研究多媒体式术前访视在腹腔镜无张力腹股沟疝患者的应用效果。

选择2019年4至5月，首都医科大学附属北京朝阳医院行腹腔镜无张力腹股沟疝患者88例。所选患者按照1～88号顺序编号，其中1～44号为对照组，45～88号为研究组，每组患者44例。对照组提供常规的术前访视，研究组提供多媒体式术前访视。并对多媒体式术前访视效果以及常规访视效果从入室后收缩压、心率、焦虑程度及术后满意度进行对比与分析。

对照组和研究组腹腔镜无张力腹股沟疝患者焦虑现象比较，差异有统计学意义（χ²=8.408，P=0.037）。对照组腹腔镜无张力腹股沟疝患者在麻醉前20分钟收缩压、麻醉前20分钟心率及患者满意度分别为（132.30±5.73） mmHg（1 mmHg=0.133 kPa）、（83.34±5.21）次/min、（94.09±3.08）分，与研究组（128.52±9.10） mmHg、（80.18±5.64）次/min、（98.05±2.06）分比较，差异有统计学意义（t=2.327、2.728、－7.084，P=0.023、0.008、<0.001）；对照组腹腔镜无张力腹股沟疝患者在术前1天收缩压及术前1天心率分别为（118.02±10.12）mmHg、（74.30±6.14）次/min，与研究组（121.57±10.25）mmHg、（76.61±5.72）次/min比较，差异无统计学意义（t=－1.633、－1.832，P=0.106、0.070）。

多媒体式术前宣教能够缓解患者术前焦虑、恐惧状态，降低患者因为心理引发的生理反应，降低手术风险，提高患者手术满意度及手术室整体护理质量。

To investigate the effect of multimedia preoperative interview on patients with laparoscopic tension-free inguinal hernia.

From April 2019 to May 2019, 88 patients in Beijing Chaoyang Hospital underwent laparoscopic tension free inguinal Hernias were enrolled. The selected patients were numbered according to the order of 1 to 88, in which 1 to 44 was the control group and 45 to 88 was the study group. The control group was given routine preoperative interview, and the study group was given multimedia preoperative interview. The effects of multimedia preoperative interview and routine interview were compared and analyzed in terms of systolic pressure, heart rate, anxiety and postoperative satisfaction.

There was significant difference in anxiety between control group and study group (χ²=8.408, P=0.037). In the control group, the patients' systolic pressure, heart rate and satisfaction at 20 minutes before anesthesia were (132.30±5.73) mmHg, (83.34±5.21) bpm and (94.09±3.08), respectively, compared with the study group (128.52±9.10) mmHg, (80.18±5.64) bpm and (98.05±2.06), the differences were statistically significant (t=2.327, 2.728, -7.08; P=0.023, 0.008, <0.001). The systolic blood pressure and heart rate of the control group at 1 day before operation were (118.02±10.12) mmHg and (74.30±6.14) bpm, respectively, compared with the study group (121.57±10.25) mmHg and (76.61±5.72) bpm. There were no differences (t=-1.633, -1.832, P=0.106 and 0.070).

Multimedia preoperative education can relieve the patients' anxiety and fear, reduce the physiological reaction caused by psychology, reduce the risk of operation, and improve the patients' satisfaction and the quality of nursing in operation room.