be a difference according to state anxiety level of patients for operation. This was rejected. (Change of blood pressure in systolic P greater than .05, r = -.1082. Change of blood pressure in diastolic P greater than .05, r = -.088, Change of pulse rate, P less than .05, r = 1.909) 2. Examining trait anxiety and state anxiety levels, the average level of trait anxiety was 42.034, and the average level of state anxiety one day before operation was 43,000. The average level of state anxiety was averaged 42.356 in a waiting room for operation. 3. Examining the state anxiety level by time period, the level one hour before was 42.379, the level half an hour before 42.276, and the level just before operation 42.414. The low level of state anxiety was due to the fact that premedication was not eliminated. 4. Age and time period like one day before operation was related to state anxiety level (F = 5.271, P less than .001) and blood pressure in waiting room for operation. That is, state anxiety level and blood pressure of patients one day before operation appeared high. Sex was related to changes of blood pressure; the blood pressure of male patients appeared higher than that of female patients.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

本研究旨在为我们提供有关如何增进患者对手术的理解以及为他们提供更好护理和治疗的基础信息。这类研究将有助于科学地应用于护理实践和手术室。通过采访在首尔Y医院接受全身麻醉下择期手术的29名患者收集数据。访谈时间为1989年10月15日至12月15日。研究工具是一种焦虑测量装置(SAAI),最初由斯皮尔伯格等人开发,由郑泽金修改。1. 假设检验 假设一是根据等待手术的时间差异,状态焦虑水平会有所不同。该假设被拒绝(手术前一小时的状态焦虑水平P大于0.05,r = 0.747;手术前半小时的状态焦虑水平P大于0.05,r = 0.1550;手术前即刻的状态焦虑水平P大于0.05,r = 0.1099)。然而,状态焦虑水平似乎与较长的等待期有关,比如手术前一天(P小于0.05,r = 0.4628)。假设二是根据患者手术时的状态焦虑水平会有差异。这一假设被拒绝。(收缩压的血压变化P大于0.05,r = -0.1082;舒张压的血压变化P大于0.05,r = -0.088;脉搏率变化P小于0.05,r = 1.909)2. 检查特质焦虑和状态焦虑水平,特质焦虑的平均水平为42.034,手术前一天的状态焦虑平均水平为43.000。在手术等候室,状态焦虑的平均水平为42.356。3. 按时间段检查状态焦虑水平,手术前一小时的水平为42.379,手术前半小时的水平为42.276,手术前即刻的水平为42.414。状态焦虑水平较低是因为术前用药的影响未消除。4. 年龄和手术前一天这样的时间段与状态焦虑水平(F = 5.271,P小于0.001)以及手术等候室的血压有关。也就是说,患者手术前一天的状态焦虑水平和血压似乎较高。性别与血压变化有关;男性患者的血压似乎高于女性患者。(摘要截选至400字)

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