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听力重建术前系统化与传统访视效果比较研究

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目的 比较听力重建术前系统化与传统访视的效果。方法 回顾性分析深圳市盐田区人民医院2021-01-2023-05行听力重建手术的70例患者的临床资料。给予传统术前访视35例(对照组),采用系统化术前访视模式35例(观察组)。比较2组患者的基线资料。访视前及入手术室10 min后,记录患者的SBP、DBP、HR血流动力学指标水平。采用Zung氏焦虑自评量表(SAS)评价患者的焦虑状态。于手术后第3天,向患者发放自制的术前访视满意度调查表,统计患者对术前访视的满意度。结果 访视前2组患者的SBP、DBP、HR水平,以及SAS评分差异均无统计学意义(P>0。05)。入手术室10 min后2组患者的上述指标均较访视前上升,但观察组波动情况低于对照组,差异有统计学意义(P<0。05)。观察组患者对术前访视的满意度高于对照组,差异有统计学意义(P<0。05)。结论 系统化术前访视可有效缓解听力重建患者的焦虑情绪,有利于保持其血流动力学平稳和提高患者的满意度。
Comparative study on effects of systematic versus traditional visits before hearing reconstruction surgery
Objective To compare the effect of systematic and traditional visits before hearing reconstruction surgery.Methods The clinical data of 70 patients who underwent hearing reconstruction from January 2021 to May 2023 in the Department of Otolaryngology,Shenzhen Yantian District People's Hospital were retrospectively analyzed.Thirty-five patients underwent traditional preoperative visits(control group),and 35 patients underwent systematic preoperative visits(observation group).Baseline data were compared between the two groups.Before vis-iting and 10 minutes after entering the operating room,the Hemodynamics index of SBP,DBP,and HR were recorded.Zung Self-Rating Anx-iety Scale(SAS)was used to assess patients'anxiety levels.On the third day after surgery,a self-made preoperative visit satisfaction survey was distributed to the patients to collect their satisfaction with the preoperative visit.Results There were no significant differences in SBP,DBP,HR,and SAS scores between the two groups before the visit(P>0.05).The above indexes of the two groups were improved 10 minutes after entering the operating room,and the improvement of the observation group was better than that of the control group(P<0.05).The pa-tients'satisfaction of the observation group with the preoperative visit was higher than that of the control group(P<0.05).Conclusion System-atic preoperative visits can effectively alleviate the anxiety of patients undergoing hearing reconstruction surgery,help maintain hemodynamic stability,and improve patient satisfaction.

Hearing Reconstruction SurgerySystematic Preoperative VisitsAnxietyHemodynamics

曾燕娟、张中华、欧阳丽霞

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广东深圳市盐田区人民医院手术室 深圳 518081

听力重建术 系统化术前访视 焦虑 血流动力学

深圳市盐田区科技计划项目

YTWS20210204

2024

河南外科学杂志
郑州大学

河南外科学杂志

影响因子:0.709
ISSN:1007-8991
年,卷(期):2024.30(4)