标题：多科室综合术前访视对肺癌手术患者希望水平与心理应激反应的影响

      作者：田玉泉 1，张延芳 2，赵桂华 3    1.山东省立第三医院手术室，山东 济南 250031；2.济南市第四人民医院检验科，山东 济南 250031；3.山东省立第三医院老年病科，山东 济南 250031

      卷次： 2019年30卷8期

      【摘要】 目的 探究多科室综合术前访视对提高肺癌手术患者希望水平和缓解患者负面心理的作用。方法 选取2010年3月至2018年3月在山东省立第三医院接受手术治疗的100例肺癌患者，按照随机数表法将其分为观察组和对照组，每组50例。对照组接手常规术前护理，观察组在常规术前护理的基础上于术前1 d接受约40 min多科室综合术前访视干预。两组患者分别在干预前后采用Herth希望量表、焦虑自评量表( SAS)和抑郁自评量表(SDS)对患者的希望水平、焦虑程度和抑郁程度进行评分，并于干预后采用由THOMAS等编制的纽卡斯尔护理满意度量表统计患者的护理满意度。结果 干预前，观察组患者的SAS、SDS评分分别为(80.13±5.62)分、(82.35±4.23)分，与对照组的(79.95±5.16)分、(78.62±4.33)分比较差异均无统计学意义(P>0.05)；干预后，观察组患者的SAS、SDS评分分别为(35.82±5.26)分、(33.68±3.69)分，明显低于对照组的(43.52±3.28)分、(58.52±4.81)分，差异均具有统计学意义(P<0.05)；干预前观察组患者的Herth总评分为(33.29±4.18)分，与对照组的(34.26±5.23)分比较，差异无统计学意义(P>0.05)；干预后，观察组患者的Herth总评分为(43.62±3.19)分，明显高于对照组的(36.52±5.17)分，差异具有统计学意义(P<0.05)；干预后，观察组患者的总体护理满意率为90.0%，明显高于对照组的76.0%，差异具有统计学意义(P<0.05)。结论 多科室综合术前访视可以有效提高患者术前希望水平、缓解患者负面心理，值得临床推广。
      【关键词】 多科室综合术前访视；肺癌手术；负面情绪；希望水平；心理应激
      【中图分类号】 R473.73 【文献标识码】 A 【文章编号】 1003—6350（2019）08—1079—04

Effect of multi-department comprehensive preoperative visit on the level of hope and psychological stressresponse in patients on lung cancer surgery.
TIAN Yu-quan 1, ZHANG Yan-fang 2, ZHAO Gui-hua 3. 1. OperatingRoom, Shandong Provincial Third Hospital, Jinan 250031, Shandong, CHINA; 2. Laboratory Department, Jinan No.4People's Hospital, Jinan 250031, Shandong, CHINA; 3. Department of Geriatrics, Shandong Provincial Third Hospital,Jinan 250031, Shandong, CHINA
【Abstract】 Objective To explore the effect of multi-department comprehensive preoperative visit on improv-ing the hope level of patients with lung cancer surgery and alleviating the negative psychology of patients. Methods Atotal of 100 lung cancer patients who underwent surgery in Shandong Provincial Third Hospital from March 2010 toMarch 2018 were randomly divided into observation group and control group, with 50 cases in each group. The controlgroup received routine preoperative care, and the observation group received a multi-department comprehensive preoper-ative visit for approximately 40 minutes on the basis of routine preoperative care. Patients in the two groups were scoredon the Herth Hope Scale, Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) before and after theintervention, and the patient's hope level, anxiety level and degree of depression were scored. After the intervention, theNewcastle Satisfaction with Nursing Scale (NSNS) compiled by THOMAS and other researchers was used to calculatethe patient's satisfaction with the nursing. Results Before the intervention, the scores of SAS and SDS in the observa-tion group were 80.13±5.62 and 82.35±4.23, respectively; compared with the corresponding 79.95±5.16 and 78.62±4.33in the control group, the differences were not statistically significant (P>0.05). After the intervention, the SAS and SDSscores of the observation group were respectively 35.82±5.26 and 33.68±3.69, which were significantly lower than corre-sponding 43.52±3.28 and 58.52±4.81 of the control group, and the differences were statistically significant (P<0.05).The total Herth score of the observation group before the intervention was 33.29±4.18; compared with 34.26±5.23 of thecontrol group, the difference was not statistically significant (P>0.05). After the intervention, the total Herth score of theobservation group was 43.62±3.19, which was significantly higher than 36.52±5.17 of the control group, and the differ-ence was statistically significant (P<0.05). After the intervention, the overall nursing satisfaction of the observationgroup was 90.0%, which was significantly higher than 76.0% of the control group, and the difference was statistically·护理·doi:10.3969/j.issn.1003-6350.2019.08.036