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皮肤科手术中减少术前和术中患者焦虑的实用指南。

A practical guide to reducing preoperative and intraoperative patient anxiety in dermatologic surgery.

机构信息

Wayne State University School of Medicine, Detroit, MI, USA.

Oakland University William Beaumont School of Medicine, Auburn Hills, MI, USA.

出版信息

Int J Dermatol. 2023 Sep;62(9):1154-1159. doi: 10.1111/ijd.16802. Epub 2023 Aug 2.

DOI:10.1111/ijd.16802
PMID:37529942
Abstract

BACKGROUND

Dermatologists perform a variety of procedures including excisions, biopsies, and other minor surgical procedures. Patients can experience anxiety in anticipation of their surgeries or may develop anxiety during the procedure. Since most dermatologic procedures occur with the patient awake and alert, the physician can offer comforting methods to alleviate some of that anxiety.

AIMS

We wanted to provide a review of available methods that dermatologists can use to reduce patient anxiety.

MATERIALS & METHODS: In this paper, we review the current literature on methods that can be used in dermatology offices to reduce overall patient anxiety levels.

RESULTS

In the preoperative stage, providers can offer educational content to explain the procedure to their patients. Whether it be through telephone calls, educational videos, or utilization of visual models, educating the patient regarding their procedure may reduce their anxiety. Intraoperatively, there are multiple methods that can be used such as music, guided imagery, coloring books, medications, hypnosis, and distraction techniques.

DISCUSSION & CONCLUSION: There is a variety of approaches that can be easily implemented in the office and can help in reducing the anxiety of the patients to allow for a pleasant patient experience and an overall satisfactory procedure outcome.

摘要

背景

皮肤科医生进行各种操作,包括切除术、活检和其他小型手术。患者可能会在手术前感到焦虑,或者在手术过程中感到焦虑。由于大多数皮肤科手术都是在患者清醒和警觉的情况下进行的,医生可以提供安慰的方法来减轻一些焦虑。

目的

我们希望提供一份皮肤科医生可以用来减轻患者焦虑的现有方法的综述。

材料与方法

在本文中,我们回顾了皮肤科诊室中可用于降低整体患者焦虑水平的现有文献。

结果

在术前阶段,医生可以提供教育内容,向患者解释手术过程。无论是通过电话、教育视频还是利用视觉模型,向患者讲解手术过程都可能减轻他们的焦虑。在手术过程中,可以使用多种方法,如音乐、引导想象、涂色书、药物、催眠和分散注意力的技巧。

讨论与结论

有许多方法可以在办公室中轻松实施,这有助于减轻患者的焦虑,让他们有一个愉快的就医体验和整体满意的手术效果。

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1
A practical guide to reducing preoperative and intraoperative patient anxiety in dermatologic surgery.皮肤科手术中减少术前和术中患者焦虑的实用指南。
Int J Dermatol. 2023 Sep;62(9):1154-1159. doi: 10.1111/ijd.16802. Epub 2023 Aug 2.
2
A review of non-pharmacologic approaches to enhance the patient experience in dermatologic surgery.提升皮肤科手术患者体验的非药物方法综述。
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Utility of recorded guided imagery and relaxing music in reducing patient pain and anxiety, and surgeon anxiety, during cutaneous surgical procedures: A single-blinded randomized controlled trial.记录引导想象和放松音乐在减少皮肤外科手术患者疼痛和焦虑及外科医生焦虑中的效用:一项单盲随机对照试验。
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Hypnosis-facilitated relaxation using self-guided imagery during dermatologic procedures.在皮肤科手术过程中,通过自我引导意象进行催眠辅助放松。
Am J Clin Hypn. 2003 Jan;45(3):225-32. doi: 10.1080/00029157.2003.10403528.
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Int J Clin Exp Hypn. 2013;61(3):305-18. doi: 10.1080/00207144.2013.784096.
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J Altern Complement Med. 2021 Sep;27(9):717-726. doi: 10.1089/acm.2020.0504. Epub 2021 Jun 1.
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Relaxation-guided imagery reduces perioperative anxiety and pain in children: a randomized study.放松引导意象减轻儿童围手术期焦虑和疼痛:一项随机研究。
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