Department of Nursing, The Affiliated Tumor Hospital of Nantong University , Nantong , Jiangsu Province , China.
Department of Thoracic Surgery, The Affiliated Tumor Hospital of Nantong University , Nantong , Jiangsu Province , China.
Psychol Health Med. 2019 Dec;24(10):1198-1206. doi: 10.1080/13548506.2019.1595687. Epub 2019 Mar 25.
Little is known about the multimedia-based preoperative nursing visit for squamous cell carcinoma (ESCC) patients undergoing video-assisted thoracoscopic surgery (VAST). The aim of this study was to evaluate the effects of preoperative multimedia-based nursing visit on perioperative anxiety in ESCC patients undergoing VAST. A total of 128 ESCC patients undergoing VAST were randomly divided into intervention group ( = 63) or control group ( = 65). The anxiety level was measured by state-trait anxiety inventory (STAI) and visual analog scale (VAS). The vital signs were also recorded. The data were collected at three different time points: before the intervention, 1 h before surgery and 24 h after surgery. There was no statistically significant difference in baseline STAI score, VAS scores and vital signs ( > 0.05). The intervention group reported significantly lower anxiety and improved vital signs in terms of systolic blood pressure, diastolic blood pressure and heart rate at 1 h before surgery and 24 h after surgery ( < 0.05). However, no significant difference in respiratory rate was observed between two groups at 1 h before surgery and 24 h after surgery ( > 0.05). Preoperative nursing visit with multimedia could reduce perioperative anxiety levels as well as help to stabilize vital sign for ESCC patients undergoing VAST.
对于接受电视辅助胸腔镜手术（VAST）的鳞状细胞癌（ESCC）患者，基于多媒体的术前护理访问知之甚少。本研究旨在评估术前基于多媒体的护理访问对接受 VAST 的 ESCC 患者围手术期焦虑的影响。共有 128 名接受 VAST 的 ESCC 患者被随机分为干预组（n=63）或对照组（n=65）。焦虑程度通过状态-特质焦虑量表（STAI）和视觉模拟量表（VAS）进行测量。还记录了生命体征。数据在三个不同时间点收集：干预前、手术前 1 小时和手术后 24 小时。基线 STAI 评分、VAS 评分和生命体征（>0.05）无统计学差异。与术前 1 小时和术后 24 小时相比，干预组在手术前 1 小时和术后 24 小时报告的焦虑明显更低，生命体征（收缩压、舒张压和心率）得到改善（<0.05）。然而，两组在术前 1 小时和术后 24 小时的呼吸率无显著差异（>0.05）。对于接受 VAST 的 ESCC 患者，术前多媒体护理访问可以降低围手术期焦虑水平，并有助于稳定生命体征。
