척추마취 환자를 위한 예비적 감각정보 제공이 수술직전 불안에 미치는 영향
The Effect of Offering Preparatory Sensory Information to Patients Scheduled Operation under Spinal Anesthesia
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Abstract
Purpose: The purpose of this study is demonstration of that preparatory sensory information (PSI) as nursing intervention can affect preoperative state anxiety, vital sign and behavioral response of patients under spinal anesthesia. Method: This study was planned as a non-equivalant control group and a non-synchronized design and analyzed by χ2-test and t-test using SPSS 10.0 program. Experimental group (Group A) and control group (Group B) was respectively consisted of 40 patients who were scheduled operation under spinal anesthesia performed from July, 2002 to November, 2002. PSI was offered on the day before surgery by a nurse at the bed side. Result: After offering PSI, mean score of behavioral response during spinal anesthesia was significantly different between two groups; Group A was 7.60±0.93, Group B was 9.22±1.95 (p<.01). In the operating room, mean systolic/diastolic pressure was significantly different between two groups; Group A was 128.35±10.15/71.33±10.79mmHg, Group B was 136.45±17.23/78.25±14.16mmHg (p<.05). In the recovery room, mean score of state anxiety was 45.03±8.80 in Group A, 43.05±11.74 in Group B and mean heart rate was 72.73±12.24 beats/min in Group A, 78.48±14.58 beats/min in Group B. These two score was not statistically different between two groups (p>.05). Conclusion: The result of this study suggested that PSI for patients under spinal anesthesia can significantly affect preoperative behavioral response score and stabilization of blood pressure. Then we expect that PSI is an effective nursing intervention to reduce anxiety of patients.
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