Objectives To analyze patients' preoperative anxiety and evaluate the intervention effect of psychological care to their anxiety. Methods We conducted a randomized control trial (RCT). 440 surgical patients were randomly divided into control and intervention group. The controls were given routine clinical care, apart from routine clinical care, the intervention cases were provided with psychological care. Differences in scores of preoperative anxiety, blood pressure and heart rate between the two groups were compared. Results There were no significant differences in patients' age, education level, disease condition and type of surgery between these two groups (P>0. 05). Average anxiety score of intervention and control groups 24 hours before operation were 7. 35 and 7. 62, respectively, no significant difference existed (P>0. 05). Average anxiety score of these two groups 10 minutes before operation were 11. 76 and 15. 92, significant statistical difference was found (P = 0. 024 6). The increase in blood pressure and heart rate of these two groups were significantly different (P<0. 05). Conclusions Many patients are anxious before operation. Psychological interventions have obvious effects on alleviate patients' anxiety. To meet patients' demands for knowledge of the surgery is an important method to relive anxiety.%目的 了解术前患者的焦虑心理,并评价心理护理对其焦虑情绪的干预效果.方法 采用随机对照试验方法,将440名外科患者随机分为对照组和干预组,对照组进行常规护理,干预组在常规护理的基础上增加心理护理,分别比较其术前焦虑评分、血压和心率的变化.结果 两组患者的年龄、文化程度、病情及手术种类分布差异无统计学意义(P>0.05);干预组和对照组患者术前24 h平均焦虑总分为7.35和7.62,两者差异无统计学意义(P>0.05);两组患者术前10 min的平均焦虑评分为11.76和15.92,两者差异有统计学意义(P<0.05);两组患者术前血压和心率的增加值差异有统计学意义(P<0.05).结论 术前患者普遍会出现焦虑心理,而心理干预对缓解患者的焦虑情绪有一定效果,另外,满足患者对手术相关知识的需求是缓解其焦虑情绪的重要方法.
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