摘要
目的：探讨加强术前访视对脑外科手术患者抑郁情绪及术后生活功能的影响。方法选取本院收治的脑外科择期手术患者90例为研究对象，按照随机数字表法分为观察组与对照组各45例。对照组给予常规术前访视，观察组对常规术前访视方案进行优化。采用汉密尔顿抑郁量表（ HAMD）、Barthel指数（BI）、功能独立性评定量表（FIM）评价两组患者术前抑郁情绪及术后生活功能变化情况。结果访视前两组患者HAMD得分差异无统计学意义（P＞0．05），访视后观察组患者HAMD得分为（14．53±6．75）分，低于对照组的（20．34±8．66）分，差异有统计学意义（t＝-4．119，P＜0．01）；术后观察组患者BI指数、FIM指数评分分别为（75．48±11．47），（94．68±12．32）分，均高于对照组的（67．73±12．35），（89．57±12．81）分，差异均有统计学意义（t分别为3．085，1．929；P＜0．05）。结论通过多媒体放映以及结合日常生活活动能力量表（ ADL）内容进行术前访视，可以减轻患者的抑郁情绪，提高患者的术后生活功能。
Objective To discuss the effect of preoperative visits on brain surgery patients ’ depression and function in daily lives .Methods A total of 90 cases of brain surgery patients were selected and randomly divided into the observation group and the control group , each with 45 cases.The control group received routine preoperative visits , while the observation group was treated with a combination of health education after preoperative visit .HAMD, BI and FIM were used to evaluate patients ’ depression and function in daily lives before and after operations .Results There was no statistically significant difference of HAMD scores between two groups （P〈0.05） before preoperative visits.After preoperative visits, HAMD score was（14.53 ±6.75）in the observation group and （20.34 ±8.66） in the control group, with statistically significantdifference （ t =-4.119,P〈0.01）.After operation, the BI score and FIM score were respectively （75.48 ±11.47） and （94.68 ±12.32）in the observation group, higher than （67.73 ±12.35）and（89.57 ±12.81）in the control group, and the differences were statistically significant （ t =3.085, 1.929, respectively; P〈0.05 ）. Conclusions Preoperative visits with multimedia screenings and ADL scale content can reduce patients ’ depression and improve their postoperativefunction in daily lives .
出处
《中华现代护理杂志》
2014年第2期176-178,共3页
Chinese Journal of Modern Nursing
关键词
抑郁
术前访视
脑外科
手术患者
生活功能
Depression
Preoperative visit
Brain surgery
Surgical patients
Life function
