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术前护理访视对患者术后焦虑及疼痛程度的影响。

The Effect of Preoperative Nursing Visit on Anxiety and Pain Level of Patients After Surgery.

作者信息

Aydal Pınar, Uslu Yasemin, Ulus Bahire

机构信息

Acibadem Health Group, Acibadem Altunizade Hospital.

Istanbul University Nursing Faculty Surgical Nursing Department, Istanbul, Turkey.

出版信息

J Perianesth Nurs. 2023 Feb;38(1):96-101. doi: 10.1016/j.jopan.2022.05.086. Epub 2022 Aug 13.

Abstract

PURPOSE

Preoperative education is an important part of surgical preparation. Nursing visits offer nurses the opportunity to provide personalized care. The aim of this study was to determine the effect of nursing visits before laparoscopic surgery on the anxiety and pain levels of patients in the postoperative period.

DESIGN

Randomized controlled clinical trial.

METHODS

Data were collected from 135 patients who underwent laparoscopic surgery between March and October 2019 in Istanbul. During the nursing visits, the experimental group (n = 72) was educated by the operating room nurse, while the control group (n = 63) was educated by the service nurse. Data were collected using the State-Trait Anxiety Inventory and the Visual Analog Scale. The CONSORT checklist was followed.

FINDINGS

The pre-education state anxiety scores of the control and experimental groups were similar and at a moderate level (P > .05). The state anxiety score of the experimental group visited by operating room nurses decreased more than that of the control group after education (P < .001). The postoperative state anxiety and pain scores of the control and experimental groups were found to be similar (P > .05).

CONCLUSIONS

Visits by operating room nurses before laparoscopic surgery can be an effective method to reduce the anxiety level of patients. Obtaining the opinions of operating room nurses on care integration and organization of in-service education programs may be necessary.

摘要

目的

术前教育是手术准备的重要组成部分。护理访视为护士提供了提供个性化护理的机会。本研究的目的是确定腹腔镜手术前护理访视对患者术后焦虑和疼痛水平的影响。

设计

随机对照临床试验。

方法

收集了2019年3月至10月在伊斯坦布尔接受腹腔镜手术的135例患者的数据。在护理访视期间,实验组(n = 72)由手术室护士进行教育,而对照组(n = 63)由科室护士进行教育。使用状态-特质焦虑量表和视觉模拟量表收集数据。遵循CONSORT清单。

结果

对照组和实验组教育前的状态焦虑评分相似且处于中等水平(P >.05)。教育后,由手术室护士访视的实验组的状态焦虑评分下降幅度大于对照组(P <.001)。发现对照组和实验组术后的状态焦虑和疼痛评分相似(P >.05)。

结论

腹腔镜手术前由手术室护士进行访视可能是降低患者焦虑水平的有效方法。可能有必要征求手术室护士对护理整合和在职教育计划组织的意见。

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