Journal of Perianesthesia Nursing最新文献_第6页

The Impact of Preangiography Anxiety on Postangiography Comfort in Older Adults: Implications for Perianesthesia Nursing Care. 血管造影前焦虑对老年人血管造影后舒适度的影响：对围术期护理的影响。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.05.028

İlayda Sarac, Seçil Taylan, Fatma Eti Aslan

Purpose: To determine the relationship between anxiety before coronary angiography and comfort after coronary angiography in people over 65 years of age.

Design: A descriptive cross-sectional study.

Methods: The study population consisted of patients aged 65 years and older who agreed to participate in the study and underwent coronary angiography. The study was carried out on a total of 201 patients. Data for the study were collected using the Sociodemographic and Medical Information Form, Surgical Fear Questionnaire (SFQ), Early Postoperative Comfort Scale, Visual Anxiety Scale (VAS), and Angiography Information Form. Pearson's test was used to determine the direction of the relationship between comfort after angiography and fear and anxiety before angiography. Multivariate linear regression program was used for different orders of magnitude between predictors of comfort rates.

Findings: A negative and low-level correlation was found between Early Postoperative Comfort Scale and short-term SFQ, long-term SFQ, total SFQ, and VAS. Variables and scale scores that showed statistically significant differences in predicting patient comfort after angiography in univariate analyses were evaluated using stepwise multiple linear regression analysis. The best model for the postangiography comfort score was created in step 4. Increasing age, the presence of a chronic disease, and high levels of anxiety and fear before angiography were found to be negative predictors of comfort after angiography.

Conclusions: Comfort after angiography was reduced by high fear and anxiety before angiography, increasing age, and the presence of chronic disease. This study highlights the importance of anxiety management and individualized care before angiography in older people.

目的：确定 65 岁以上老年人冠状动脉造影术前的焦虑与冠状动脉造影术后的舒适度之间的关系：方法：描述性横断面研究：研究对象包括同意参与研究并接受冠状动脉造影术的 65 岁及以上患者。研究共针对 201 名患者进行。研究数据通过社会人口学和医疗信息表、手术恐惧问卷（SFQ）、术后早期舒适度量表、视觉焦虑量表（VAS）和血管造影信息表收集。皮尔逊检验用于确定血管造影术后舒适度与血管造影术前恐惧和焦虑之间的关系。使用多变量线性回归程序对舒适度预测因素之间的不同数量级进行了分析：结果：术后早期舒适度量表与短期 SFQ、长期 SFQ、SFQ 总分和 VAS 之间存在低度负相关。采用逐步多元线性回归分析法评估了在单变量分析中预测血管造影术后患者舒适度的变量和量表评分，结果显示这些变量和量表评分在统计学上有显著差异。血管造影术后舒适度评分的最佳模型在步骤 4 中建立。研究发现，年龄的增加、慢性疾病的存在以及血管造影术前的高度焦虑和恐惧是血管造影术后舒适度的负面预测因素：结论：血管造影术前的高度恐惧和焦虑、年龄的增加和慢性疾病的存在会降低血管造影术后的舒适度。本研究强调了老年人在血管造影术前进行焦虑管理和个性化护理的重要性。

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引用次数: 0

Reducing No-Show Appointments in Preanesthesia Screening 减少麻醉前筛查中的爽约现象

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.030

Purpose

Preanesthesia screening is critical to evaluate the patient’s medical and surgical history before any procedure or surgery to assess for risks and to optimize outcomes during the perioperative period. The purpose of this quality improvement project was to decrease the number of missed appointments in the outpatient preanesthesia and surgical screening clinic and the impact on provider satisfaction.

Design

The design of this quality improvement project was pre and post design. Automated and live phone calls reminders were provided for patients scheduled in the outpatient preanesthesia. Data were collected to compare missed appointment rates from a 3-month period before the project implementation and a 3-month period afterward.

Methods

Predata collection included the number of no-shows in the electronic health record system from the previous 3 months. Participants included all adult patients who are scheduled for a preanesthesia surgical screening appointment. Provider satisfaction was assessed using a 5-question survey, pre and postinnovation.

Findings

Reminder systems had a statistically significant impact on reducing the number of no-shows in the preanesthesia and surgical screening clinic. No significant impact was shown in provider satisfaction.

Conclusions

Implementation of a reminder system can help to reduce no-show rates in clinics. Patient no-shows overload the health system by reducing the productivity of providers and waste resources including use of clinic staff, longer wait times for other patients, and the timing providers put into chart preparation.

麻醉前筛查对于在任何手术或外科手术前评估患者的病史和手术史至关重要，以评估风险并优化围手术期的治疗效果。本质量改进项目旨在减少麻醉前和手术筛查门诊的失约次数，并降低对医疗服务提供者满意度的影响。该质量改进项目采用前后设计。为麻醉前门诊病人提供了自动和现场电话提醒。收集的数据用于比较项目实施前 3 个月和实施后 3 个月的失约率。数据收集包括电子健康记录系统中前 3 个月的未赴约人数。参与者包括所有预约麻醉前手术筛查的成年患者。在创新前和创新后，通过 5 个问题的调查对提供者的满意度进行了评估。从统计学角度看，提醒系统对减少麻醉前和手术筛查门诊中的缺席人数有显著影响。但对医疗服务提供者的满意度没有明显影响。实施提醒系统有助于降低门诊的缺席率。病人爽约会降低医疗服务提供者的工作效率，浪费资源，包括使用诊所工作人员、延长其他病人的等候时间以及浪费医疗服务提供者准备病历的时间，从而使医疗系统不堪重负。

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引用次数: 0

Determination of Risk Factors for Nausea and Vomiting in Children After Appendectomy 确定阑尾切除术后儿童恶心和呕吐的风险因素。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.025

Purpose

This study aimed at investigating the risk factors for postoperative nausea and vomiting (PONV) in pediatric patients undergoing appendectomy.

Design

This is a prospective, descriptive, cross-sectional study.

Methods

The study involved 163 children aged 5 to 18 years who underwent appendectomy in the pediatric surgery clinic of a tertiary hospital between December 2022 and June 2023. The study data were collected through the patient information form, Baxter Retching Faces scale, and Wong–Baker Faces Pain Rating Scale, which included questions about the descriptive and clinical characteristics of the participants and was prepared by the researcher consistent with the literature.

Findings

A significant relationship was observed between the severity of postoperative pain and the occurrence of PONV in patients with both nonperforated and perforated appendicitis (P < .001). In addition, operative time and the time to the first oral feeding were shorter in patients with nonperforated appendicitis in the non-PONV group (P = .005 and P = .042, respectively) Logistic regression analysis revealed that postoperative pain, family history of PONV and appendix perforation were risk factors for PONV in children with both nonperforated and perforated appendicitis (P < .001, P = .040, and P < .001, respectively).

Conclusions

In children undergoing appendectomy, family history of PONV, severity of postoperative pain, increased operative time, and increased transition time to oral feeding are risk factors for PONV. Pediatric nurses, who have an important role in the management of PONV, should evaluate patients in terms of PONV risk in the preoperative period within the scope of evidence-based practices and perform pharmacological or nonpharmacological interventions according to the degree of risk.

目的：本研究旨在调查接受阑尾切除术的儿科患者术后恶心和呕吐（PONV）的风险因素：这是一项前瞻性、描述性、横断面研究：研究对象为 2022 年 12 月至 2023 年 6 月期间在一家三甲医院小儿外科门诊接受阑尾切除术的 163 名 5 至 18 岁儿童。研究数据通过患者信息表、巴克斯特哕逆面量表和黄-贝克面疼痛评分量表收集，其中包括有关参与者描述性特征和临床特征的问题，由研究者根据文献编写：在非穿孔性和穿孔性阑尾炎患者中，术后疼痛的严重程度与 PONV 的发生率之间存在明显的关系（P 结论：PONV 的发生率与术后疼痛的严重程度之间存在明显的关系：在接受阑尾切除术的儿童中，PONV 家族史、术后疼痛的严重程度、手术时间的延长以及口服喂养过渡时间的延长都是导致 PONV 的危险因素。儿科护士在处理 PONV 方面发挥着重要作用，应在循证实践的范围内，在术前评估患者的 PONV 风险，并根据风险程度采取药物或非药物干预措施。

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引用次数: 0

Intraoperative Takotsubo Cardiomyopathy: A Case Report 术中 Takotsubo 心肌病：病例报告

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.014

Takotsubo cardiomyopathy (TTC) is a rare condition associated with transient akinesia of apical segments and hyperkinesia of basal segments of the heart. Although several mechanisms have been proposed to cause direct and indirect myocardial damage owing to catecholamine excess, the underlying pathophysiology remains unknown. An 18-year-old female was referred to our otorhinolaryngology outpatient clinic for a septorhinoplasty. Apart from the fear of surgery, the patient had no other health issues. After the administration of local anesthesia (lidocaine and epinephrine mix), tachycardia storms occurred and soon ended with cardiac collapse. Further evaluation revealed TTC. TTC should be considered, especially in cases of treatment-resistant hemodynamic problems after cardiac resuscitation, and nurses can play a crucial role during the preanesthetic period in helping the patient cope with the stress factors related to the upcoming surgery.

塔克次氏心肌病（TTC）是一种罕见的心肌病，与心尖区段的短暂运动障碍和基底区段的过度运动有关。虽然有几种机制被认为是儿茶酚胺过量导致心肌直接或间接损伤的原因，但其潜在的病理生理学仍不清楚。一名 18 岁的女性被转诊到我们的耳鼻喉科门诊，要求进行鼻中隔成形术。除了害怕手术外，患者没有其他健康问题。在进行局部麻醉（利多卡因和肾上腺素混合麻醉）后，出现了心动过速风暴，并很快以心脏衰竭告终。进一步的评估显示患者患有 TTC。应考虑 TTC，尤其是在心脏复苏后出现治疗抵抗性血流动力学问题的病例中，护士在麻醉前帮助病人应对与即将进行的手术有关的应激因素方面可发挥关键作用。

引用次数: 0

The Effect of Therapeutic Play on Children’s Pain, Anxiety and Mothers’ Anxiety during Pre- and Postcircumcision Period 治疗性游戏对割礼前后儿童疼痛、焦虑和母亲焦虑的影响

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.015

Purpose

The study was conducted to determine the effect of the therapeutic play method implemented on the pre- and postcircumcision pain and anxiety levels of children and mothers’ anxiety levels in the pediatric surgery clinic.

Design

Prospective, randomized clinical trial.

Methods

The study consisted of children between the ages of 3 to 6 admitted to the pediatric surgery clinic and their mothers (N = 120; Therapeutic playgroup = 60, Control group = 60). As a therapeutic play method the children and their mothers used play dough during the structured conversation for about 10 minutes before and after the operation. A questionnaire, the Face, Legs, Activity, Cry, Consolability (FLACC) pain scale, the Children's Emotional Manifestation Scale (CEMS) anxiety scale, and State-Trait Anxiety Inventory-S (STAI-S) anxiety scale for parents were used to collect data.

Findings

In the pre- and postcircumcision period, the pain and anxiety levels of children and mothers’ anxiety levels in the therapeutic playgroup were statistically lower compared to the control group (P < .05). In the postoperative period, a positive and significance correlation was found between anxiety levels of the mothers and pain and anxiety levels of children in the control group (P < .05).

Conclusions

The therapeutic play method was effective in reducing the pain and anxiety levels of children and mothers’ anxiety in the pre- and postcircumcision period.

目的：本研究旨在确定在小儿外科诊所实施的治疗性游戏法对儿童割礼前后疼痛和焦虑水平以及母亲焦虑水平的影响：前瞻性随机临床试验：研究对象包括在小儿外科门诊就诊的 3 至 6 岁儿童及其母亲（N = 120；治疗游戏组 = 60，对照组 = 60）。作为一种治疗性游戏方法，儿童及其母亲在手术前后约 10 分钟的结构化对话中使用橡皮泥。调查问卷、脸部、腿部、活动、哭泣、可安慰性（FLACC）疼痛量表、儿童情绪表现量表（CEMS）焦虑量表和家长状态-特质焦虑量表（STAI-S）焦虑量表用于收集数据：在包皮环切术前后，与对照组相比，治疗性游戏组儿童的疼痛和焦虑水平以及母亲的焦虑水平均有统计学意义的降低（P 结论：在包皮环切术前后，儿童的疼痛和焦虑水平以及母亲的焦虑水平均有统计学意义的降低（P）：治疗性游戏法能有效降低包皮环切术前后儿童的疼痛和焦虑水平以及母亲的焦虑水平。

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引用次数: 0

Using Clinical-based Discharge Criteria to Discharge Patients After Endoscopy Procedures Under Drug-induced Intravenous Sedation in the Outpatient Care Unit: An Observational Study 在门诊护理部使用基于临床的出院标准让接受药物诱导静脉镇静的内窥镜检查术后患者出院：一项观察性研究。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.023

Purpose

To verify the feasibility of clinical-based discharge (CBD) criteria and to find out the reasons for the delayed discharge of outpatients after endoscopy procedures under drug-induced intravenous sedation.

Design

A prospectively observational study conducted at a tertiary endoscopy center.

Methods

Medical records were collected from outpatients admitted for endoscopy procedures under drug-induced intravenous sedation from June 1, 2021 to December 30, 2021. Patients were scheduled to discharge at least 30 minutes based on the time-based discharge (TBD) method. Postanesthetic discharge scoring system in the outpatient post-anesthesia care unit (PACU) recorded the time of patients discharged home on the CBD criteria. Postoperative complications were recorded in the PACU and within 24 hours after discharge. Multivariate analysis was applied to identify the factors relating to late discharges.

Findings

10,597 patients were safely and successfully discharged home, and we were informed of no serious emergency or accidental readmissions to the hospital. The mean CBD time (21.77 ± 11.35 minutes) was compared with the TBD time (30 minutes) and actual TBD discharge time (61.56 ± 4.93 minutes), which were statistically significant, without changes in the patient's vital signs (P < .01). Primarily, further univariate and multivariate analyses showed that abdominal pain and fatigue were key factors accountable for delay in PACU discharge (P < .05).

Conclusions

The study concluded that in patients undergoing ambulatory endoscopy procedures with drug-induced intravenous sedation, discharge times based on physiological scoring systems can efficiently and safely guide ambulatory patient discharge as compared to the traditional TBD method. Postoperative fatigue and pain were the main factors affecting patients discharge associated with a relatively long PACU length of stay.

目的：验证基于临床的出院（CBD）标准的可行性，并找出门诊患者在药物诱导静脉镇静下进行内镜检查后延迟出院的原因：设计：在一家三级内镜中心进行的前瞻性观察研究：收集2021年6月1日至2021年12月30日期间在药物诱导静脉镇静下接受内窥镜检查的门诊患者的医疗记录。根据基于时间的出院（TBD）方法，患者至少在 30 分钟后出院。门诊麻醉后护理病房（PACU）的麻醉后出院评分系统根据 CBD 标准记录患者出院回家的时间。术后并发症在 PACU 和出院后 24 小时内记录。应用多变量分析确定了与延迟出院有关的因素：10,597名患者安全、顺利地出院回家，我们获悉没有严重的急诊或意外再次入院。研究得出结论：对于接受药物诱导静脉镇静的非卧床内窥镜手术的患者，与传统的 TBD 方法相比，基于生理评分系统的出院时间可以高效、安全地指导非卧床患者出院。术后疲劳和疼痛是影响患者出院的主要因素，与之相关的是相对较长的 PACU 住院时间。

{"title":"Using Clinical-based Discharge Criteria to Discharge Patients After Endoscopy Procedures Under Drug-induced Intravenous Sedation in the Outpatient Care Unit: An Observational Study","authors":"","doi":"10.1016/j.jopan.2023.12.023","DOIUrl":"10.1016/j.jopan.2023.12.023","url":null,"abstract":"<div><h3>Purpose</h3><div>To verify the feasibility of clinical-based discharge (CBD) criteria and to find out the reasons for the delayed discharge of outpatients after endoscopy<span> procedures under drug-induced intravenous sedation.</span></div></div><div><h3>Design</h3><div>A prospectively observational study conducted at a tertiary endoscopy center.</div></div><div><h3>Methods</h3><div><span>Medical records<span> were collected from outpatients admitted for endoscopy procedures under drug-induced intravenous sedation from June 1, 2021 to December 30, 2021. Patients were scheduled to discharge at least 30 minutes based on the time-based discharge (TBD) method. Postanesthetic discharge scoring system in the outpatient post-anesthesia care unit (PACU) recorded the time of patients discharged home on the CBD criteria. </span></span>Postoperative complications<span> were recorded in the PACU and within 24 hours after discharge. Multivariate analysis was applied to identify the factors relating to late discharges.</span></div></div><div><h3>Findings</h3><div><span>10,597 patients were safely and successfully discharged home, and we were informed of no serious emergency or accidental readmissions to the hospital. The mean CBD time (21.77 ± 11.35 minutes) was compared with the TBD time (30 minutes) and actual TBD discharge time (61.56 ± 4.93 minutes), which were statistically significant, without changes in the patient's vital signs (</span><em>P</em> < .01). Primarily, further univariate and multivariate analyses showed that abdominal pain and fatigue were key factors accountable for delay in PACU discharge (<em>P</em> < .05).</div></div><div><h3>Conclusions</h3><div>The study concluded that in patients undergoing ambulatory endoscopy procedures with drug-induced intravenous sedation, discharge times based on physiological scoring systems can efficiently and safely guide ambulatory patient discharge as compared to the traditional TBD method. Postoperative fatigue and pain were the main factors affecting patients discharge associated with a relatively long PACU length of stay.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 859-866.e1"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-Centeredness in the Perioperative Period—A Rapid Review of Current Research 围手术期的患者中心--当前研究的快速回顾。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.028

Purpose

The indication of surgery is a critical moment in a person’s life implying different needs, feelings, or fears. The aim of the current literature review was to elucidate the prevailing utilization of the concepts ‘patient-centeredness’ and ‘person-centeredness’ within the perioperative period.

Design

A rapid review design.

Methods

Literature searches were conducted in the databases PubMed, Scopus (Elsevier), American Psychological Association PsychInfo (Ovid), Embase (Ovid), CINAHL (Ovid), and Cochrane Library in December 2022. Rayyan software was used to assess the articles. Joanna Briggs Institute critical appraisal tools were used to evaluate the quality of the included articles. Thematic analysis was used to identify themes across the articles.

Findings

The electronic database searches identified 1,967 articles. A total of 12 articles were assessed in full text against the inclusion and exclusion criteria, and finally, a total of seven articles were included. The articles originated from six countries, employed disparate methodological approaches, and featured a heterogeneous array of participants representing various health care settings. Patient-centeredness held the mantle as the most prominently used concept across the seven articles, whereas person-centeredness emerged as the least frequently explored concept. One theme was identified across the articles; Preparedness. This was related to shared decision-making and information pre, peri- and postoperative.

Conclusions

This rapid review suggests that patient preparedness, particularly through shared decision-making and providing information, is a recurring theme in the limited studies on patient- or centeredness in the perioperative context. The fact that only one single study focuses on person-centered care underscores the pressing need for a comprehensive re-evaluation of modern perioperative care.

目的：手术指征是一个人生命中的关键时刻，意味着不同的需求、感受或恐惧。目前的文献综述旨在阐明 "以患者为中心 "和 "以人为本 "这两个概念在围手术期的普遍应用情况：设计：快速综述设计：于 2022 年 12 月在 PubMed、Scopus (Elsevier)、American Psychological Association PsychInfo (Ovid)、Embase (Ovid)、CINAHL (Ovid) 和 Cochrane Library 等数据库中进行文献检索。使用 Rayyan 软件对文章进行评估。乔安娜-布里格斯研究所（Joanna Briggs Institute）的批判性评价工具用于评估收录文章的质量。采用主题分析法确定文章的主题：在电子数据库中搜索到了 1,967 篇文章。根据纳入和排除标准对 12 篇文章进行了全文评估，最后共纳入 7 篇文章。这些文章来自六个国家，采用的方法各不相同，参与者也各具特色，代表了不同的医疗环境。在这七篇文章中，"以病人为中心 "是最常用的概念，而 "以人为中心 "则是最不常用的概念。所有文章都确定了一个主题：准备。这与共同决策以及术前、围手术期和术后信息有关：本次快速综述表明，在围手术期以患者或人为中心的有限研究中，患者的准备工作，特别是通过共同决策和提供信息，是一个反复出现的主题。只有一项研究关注以人为本的护理，这一事实强调了对现代围手术期护理进行全面重新评估的迫切需要。

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引用次数: 0

Call for Awards Nominations! 征集奖项提名！

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00472-6

引用次数: 0

Call for 2026 Conference Speakers / Member-Get-A-Member 征集 2026 年大会发言人/会员招募

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00473-8

引用次数: 0

The Effect of Providing Education to Patients Undergoing Coronary Angiography on Vital Signs 为接受冠状动脉造影术的患者提供教育对生命体征的影响。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.017

Purpose

This study was conducted to determine the effect of providing preprocedural education to patients undergoing coronary angiography on their vital signs.

Design

The study was a randomized controlled experimental study with a pretest/post-test control group design.

Methods

The study was conducted in the Cardiology Service of a hospital in Eskişehir between November 2021 and April 2022. Power analysis identified that it was appropriate to include 79 individuals in the experimental group, 79 individuals in the control group, and a total of 158 individuals. The experimental group was trained using the "Structured Education Manual" prepared by the researchers.

Findings

The education had an influence on the stabilization of vital signs after the procedure compared to preprocedure. When the comparison of vital signs before and after the education was analyzed, systolic blood pressure and diastolic blood pressure differed significantly between 11 measurements in both groups (P < .05). The systolic and diastolic blood pressure of the experimental group measured before the procedure was higher than their other measurements after the procedure. Heart rate, respiratory rate, and saturation value in both groups displayed a statistically significant difference between 11 measurements (P < .05). In the experimental group, heart rate and respiratory rate before the procedure were higher than the postprocedure measurements. The saturation value of the experimental group at 150 minutes after the procedure was higher than the other measurements.

Conclusions

Education given to patients before undergoing a coronary angiography procedure had a positive effect on the patients’ vital signs. It is recommended that patients undergoing a coronary angiography procedure be provided with audio-visual training by nurses before the procedure.

目的：本研究旨在确定对接受冠状动脉造影术的患者进行术前教育对其生命体征的影响：该研究是一项随机对照实验研究，采用前测/后测对照组设计：研究于 2021 年 11 月至 2022 年 4 月在埃斯基谢希尔一家医院的心脏病科进行。功率分析表明，实验组和对照组的人数分别为 79 人和 79 人，共计 158 人。实验组使用研究人员编写的 "结构化教育手册 "进行培训：与术前相比，教育对术后生命体征的稳定有影响。在对教育前后的生命体征进行比较分析时，两组患者的收缩压和舒张压在 11 次测量中均存在显著差异（P 结论：教育对患者术后生命体征的稳定具有重要作用：在接受冠状动脉造影术前对患者进行教育对患者的生命体征有积极影响。建议接受冠状动脉造影术的患者在术前接受护士的视听培训。

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引用次数: 0