术前情景访视在骨科手术患者中的应用效果评价

莫想有等

[摘要] 目的 探讨术前情景访视在骨科手术患者中的应用效果。 方法 选取我院2012年5月～2014年3月收治的行骨科手术200例患者为研究对象，随机分为观察组和对照组，对照组采用常规术前访视，观察组行术前情景访视，比较两组患者遵医行为、不良情绪、疼痛情况及满意度。 结果 观察组遵医配合度为97.00%明显高于对照组90.00%的配合度，两组比较差异有统计学意义（P<0.05）；观察组焦虑情绪、抑郁状态及术后疼痛评分明显低于对照组，两组间各值比较差异有统计学意义（P<0.05）；观察组患者满意度为96.00%明显高于对照组88.00%的满意度，两组比较差异有统计学意义（P<0.05）。 结论 骨科手术患者采用术前情景访视可提高患者对疾病、手术认识，减轻患者术前焦虑、抑郁等不良心理，减轻术后疼痛，提高患者满意度，具有显著临床效果，值得在临床中推广应用。

[关键词] 术前情景访视；骨科；效果

[中图分类号] R473.6 [文献标识码] B [文章编号] 2095-0616（2015）11-86-04

[Abstract] Objective To explore the application effect of preoperative scene visit in patients in the department of orthopedics operation. Methods For department of orthopedics operation in our hospital were selected from 200 patients as the research object from May 2012 to March 2014，randomly divided into observation group and control group，the control group with routine preoperative interview，observation group received preoperative situational interview，compared two groups of patients' compliance behavior，bad mood，pain and satisfaction. Results The observed degree of 97% was significantly higher than the control group of 90% with the degree of compliance group，the two groups was statistically significant（P<0.05）；The observation group of anxiety， depression and postoperative pain score was significantly lower than that of the control group，the values between the two groups were statistically significant（P<0.05）；Patients in the observation group satisfaction for 96% was significantly higher than the control group 88% satisfaction， the two groups had statistical significance（P<0.05）. Conclusion Patients in the department of orthopedics operation preoperative situational interview patients can improve the understanding of the disease，operation， reducing preoperative anxiety，depression and other adverse psychological，reduce postoperative pain， improve the satisfaction of patients，with significant clinical effect，it is worth in clinical application.

[Key words] Preoperative situational interview；Department of orthopedics；Effect

骨科手术前患者多数存在紧张、恐惧、担忧等不良心理，术前访视可帮助患者了解疾病、手术、麻醉等方式，增强患者对手术的认识、消除患者不良心理，以最佳状态面对手术，提高手术治疗效果，帮助患者改善预后[1]。但临床中工作任务繁重，传统术前访视过于形式化，方式内容较为空洞、枯燥，不能达到访视目的。术前情景访视通过形象、生动、图文并茂的形式进行访视，可改弥补统访视不足，为探究术前情景访视在骨科手术患者中的应用效果，现报道如下。

1 资料与方法

1.1 一般资料

选取2012年5月～2014年3月我院骨科收治的行手术治疗200例患者为研究对象，采用随机抽签分组方法将其分为观察组和对照组，每组100例。观察组中男60例，女40例，年龄19～76岁，平均（43.2±6.7）岁，四肢骨折手术68例，脊椎手术19例，关节置换手术9例，肿瘤手术4例；对照组中男61例，女39例，年龄18～76岁，平均（43.4±6.2）岁，四肢骨折手术65例，脊椎手术21例，关节置换手术11例，肿瘤手术3例。两组患者在性别、年龄、疾病等一般临床资料上比较无统计学意义（P>0.05），两组具有可比性。……