Effects of handholding and providing information on physiology and psychology in patients undergoing percutaneous transforaminal endoscopic discectomy under local anesthesia / 中国实用护理杂志

ABSTRACT

Objective To evaluate the effects of handholding and providing information on physiology and psychology in patients undergoing percutaneous transforaminal endoscopic discectomy under local anesthesia. Methods A total of 74 patients receiving percutaneous transforaminal endoscopic discectomy under local anesthesia in China-Japan Friendship Hospital in Beijing were selected and randomly divided into the intervention group and the control group by random number table, with 60 cases in each. During surgery,the patients in the control group only received routine cares, in the intervention group, except the routine cares, nurses held the hands of patients for 20-30 seconds every 10 minnutes and provided them with spoken information. Then the State-Anxiety Inventory (SAI) scale and Visual Analogue Scale (VAS) were used for assessment of anxiety and pain of two groups of patients. Results The results showed that there was no statistically significant difference in SAI score between both groups the day before surgery and before surgery in operation room (P>0.05). The SAI scores of the control group (42.30 ± 10.14) was lower than that of the intervention group (35.35 ± 8.00), there was statistically significant difference between both groups (t=3.273, P=0.002);the VAS score in the control group (54.16 ± 22.02) was lower than that of the intervention group (41.68 ± 15.30), there was statistically significant difference between both groups (t=2.832,P=0.006). Conclusions The nursing method of handholding and providing information for patients who undergoing percutaneous transforaminal endoscopic discectomy under local anesthesia is very useful intervention, it can mitigate surgical anxiety,pain degree. It makes patients more comfortable whether in physiology or psychology and better fit surgery.