组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (3): 294-.

• • 上一篇    下一篇

标准化术前访视对面神经瘫痪修复重建手术治疗的影响

  

  • 出版日期:2023-06-01 发布日期:2023-07-05

 Effect of standardized preoperative visit on repair of facial paralysis

  • Online:2023-06-01 Published:2023-07-05

PDF (PC)

97

摘要：

　目的　探讨标准化术前访视在面神经瘫痪修复重建手术中的应用效果。方法　回顾性分析 80 例面神经瘫痪
修复患者资料，根据时间先后分为对照组和观察组，先入院的 40 例为对照组，对照组根据传统流程入院手术，后入
院的 40 例为观察组，观察组根据新改进的流程实施标准化术前访视。比较两组患者入院时焦虑自评量表（SAS）和
抑郁自评量表（SDS）评分，术前准备时间、手术完成率、平均住院日情况。结果　观察组 SAS 评分 31.93±2.43、
SDS 评分 31.525±2.82，显著低于对照组的 46.03±2.31 和 44.02±2.06（
P<0.001）；观察组术前准备时间（2±0）
d，明
显少于对照组的（2.41±0.9）
d（
P<0.01）；观察组手术完成率 97.5%，高于对照组的 90%；观察组平均住院日（6.45±1.31）
d，
少于对照组的（8.08±2.23）
d（P<0.05）。结论　应用标准化术前访视方法，可以提前、及时、有效评估和护理干预
手术相关系统性风险，缓解患者焦虑、抑郁情绪，筛查手术风险，缩短入院后的术前准备时间，提高手术完成率，
缩短患者住院时间，值得临床推广。

关键词:

Abstract:

Objective　To explore the effect of standardized preoperative visit in patients undergoing facial paralysis repair.
Methods　Eighty patients with facial paralysis were divided into control group and observation group according to the operation
time. Forty patients admitted first were in the control group. The patients in control group was admitted to the hospital for surgery
according to the traditional process. And 40 patients admitted later were in the observation group. The observation group imple
mented the standardized preoperative visit method according to the newly improved process. The Self-rating Anxiety Scale (SAS)
and Self-rating Depression Scale (SDS) were compared between the two groups. The average length of preoperative preparation
time, the operation completion rate and the average length of stay were also observed. Results　The SAS score of the observation
group was 31.93±2.43 and SDS score was 31.525±2.82, which were significantly lower than the SAS score (46.03±2.31) and
SDS score (44.02±2.06) of the control group (P<0.001). The preoperative preparation time of the observation group was (2±0)
days, which was significantly less than that of the control group, which was (2.41±0.9) days (P<0.01). The operation completion
rate of the observation group (97.5%) was higher than that of the control group (90%). The average hospital stay of the observation
group was (6.45±1.31) days, which was lower than that of the control group, which was (8.08±2.23) days (P<0.05). Conclusion
　The application of standardized preoperative visit method can provide early, timely and effective assessment and nursing in
tervention of systemic risks associated with repair of facial paralysis, alleviate patients’
anxiety and depression, screen operation
risks, shorten the preoperative preparation time after admission, improve the operation completion rate, and shorten the average
hospital stay of patients. It is worthy of clinical promotion.

Key words: