【摘要】 目的：观察良愿前置理论下的围术期宣教对行自体脂肪移植术面部年轻化就医者围术期焦虑和术后恢复的影响。方法：选择2019年4月-2021年4月在笔者医院就诊的64例行自体脂肪移植术面部年轻化就医者，采用简单随机分组法将其分为对照组(n=32)和观察组(n=32)。手术期间，对照组就医者采用常规的护理方式，观察组就医者在对照组干预的基础上进行良愿前置理论下的围术期宣教。评估两组就医者的宣教满意度、遵医行为、术后并发症发生率和术前准备缺陷发生率，采用一般自我效能感量表(GSES)评估就医者的自我效能。宣教后，评估两组就医者对行自体脂肪移植术面部年轻化的认知度，采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估就医者的抑郁和焦虑情绪，匹兹堡睡眠质量指数(PSQI)评价就医者的睡眠质量。结果：宣教后，观察组就医者术后并发症发生率3.13%，明显低于对照组的18.75%，差异有统计学意义(P<0.05)；观察组术前准备缺陷发生率6.25%明显低于对照组的25.00%(P<0.05)。观察组就医者对行自体脂肪移植术面部年轻化相关知识的认知度明显高于对照组(P<0.05)。观察组SDS、SAS和PSQI评分明显低于对照组(P<0.05)。观察组就医者的各项宣教满意度、各项遵医行为和自我效能评分明显高于对照组(P<0.05)。结论：良愿前置理论下的围术期宣教可以更好地缓解行自体脂肪移植术面部年轻化就医者围术期焦虑，有利于就医者术后恢复。更多还原

【Abstract】 Objective To observe the effects of perioperative education based on good-will preposing theory on perioperative anxiety and postoperative recovery in patients undergoing autologous fat transplantation for facial rejuvenation.Methods A total of 64 patients undergoing autologous fat transplantation for facial rejuvenation in the hospital were enrolled between April 2019 and April 2021.They were divided into control group (n=32) and observation group (n=32) by simple random grouping method.During surgery,control group was given routine nursing,while observation group was additionally given perioperative education based on good-will preposing theory.The education satisfaction,compliance behaviors,incidence of postoperative complications and preoperative preparation defects in both groups were evaluated.The self-efficacy of patients was assessed by general self-efficacy scale (GSES).After education patients’ cognition to autologous fat transplantation for facial rejuvenation in both groups was evaluated.The depression and anxiety were assessed by self-rating depression scale (SDS) and self-rating anxiety scale (SAS).Sleep quality was evaluated by Pittsburgh Sleep Quality Index (PSQI).Results After education,incidence of postoperative complications in observation group was significantly lower than that in control group (3.13% vs 18.75%) (P<0.05),incidence of preoperative preparation defects was significantly lower than that in control group (6.25% vs 25.00%) (P<0.05),cognition to autologous fat transplantation for facial rejuvenation was significantly higher than that in control group (P<0.05),SDS,SAS and PSQI scores were significantly lower than those in control group (P<0.05),and scores of education satisfaction,compliance behaviors and self-efficacy were significantly higher than those in control group (P<0.05).Conclusion Perioperative education based on good-will preposing theory can better alleviate perioperative anxiety in patients undergoing autologous fat transplantation for facial rejuvenation,which is conducive to postoperative recovery of patients.更多还原