Effect of evidence-based nursing in preoperative interview for abdominal surgery patients' recovery after general anesthesia
10.3760/cma.j.issn.1674-2907.2011.13.006
- VernacularTitle:术前访视应用循证护理对腹部手术患者全身麻醉后恢复的影响
- Author:
Xiu-Hua DU
1
;
Feng-Ling ZHAO
;
Ru-Juan ZHUANG
;
De-Hua LIAN
;
Yan-Qiu FENG
Author Information
1. 山东省滕州市中心人民医院
- Keywords:
Anxiety;
General anesthesia;
Preoperative interview;
Abdominal surgery;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2011;17(13):1508-1511
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of evidence-based nursing during preoperative interview for abdominal surgery patients' recovery after general anesthesia. Methods 124 patients who accepted selective operation on abdominal region were randomly divided into evidence-based group and control group, 62 cases ineach group. On the base of routine method in the preoperative interview, the evidence-based group established evidence-based information supporting system, which aimed to dredge the psychological stress of the patients'response to surgery individually and intervene by demonstrating simulation of operation process. According to the traditional way, control group accepted routine preoperative interview. To compare patients' indexes of two groups before and after anesthesia. Results Patients' heart rate and the mean arterial pressure lower than control group before anesthesia in evidence-based group. The dosage of midazolam in evidence-based group was less than the control group (t =6. 73,7. 24,8. 17;P <0. 05). The difference of pre-anesthesia anxiety scores was statistically significant between evidence-based group and control group (t =7. 68 ,P <0. 01 ). But the difference of the anxiety scores after operation wasn' t statistically significant between two groups ( t = 0. 62, P > 0. 05 ). Patients in evidence-based group took shorter revival time than control group ( t = 9. 71,10. 45,11.32 ; P < 0. 01 ). Compared the different period pain score of two groups, patients of evidence-based group were lower than those of the control group, and the patients' satisfaction scores also were higher than those of control group, the differences were statistically significant (t =2. 38,5. 22,2. 63,7. 62;P <0. 05). Conclusions Application evidence-based nursing information support in preoperative interview effectively relieves the preoperative anxiety, can reduce the dosage of narcotic and sedative drugs, shorten the revival time, improve patient' s satisfaction and have reached the antieipant effects.
