術前訪視衛教對全膝關節置換術病人焦慮及生理指標之影響

Easing Anxiety and Physiological Indicators in Patients Undergoing Total Knee Replacement: The Effectiveness of Preoperative Visits

陳淑華(Shu-Hwa Chen) ； 黃瑞珍(Jui-Chen Huang) ； 王美文(Mei-Wen Wang) ； 林梅香(Mei-Hsiang Lin) ； 郭繼陽(Jih-Yang Ko) ； 黃珊(Shan Huang)

《醫護科技期刊》 13卷4期 (2011/12) Pp. 244-250

https://doi.org/10.6563/TJHS.2011.13(4).4

摘要

Purposes: Preoperative anxiety can impact significantly the preoperative psychological and physiological status and postoperative recovery of patients. Preoperative visits can reduce patient anxiety and nervousness about surgery and limit the impact of such on patients' preoperative preparedness. This study investigated the effectiveness of preoperative visits made by operating room staff in lowering the anxiety of patients scheduled for total knee replacement. Methods: This study adopted a one-group pretest-posttest design. We recruited 150 patients to participate in this study using a convenient sampling approach. In line with the preoperative nursing instruction manual, we used the State-Trait Anxiety Inventory to measure anxiety in patients scheduled for total knee replacement. This study used variations in blood pressure, respiratory rate, and pulse as the physiological indicators of anxiety. Results: This study identified 1) a significant difference in anxiety between participants with prior operation or hospitalization experience and those without (t = -2.20, t = -3.20, p ＜ .01); 2) preoperative visits did effectively reduce average participant anxiety (t = 12.52, p ＜ .01); and 3) preoperative visits did significantly lower pulse rate and systolic and diastolic blood pressure (t = 2.07, t = 6.21, t = 2.91, p ＜ .05). Conclusions: Operating room nurses have a significant role to play in improving nursing quality outside the operating theater. This study offers an opportunity for operating room nurses to further extend their professional services.

關鍵字

全膝關節置換術 ； 術前訪視 ； 焦慮 ； 生理指標

並列摘要

Purposes: Preoperative anxiety can impact significantly the preoperative psychological and physiological status and postoperative recovery of patients. Preoperative visits can reduce patient anxiety and nervousness about surgery and limit the impact of such on patients' preoperative preparedness. This study investigated the effectiveness of preoperative visits made by operating room staff in lowering the anxiety of patients scheduled for total knee replacement. Methods: This study adopted a one-group pretest-posttest design. We recruited 150 patients to participate in this study using a convenient sampling approach. In line with the preoperative nursing instruction manual, we used the State-Trait Anxiety Inventory to measure anxiety in patients scheduled for total knee replacement. This study used variations in blood pressure, respiratory rate, and pulse as the physiological indicators of anxiety. Results: This study identified 1) a significant difference in anxiety between participants with prior operation or hospitalization experience and those without (t = -2.20, t = -3.20, p ＜ .01); 2) preoperative visits did effectively reduce average participant anxiety (t = 12.52, p ＜ .01); and 3) preoperative visits did significantly lower pulse rate and systolic and diastolic blood pressure (t = 2.07, t = 6.21, t = 2.91, p ＜ .05). Conclusions: Operating room nurses have a significant role to play in improving nursing quality outside the operating theater. This study offers an opportunity for operating room nurses to further extend their professional services.

並列關鍵字

Total knee replacement ； preoperative visit ； anxiety level ； physiological Indicators

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