【摘要】 目的 :探讨手术签字对胆囊切除病人术前焦虑及术后康复的影响。方法 :将 68例拟行胆囊切除病人随机分为实验组和对照组。实验组由病人参加术前谈话并亲自签署手术同意书 (3 5例 ) ;对照组由家属参加术前谈话并签署手术同意书 (3 3例 )。测定手术知情同意签字前后病人的血压、心率、焦虑程度以及术后身体恢复有关指标。结果 :实验组签字后病人的血压、心率、焦虑程度和术后疼痛均高于对照组(P <0 .0 5 ) ,术后首次下床活动时间和首次肛门排气时间延迟 (P <0 .0 1)。结论 :手术知情同意签字可使胆囊切除病人的焦虑程度增加 ,不利于术后身体的恢复。应重视知情同意签字对病人造成的心理压力 ,加强围手术期病人的心理干预和宣教更多还原

【Abstract】 Objective: to probe into the influence of signing a signature on preoperative anxiety and postoperative rehabilitation of patients underwent cholecystectomy. Method: a total of 68 cases of would-be underwent cholecystectomy were divided into both test and control group randomly. Patients of test group (35 cases) were told something about his or her illness and asked to sign a signature on operation consent paper in person. Vital signs including blood pressure, heart rate, and anxiety and post-operative pain of all patients were observed and recorded. Results: blood pressure and heart rate of test group patients were higher than that of control group (P<0.05). Patients of test group were more anxiety and felt more pain after surgery than that of patients in control group (P<0.01). Conclusion: to sign a signature on operation consent paper before underwent cholecystectomy may increase the anxiety of patients himself, which is unfavorable to the postoperative rehabilitation of them. One should pay attention to the mental pressure induced by signing consent paper in these patients and strengthen the psychological intervention and health education for patients in peri-operative period.更多还原