术前标准化访视对经阴道无张力尿道中段悬吊术患者术前焦虑与满意度的影响
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郑州市中心医院

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Effect of standardized preoperative visit on preoperative anxiety and satisfaction in patients undergoing tension-free vaginal tape
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Zhengzhou Central Hospital

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    摘要:

    目的 探究术前标准化访视在经阴道无张力尿道中段悬吊术(TVT)患者上的应用效果。方法 选取2022年10月至2025年9月在我院进行TVT手术的156例SUI患者,按随机数字表法分为研究组和对照组,各78例,对照组进行术前常规访视,研究组进行术前标准化访视。比较两组不同时间点焦虑情况、生理应激指标、访视前后睡眠质量及满意度。结果 访视前两组医院焦虑抑郁量表-焦虑亚量表(HADS-A)评分、舒张压、收缩压、心率、匹兹堡睡眠质量指数量表(PSQI)中入睡时间、睡眠障碍、睡眠时间、睡眠质量评分之间,均无显著差异(P>0.05);访视后及术前 30min研究组HADS-A评分均低于对照组(P<0.05),且访视后至术前30min评分变化幅度较小;访视后、术前30 min及入室5 min研究组舒张压、收缩压及心率均低于对照组(P<0.05),且研究组访视后至术前30 min及入室5min变化幅度较小;访视后研究组PSQI各维度评分更低(P<0.05);研究组满意度优于对照组(P<0.05)。结论 术前标准化访视可有效缓解TVT手术患者的术前焦虑情绪,减轻生理应激反应,改善术前睡眠质量,提升患者满意度。

    Abstract:

    Objective To investigate the application effect of standardized preoperative visit in patients undergoing tension-free vaginal tape (TVT). Methods A total of 156 patients with stress urinary incontinence (SUI) who underwent TVT surgery in Zhengzhou Central Hospital Affiliated to Zhengzhou University from October 2022 to September 2025 were selected. Based on different visiting protocols, they were divided into a study group and a control group, with 78 cases in each. The control group received routine preoperative visits, while the study group received standardized preoperative visits. The anxiety levels at different time points, physiological stress indicators, sleep quality before and after visits, and patient satisfaction were compared between the two groups of patients. Results Before the visit, there were no significant differences between the two groups in the hospital anxiety and depression scale-anxiety subscale (HADS-A) scores, diastolic blood pressure, systolic blood pressure, heart rate, or Pittsburgh sleep quality index (PSQI) scores for sleep onset time, sleep disorders, sleep duration, and sleep quality (all P>0.05). After the visit and 30 minutes before the procedure, the HADS-A scores in the study group were significant lower than those of the control group at the same time (all P<0.05), with minimal changes from the visit to 30 minutes before the procedure. After the visit, 30 minutes before the procedure, and 5 minutes after entering the operating room, the diastolic blood pressure, systolic blood pressure, and heart rate in the study group were lower than those of the control group at the same time (all P<0.05), with minimal changes from the visit to 30 minutes before the procedure and 5 minutes after entering the operating room. Post-visit, the scores of each dimension of PSQI for the patients in the study group were all lower (all P<0.05); the satisfaction of the patients in the study group was better than that of the control group (P<0.05). Conclusion Standardized preoperative visit can effectively alleviate the preoperative anxiety of patients undergoing TVT surgery, reduce physiological stress response, improve preoperative sleep quality and increase patient satisfaction.

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赵素英,何露露,郭南南,秦小宁.术前标准化访视对经阴道无张力尿道中段悬吊术患者术前焦虑与满意度的影响[J].生物医学工程学进展,2026,47(2):252-256

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  • 收稿日期:2026-01-20
  • 最后修改日期:2026-01-29
  • 录用日期:2026-01-31
  • 在线发布日期: 2026-06-15
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