Improvement of preoperative interview in patients undergoing resection of tumor: the efficacy of humanistic care
10.3760/cma.j.cn131073.20200815.00624
- VernacularTitle:肿瘤手术患者术前访视法的改良：人文关怀化的效果
- Author:
Yunfei ZHANG
1
;
Changsheng LI
;
Yi ZHOU
;
Xihua LU
Author Information
1. 郑州大学附属肿瘤医院麻醉与围术期医学科 450000
- Keywords:
Preoperative care;
Gastrointestinal tumors;
Stress, psychological;
Humanistic care
- From:
Chinese Journal of Anesthesiology
2021;41(6):738-741
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of preoperative interview with humanistic care in patients undergoing resection of tumor.Methods:Two hundred patients, aged 35-64 yr, with body mass index of 18-28 kg/m 2, of American Society Anesthesiologists physical status Ⅰ or Ⅱ, undergoing elective laparoscopic gastrointestinal tumor resection, were divided into 2 groups ( n=100 each) by a random number table method: conventional preoperative interview group (group C) and preoperative interview with humanistic care group (group H). Pre-interview anxiety was assessed using the Self-Rating Anxiety Scale (SAS) at 1 day before the interview (T 0), and pre-interview heart rate (HR) and mean arterial pressure (MAP) were recorded, followed by a preoperative interview.Conventional preoperative interview was given in group C, and preoperative interview with humanistic care was given in group H. Anxiety was assessed again after interview (T 1) and HR and MAP were recorded at 24 h. Venous blood samples were collected for determination of plasma norepinephrine (NE) and cortisol (Cor) concentrations by enzyme-linked immunosorbent assay at T 0 and T 1. Results:Compared with group C, the MAP, HR and SAS scores were significantly decreased at T 1, the incidence and degree of anxiety and plasma NE and Cor concentrations were decreased at T 1, and the incidence of abnormalities of MAP, HR and plasma Cor concentrations were decreased in group H ( P<0.05). Conclusion:Preoperative interview with humanistic care can alleviate the post-interview anxiety and reduce the over-stress response in patients undergoing resection of tumor.
