Article Summary
基于"互联网+"的手术室术前访视对老年患者围术期负性情绪、睡眠质量及应激反应的影响
The influence of preoperative visit in operating room based on "internet plus" on perioperative negative emotion, sleep quality and stress response of elderly patients
投稿时间:2025-03-15  修订日期:2025-03-15
DOI:
中文关键词: 互联网+  术前访视  老年  围术期  负性情绪  睡眠质量  应激反应
英文关键词: Internet plus  Preoperative visit  Elderly  Perioperative period  Negative emotions  Sleep quality  Stress response
基金项目:江苏省第五期“333”培养资金资助项目(BRA2020210)
作者单位邮编
汤娅* 盐城市第一人民医院 224000
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中文摘要:
      目的:基于"互联网+"的手术室术前访视对老年患者围术期负性情绪、睡眠质量及应激反应的影响。方法:选取2022年1月至2024年12月在盐城市第一人民医院进行手术的142例老年患者,采用随机数字表法将患者分为观察组(n=71,互联网+的手术室术前访视)和对照组(n=71,传统术前访视)。对比两组围手术期指标(心率、收缩压、舒张压)、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]、应激反应指标[C反应蛋白(CRP)、皮质醇(Cor)、去甲肾上腺素(NE)、肾上腺素(E)]。结果:两组干预后心率升高,收缩压、舒张压、SAS、SDS评分、PSQI评分、CRP、Cor、NE、E下降,且观察组变化幅度大于对照组(P<0.05)。结论:"互联网+"术前访视通过提前沟通、信息丰富、便捷高效和个性化服务,有效降低了老年患者的负性情绪、改善了睡眠质量、减轻了应激反应。
英文摘要:
      Objective: The influence of preoperative visit in operating room based on "internet plus" on perioperative negative emotion, sleep quality and stress response of elderly patients. Methods: 142 elderly patients who underwent surgery in the Yancheng First People''s Hospital from January 2022 to December 2024 were selected, the patients were randomly divided into observation group (n=71, preoperative visit in operating room based on "internet plus") and control group (n=71, traditional preoperative visit). The perioperative indicators (heart rate, systolic blood pressure, diastolic blood pressure), negative emotions [Self Rating Anxiety Scale (SAS), Self Rating Depression Scale (SDS)], sleep quality [Pittsburgh Sleep Quality Index (PSQI) score], stress response indicators [C-reactive protein (CRP), cortisol (Cor), norepinephrine (NE), epinephrine (E)] were compared between the two groups. Result: Heart rate after intervention increased, systolic blood pressure, diastolic blood pressure, SAS, SDS scores, PSQI scores, CRP, Cor, NE and E decreased, and the change range of observation group was greater than that of control group (P<0.05). Conclusion: Preoperative visit in operating room based on "internet plus" can effectively reduce the negative emotions of elderly patients, improve the quality of sleep, and alleviate the stress reaction through early communication, rich information, convenient, efficient and personalized service.
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