Abstract

Objective To compare the impact on the general anesthesia in patients with surgery preoperative anxiety and postoperative pain between preoperative patient-led integrated health education model and the traditional preoperative health education.Methods 630 cases of abdominal non-cancer patients undergoing general anesthesia,were randomly divided into study group (315 cases) and control group (315 cases).The study Group with research team led by the patient questions designed to interfere with personnel to answer a comprehensive health education in preoperative,the control group using traditional preoperative health education.Measurement in patients with anxiety,the fear of into the operating room,blood pressure,heart rate,pain,the use of the number of postoperative analgesics were compared and analyzed in the two groups before and after intervention.Results Anxiety score in study group was (41.12 ±3.16) and (56.43 ±4.26) in control group after the intervention,and the difference was significant ( t =4.65,P < 0.01 ).Pain score after operation was (6.12 ± 1.35) and (9.76 ± 1.57 ) in control group,and the difference was also statistically significant (t =6.35,P <0.05 ).Satisfaction of health education score was (12.53 ± 1.09) in study group and (7.24 ± 1.12 ) in control group and the t value was 4.78,and P value was less than 0.05.Conclusions Comprehensive health education model led by the patient of preoperative was more targeted,could alleviate preoperative anxiety and postoperative pain,and has good effect in traditional preoperative health education. Key words: Health education; Elderly patients; Anesthesia; Anxiety; Fear; Pain

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