Leske J S
University of Wisconsin-Milwaukee School of Nursing, USA.
AORN J. 1996 Sep;64(3):424-5, 428-36. doi: 10.1016/s0001-2092(06)63055-x.
The researcher used a four-group quasi-experimental posttest design to examine the effect of intraoperative progress reports on 200 family members' anxiety. Group one (ie, control group) received standard perioperative care, which did not include intraoperative progress reports. Group two received in-person progress reports from perioperative nurses. Group three received an "attention" protocol (ie, checklist explaining hospital routines, waiting room procedures). Group four received progress reports delivered by telephone. The researcher compared family members' state anxiety scores, mean arterial pressures (MAPs), and heart rates measured halfway during their relatives' surgical procedures, measuring these dependent variables after providing the interventions. The in-person intraoperative progress report group reported lower state anxiety scores (P < .001) and had significantly lower MAPs and heart rates (P < .05) than the other three groups. In-person progress reports appear to be the most beneficial perioperative nursing intervention for reducing family members' anxiety during the intraoperative waiting period.
研究人员采用四组准实验后测设计,以检验术中进展报告对200名家庭成员焦虑情绪的影响。第一组(即对照组)接受标准围手术期护理,其中不包括术中进展报告。第二组接受围手术期护士当面提供的进展报告。第三组接受“关注”方案(即解释医院常规、候诊室程序的清单)。第四组接受通过电话传达的进展报告。研究人员比较了家庭成员的状态焦虑评分、平均动脉压(MAPs)以及在其亲属手术过程进行到一半时测量的心率,并在提供干预措施后测量这些因变量。当面术中进展报告组报告的状态焦虑评分较低(P < .001),且MAPs和心率显著低于其他三组(P < .05)。当面进展报告似乎是围手术期护理中最有利于减少家庭成员术中等待期焦虑情绪的干预措施。