基于即时适配干预理论的手术室等候管理方案对腹腔镜下肝切除术患者的影响

摘要/Abstract

摘要： 目的：分析基于即时适配干预（just-in-time adaptive intervention, JITAI）理论的手术室等候管理方案对腹腔镜下肝切除术患者手术室等候的影响。
方法：采取便利抽样法,选取2022年11月至2026年6月于江苏大学附属医院行腹腔镜下肝切除术的70例患者为研究对象,按入院时间分为对照组（2022年11月至2024年12月）和观察组（2025年1月至2026年6月）,每组各35例。对照组患者采用常规手术室等候管理流程,观察组患者在对照组的基础上实施基于JITAI理论构建的手术室等候管理方案。比较两组患者实际等待时间、知觉等待时间、平均动脉压（mean arterial pressure, MAP）和心率（heart rate, HR）。采用焦虑自评量表（self-rating anxiety scale, SAS）评估患者焦虑程度。采用自制满意度调查问卷评估患者治疗满意度。
结果：观察组患者实际等待时间和知觉等待时间均短于对照组患者（P均<0.05）,SAS评分和即将离开手术等候室时的MAP、HR均低于对照组患者（P均<0.05）,治疗满意度高于对照组患者（P<0.05）。
结论：基于JITAI理论的手术室等候管理方案能够有效缩短腹腔镜下肝切除术患者的实际与知觉等待时间,降低术前焦虑水平,改善生理应激状态,提高患者治疗满意度。

关键词: 即时适配干预, 手术室等候, 肝癌, 腹腔镜下肝切除术, 干预

Abstract: Objective:To evaluate the effects of an operating room waiting management program based on the just-in-time adaptive intervention (JITAI) theory on the preoperative waiting experience in patients undergoing laparoscopic hepatectomy.
Methods:Using convenience sampling method, a total of 70 patients who underwent laparoscopic hepatectomy at Affiliated Hospital of Jiangsu University between November 2022 and June 2026 were enrolled and divided into two groups according to admission time: a control group (between November 2022 and December 2024, n=35) and an observation group (between January 2025 and June 2026, n=35). The control group received routine operating room waiting management procedures, while the observation group received the JITAI-based operating room waiting management program in addition to routine care. The two groups were compared in terms of actual waiting time and perceived waiting time. Mean arterial pressure (MAP) and heart rate (HR) were measured. Anxiety levels were assessed using the self-rating anxiety scale (SAS), and patient satisfaction was evaluated using a self-designed satisfaction questionnaire.
Results:The observation group had significantly shorter actual waiting time and perceived waiting time than the control group (both P<0.05). SAS scores, as well as MAP and HR measured at the time of leaving the operating room waiting area, were significantly lower in the observation group than in the control group (all P<0.05). Patient satisfaction scores were significantly higher in the observation group than in the control group (P<0.05).
Conclusions:The JITAI-based operating room waiting management program can effectively shorten both actual and perceived waiting time, reduce preoperative anxiety levels, improve physiological stress responses, and enhance patient satisfaction in patients undergoing laparoscopic hepatectomy.

Key words: Just-in-time adaptive intervention, Operating room waiting, Hepatocellular carcinoma, Laparoscopic hepatectomy, Intervention

邵静怡, 艾小明, 唐为定. 基于即时适配干预理论的手术室等候管理方案对腹腔镜下肝切除术患者的影响[J]. 肝癌电子杂志, 2026, 13(3): 66-72.

Shao Jingyi, Ai Xiaoming, Tang Weiding. Effects of an operating room waiting management program based on just-in-time adaptive intervention theory on patients undergoing laparoscopic hepatectomy[J]. Electronic Journal of Liver Tumor, 2026, 13(3): 66-72.

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