Preoperative Psychological Care Research Articles

Effect Evaluation of Preoperative Psychological Nursing Intervention on Sinusitis Patients Undergoing General Anesthesia by Multiplanner Reformation-Based CT.

The aim of this study was at exploring the clinical effect of CT images based on multiplanner reformation (MPR) combined with a preoperative psychological nursing intervention model in sinusitis patients undergoing general anesthesia. Sixty sinusitis patients who received MPR-based CT examination and general anesthesia were selected as the study subjects and randomly divided into the control group (n = 30) and the experimental group (n = 30). The control group used traditional preoperative education. The experimental group added the psychological nursing intervention based on traditional preoperative education. The blood pressure and heart rate before and after the operation, the self-rating anxiety scale (SAS) score before and after intervention, and satisfaction were comprehensively assessed. The results showed that CT based on MPR could observe the lesions and anatomical structures of the sinus wall and sinus in detail from multiple angles. The blood pressure (systolic blood pressure 135.12 ± 14.89 mmHg, diastolic blood pressure 87.05 ± 11.24 mmHg), heart rate (78.42 ± 12.19 beats/min), SAS score (45.85 ± 4.97 points), and nursing satisfaction (78.9%) of the experimental group were significantly better than those of the control group (145.83 ± 15.62 mmHg, 94.21 ± 10.86 mmHg, 86.44 ± 13.65 beats/min, 56.44 ± 5.12 points, 56.4%), and the differences were statistically significant (P < 0.05). In summary, the preoperative psychological care model has a positive role in reducing the tension and anxiety of patients before general anesthesia surgery and CT based on MPR is important for the clinical diagnosis and treatment of sinusitis. This study provides a theoretical reference for the clinical treatment of patients with sinusitis.

Perioperative nursing of a patient with ischemia-free liver transplantation

Objective To summarize the perioperative nursing care of a patient with ischemia-free liver transplantation. Methods The nursing measures were developed according to the characteristics of the disease and the individual conditions of the patients: including preoperative psychological care; preoperative preparation; prevention of postoperative infection; meticulous observation of the patient′s conditions, transplanted liver function and postoperative complications; the early guidance of rehabilitation activity, nutritional support treatment and the care of water and electrolyte balance. Results The patient recovered well with careful nursing care and no nursing-related complications occurred, and he was discharged successfully on the 18th day after surgery. Conclusion According to the patient's condition and individual situation, the development of nursing measures can effectively prevent the potential infection, timely discover the changes of the patient′s condition, understand the recovery of the transplanted liver function and observe the related postoperative complications, and help to promote the early recovery of patients. Key words: Nursing care; Ischemia-free; Liver transplantation; Perioperative period

Nursing cooperation in the operation of hypothalamic hamartoma resection through transcallosal interforniceal approach

Objective To summarize the experience of nursing cooperation during the operation of hypothalamic hamartoma resection through transcallosal interforniceal approach , in order to improve quality of cooperation in the operation and reduce the incidence of surgery-related complications .Methods The situation of nursing cooperation in four patients undergoing hypothalamic hamartoma resection through transcallosal interforniceal approach was analyzed retrospectively , including preoperative preparation , body position management , comprehensive heat preservation measures , collaboration in operation and others .Results Four patients obtained the good curative effect after the surgical treatment , whose symptoms were relieved , without postoperative intracranial infection .There were total removal of three patients and partial removal of one patient because of the special position of tumor .Conclusions Sufficient preoperative preparation , preoperative psychological care and intervention , correct body position , reasonable application of comprehensive heat preservation measures in the operation and proficient operation cooperation are key factors to ensure the success of operation. Key words: Hamartoma; Transcallosal interforniceal approach; Microsurgery; Nursing cooperation in the operation

Research on perioperative nursing for patients with rectal cancer treated with laparoscopic total mesorectal excision

Objective To summarize the nursing method of treatment of rectal cancer with laparoscopic total mesorectal excision (LTME).Methods Twenty-five patients with LTME were treated with preoperative psychological care,nursing assessment,bowel and skin preparation,postoperative condition observation,respiratory care,diet care,postural care,psychological care,skin care and guidance of perianal anal sphincter exercises.Results The operations of 25 patients were well.All the patients returned the ward safely,got out of bed after 24h,and 24 ～48h restored intestinal ventilation.They had the ability of self-care completely,quality of life was good and no complications occurred.Conclusions Careful,meticulous,and effective perioperative nursing and close condition observation can reduce the occurrence of complications and relieve postoperative discomfort,promote the rehabilitation of patients and improve patients' quality of life. Key words: Laparoscopy; Rectal cancer; Laparoscopic total mesorectal excision; Perioperative period; Nursing

The prevention of abortion syndrome

Objective To analyze the occurrence of abortion syndrome through a series of protection measures. Methods Preoperative psychological care, preemptive therapy, care of cervical relaxation, and intraoperative and postoperative protection were performed in 435 women who received induced abortion. The incidence of abortion syndrome was observed. Results Of 435 women, 19 ( 4.37% ) developed abortion syndrome. The incidence rate of RAAS ( 5.88% ) was highest in those with history of cesarean section.Conclusions Active protection measures can effectively reduce the incidence of abortion syndrome, relieve pain in patients, and have a marked effect. Key words: Induced abortion; Syndrome; Prevention

Cooperation during implanting domestically-made penile prosthesis for treating erectile dysfunction surgery

Objective To explore the cooperation emphasis during implanting domestically-made penile prosthesis for treating erectile dysfunction (ED) surgery. Methods The operation nursing of 9 ED patients undergoing surgery were selected to analyze. It includes primary care, strengthening the preoperative psychological care, special equipment and carefully prepared specialty items; strict implementation of the principles of aseptic surgery, note the use of antibiotics each stage, familiar three-piece implant method of installation. Results The surgery was successful in 9 cases, no peri-operative infections were happened and postoperative erectile function satisfaction was good. Conclusions Nurses skilled surgical procedures, with the tacit understanding, strict aseptic technique is the key to obtain successful operation. Key words: Erectile dysfunction; Penile prosthesis; Cooperation

Effective of Preoperative Personalized Psychological Care on Operative Patients

Objective To investigate the effect of preoperative individuation mental nursing on operative patients. Methods 56 cases of patients with operation were randomly divided into experiment group and control group.The patients in the experiment group were applied with preope rative individuation mental nursing and routine nursing care ,while only received routine nursing care in the control group. The alteration of blood pressure,heart rate and anxiety of patients before and after intervention was evaluated. Results The blood pressure,heart rate and anxiety level of experimental group became better than the control group. Conclusion Personalized preoperative psychological care can to stabilize mood and reduce anxiety, so it was an effective way to make operation successful. Key words: Personalized; Operation; Psychological care

Psychological care and rehabilitation instruction of radical cystectomy with sigmoid colonic neobladder

Objective To explore the key points of psychological care with rehabilitation instruction in the surgery of radical cystectomy and sigmoid colonic neobladder.Methods Ten patients with invasive bladder cancer were enrolled in this study.Full preoperative psychological care was gave to these patients in order to ersure the perioperative treatment were successful.All paints received rehabilitation instruction after radical cystectomy with sigmoid colonic neobladder surgery,including neobladder function training,diet guidance and so on.Surgical outcome was observed during follow-up.Resulls All operations were successful without complications happening during operation.During 3 months to 15 months follow-up,all patients had satisfactory neobladder function with full control of urination during daytime.No severe postoperative complication,such as urethrostenosis,was found.Conclusions Intensive preoperative psychological care combined with early correct function training of the neobladder is critical care points to ensure the surgery effect and reduce the complications. Key words: Radical cystectomy; Sigmoid colonic neobladder,Care

Observation and nursing of patients after minimally invasive ventriculo-atrial shunt

Objective To summarize the observation points and nursing experience after minimally invasive ventriculo-atrial shunt. Methods 45 patients after minimally invasive ventficulo-atrial shunt were given preoperative psychological care and preparations, postoperative observation of vital signs, con-sciousness, pupil, with or without intracranial hypertension, inadequate shunt or transitional symptoms, in-fectious symptoms, specific and basic care, awareness of postoperative complications and detailed guidance for discharge and follow-up jobs. Results Half month after shunt 28 cases regained consciousness, 9 cases with alleviated consciousness dysfunction, 8 cases with unchanged consciousness dysfunction, 5 cases with shunt blockage; 3 cases with over-shunt; 5 cases with inadequate shunt, 1 case with blood-borne in-fection, 1 case with shunt exposed, no intracranial infection, air embolism, complications such as endocardi-tis took place. Conclusions Adequate preoperative preparation and close postoperative observation, ef-fective specific care and basic care can increase success rate of ventriculo-atrial shunt and improve the quality of life of patients. Key words: Ventriculo-atrial shunt; Postoperative observation; Care

Patient anxiety and modern elective surgery: a literature review.

Medical advances have led to a considerable rise in the level of elective surgery undertaken as day-case surgery and with minimal hospital stay. However, amid such advances, preoperative psychological care has remained relatively static. A considerable number of patients are very anxious prior to elective surgery and little formal care is undertaken to address this major issue. A review of the literature from 1990 to 2002 was therefore undertaken in order to assess the present level of knowledge and interventions concerning patient anxiety when undergoing modern, intermediate surgical intervention. Thirty-four studies embracing data from 3754 patients undergoing both inpatient and day-case procedures were reviewed. Three main themes emerged - causes of anxiety, clinical concerns and measurement, and anxiety management. Each theme is discussed alongside details extracted from the relevant studies. Finally, the main issues arising are summarized and future research challenges identified.

Nursing intervention for pre-operative anxiety

Surgical nursing is changing as the type of surgical procedures being performed are becoming more complex and the time for delivering nursing care is reducing. This has resulted in condensing the acute physical care required into a few hours, often to the detriment of other aspects of nursing intervention such as pre- and post-operative anxiety management. A pre-operative psychological care plan for use in a modern, dynamic, surgical arena is briefly outlined as no such strategy currently exists.