中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
8期
9-11
,共3页
清创缝合术%疼痛%焦虑抑郁%应激反应%护理干预
清創縫閤術%疼痛%焦慮抑鬱%應激反應%護理榦預
청창봉합술%동통%초필억욱%응격반응%호리간예
Debridement surgery%Pain%Anxiety and depression%Stress response%Nursing intervention
目的 为提高清创缝合术中的护理质量,探讨护理干预在减轻清创缝合术中患者疼痛、焦虑、抑郁及应激反应的效果.方法 选择我院2010年1～12月360例急诊清创缝合术患者设为干预组,采用整体护理干预方式；将同期采用传统护理方式行急诊清创缝合术的患者360例设为对照组.比较2组患者术中疼痛、围手术期血糖( Glu)、肾上腺素(E)、去甲肾上腺素(NE)、皮质醇(COl)等生理应激反应指标的水平,术前及术后10 d焦虑、抑郁评分.结果 2组患者术中疼痛比较,干预组重度疼痛率明显低于对照组,轻度疼痛率明显高于对照组；围手术期Glu、E、NE、COl情况比较显示,2组患者Glu水平比较差异无统计学意义,E、NE、COl水平比较差异显著；2组术后抑郁焦虑评分均较术前有明显下降,且干预组术前、术后焦虑抑郁评分均显著低于对照组.结论 护理干预在减轻清创缝合患者术中疼痛、围手术期焦虑抑郁及应激反应方面有明显效果,可在临床推广应用.
目的 為提高清創縫閤術中的護理質量,探討護理榦預在減輕清創縫閤術中患者疼痛、焦慮、抑鬱及應激反應的效果.方法 選擇我院2010年1～12月360例急診清創縫閤術患者設為榦預組,採用整體護理榦預方式；將同期採用傳統護理方式行急診清創縫閤術的患者360例設為對照組.比較2組患者術中疼痛、圍手術期血糖( Glu)、腎上腺素(E)、去甲腎上腺素(NE)、皮質醇(COl)等生理應激反應指標的水平,術前及術後10 d焦慮、抑鬱評分.結果 2組患者術中疼痛比較,榦預組重度疼痛率明顯低于對照組,輕度疼痛率明顯高于對照組；圍手術期Glu、E、NE、COl情況比較顯示,2組患者Glu水平比較差異無統計學意義,E、NE、COl水平比較差異顯著；2組術後抑鬱焦慮評分均較術前有明顯下降,且榦預組術前、術後焦慮抑鬱評分均顯著低于對照組.結論 護理榦預在減輕清創縫閤患者術中疼痛、圍手術期焦慮抑鬱及應激反應方麵有明顯效果,可在臨床推廣應用.
목적 위제고청창봉합술중적호리질량,탐토호리간예재감경청창봉합술중환자동통、초필、억욱급응격반응적효과.방법 선택아원2010년1～12월360례급진청창봉합술환자설위간예조,채용정체호리간예방식；장동기채용전통호리방식행급진청창봉합술적환자360례설위대조조.비교2조환자술중동통、위수술기혈당( Glu)、신상선소(E)、거갑신상선소(NE)、피질순(COl)등생리응격반응지표적수평,술전급술후10 d초필、억욱평분.결과 2조환자술중동통비교,간예조중도동통솔명현저우대조조,경도동통솔명현고우대조조；위수술기Glu、E、NE、COl정황비교현시,2조환자Glu수평비교차이무통계학의의,E、NE、COl수평비교차이현저；2조술후억욱초필평분균교술전유명현하강,차간예조술전、술후초필억욱평분균현저저우대조조.결론 호리간예재감경청창봉합환자술중동통、위수술기초필억욱급응격반응방면유명현효과,가재림상추엄응용.
Objective To improve the quality of care in debridement surgery and explore the effect of nursing intervention in reducing pain,anxiety and depression and stress response for patients during debridement surgery.Methods 360 patients with emergency debridement surgery in our hospital from January to December 2010 were set as the intervention group,patients of this group took holistic nursing intervention.360 patients receiving the traditional way of emergency care during debridement surgery at the same period were chosen as the control group.The pain,perioperative blood glucose (Glu),epinephrine (E),norepinephrine (NE),cortisol (COl) and other physiological suess response indicators and score of anxiety and depression 10 days preoperation and postoperation for the two groups were compared.Results The severe pain rate of the intervention group was significantly lower than the control group.The mild pain rate was significantly higher than the control group.Compared between the two groups,the differences were significant.The comparison of Glu,E,NE,COl of perioperative period showed that there was no significant difference in Glu between the two groups,but E,NE,COl were significantly different.The anxiety and depression scores pre-and postoperative compared,the depression and anxiety scores decreased significantly in the two groups compared with preoperation.The anxiety and depression scores in the intervention group before and after surgery were lower than those in the control group.The difference between the two groups was statistically significant.Conclusions The effect of nursing intervention in reducing pain,anxiety and depression and stress response for patients during debridement surgery was significant,and can be used in clinical application.
