Analysis of the impact of preoperative visit and education by operating room nurses on patients' preoperative sleep and negative emotions
手术室护理术前访视与宣教对患者术前睡眠及不良情绪的影响分析

摘要

目的 分析手术室优化版术前访视联合深化宣教对手术患者术前睡眠质量及不良情绪的改善效果，为升级术前护理服务体系提供依据。方法 选取2024年5月至2025年5月我院40例择期手术患者，随机分为对照组和实验组各20例。两组均接受医院常规术前宣教（含手术基础信息、禁食禁水指导等），实验组在此基础上实施手术室优化版术前访视与深化宣教。比较两组术前1晚睡眠质量评分（PSQI）及术前不良情绪评分（SAS、SDS）。结果 干预前，两组PSQI、SAS、SDS评分差异无统计学意义（P>0.05）；干预后，实验组PSQI评分（4.25±1.32）显著低于对照组（7.86±1.58），SAS 评分（38.67±4.15）、SDS 评分（36.89±3.92）均显著低于对照组（52.34±4.87、50.12±4.56），差异有统计学意义（P<0.05）。结论 在常规宣教基础上，手术室优化版术前访视与深化宣教可进一步改善患者术前睡眠质量、缓解不良情绪，值得临床推广。

Abstract

Objective To evaluate the effectiveness of optimized preoperative nursing visits combined with in-depth counseling in improving sleep quality and reducing negative emotions among surgical patients, providing evidence for upgrading the preoperative care service system.
Methods A total of 40 elective surgical patients from May 2024 to May 2025 in our hospital were randomly divided into a control group (20 cases) and an experimental group (20 cases). Both groups received routine preoperative counseling (including basic surgical information, fasting and water restriction guidance, etc.). The experimental group additionally received optimized preoperative nursing visits and in-depth counseling. Preoperative sleep quality (PSQI) and negative emotion scores (SAS, SDS) were compared between the two groups.
Results No statistically significant differences were observed in PSQI, SAS, and SDS scores between the two groups before intervention (P>0.05). After intervention, the PSQI score (4.25±1.32), SAS score (38.67±4.15), and SDS score (36.89±3.92) of the experimental group were significantly lower than those of the control group (7.86±1.58, 52.34±4.87, 50.12±4.56), with statistically significant differences (P<0.05).
Conclusion   On the basis of routine counseling, optimized preoperative nursing visits and in-depth counseling can further improve preoperative sleep quality and alleviate negative emotions in patients, which is worthy of clinical promotion.