摘要
目的观察多媒体术前访视和心理干预降低术后监护患者心理应激反应和提高医患满意度的效果,探讨多媒体模式术前访视的可行性。方法 70岁以上或四类手术术后入监护病房患者200例随机分为多媒体组和对照组,分别于术前1天护理访视。多媒体组,用多媒体模式行心理干预,演示监护室多种应激源及应对措施;对照组:口头交谈方式告知相同内容。2组患者均于访视前和出监护室后行焦虑(self-rating anxiety scale,SAS)、睡眠质量(sleep quality score,SQS)评分、患者满意度评分;并记录术前1天(T0)、入监护室日晚9时(T1)、次日晨7时(T2)的平均动脉压(mean artery pressure,MAP)、心率(heart rate,HR)。结果多媒体组术后T1、T2、MAP、HR变化不显著,对照组明显升高,差异有统计学意义(P<0.05)。多媒体组术后SAS评分低于对照组(P<0.05);而SQS评分高于对照组(P<0.05)。患者满意度多媒体组明显高于对照组(P<0.05)。结论多媒体访视模式可有效地减轻术后监护患者心理应激,提高患者满意度;作为一种新型术前访视模式,操作性强,内容和形式易规范化,有利于提高访视效果。
Objective To investigate the feasibility of multimedia preoperative interview and psychological interventions to reduce psychological stress response in patients with postoperative care and improve patients＇ satisfaction. Methods Two hundred patients over 70 years old or type IV surgery admitted into the intensive care unit after surgery were randomly divided into the multimedia group and the control group, respectively. Both groups had nursing visits the day before surgery. Multimedia group was showed a variety of stressors and corresponding measures in intensive care unit were demonstrated by multimedia in the multimedia group, and control group was told the same content by oral conversation. Both groups and their families were visited with self - rating anxiety scale （ SAS）, sleep quality score （SQS） before entering and out of intensive care unit. The mean artery pressure （MAP） ,heart rate （HR） was recorded the day before surgery （T0） ,9：00 pm the first day of the intensive care unit admission （T1） and 7：00 am on the first day after surgery （T2）. Results MAP and HR did not change significantly in multimedia group, while obviously increased in the control group. There were significant differences between the two groups （ P 〈 0.05）. SAS in muhimedia group was lower than that of the control group （P 〈 0.05 ）, while SQS was higher than control group （ P 〈 0.05 ）. Multimedia patients＇ satisfaction were significantly higher than control group （ P 〈 0.05 ）. Conclusion Multimedia visits could effectively reduce psychological stress; improve patients and families＇satisfaction before the surgery. As a new mode of preoperative interview, it is feasible, easy to standardize the content and form, and helpful to improve the visit effect.
出处
《河北医科大学学报》
CAS
2011年第1期49-51,共3页
Journal of Hebei Medical University
基金
浙江省绍兴市科学技术局资助项目(2008A33005)
关键词
多媒体
重症监护
治疗结果
multimedia
intensive care
treatment outcome
