中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
10期
1165-1168
,共4页
赵逢玲%冯艳秋%赵曰云%李政玲
趙逢玲%馮豔鞦%趙曰雲%李政玲
조봉령%풍염추%조왈운%리정령
集中护理管理%麻醉前%择期手术患者%人文关怀%个性化护理%应激
集中護理管理%痳醉前%擇期手術患者%人文關懷%箇性化護理%應激
집중호리관리%마취전%택기수술환자%인문관부%개성화호리%응격
Concentrated nursing management%Before anesthesia%Patients undergoing time selective operation%Humanistic care%Individualized nursing%Emotional response
目的 探讨择期手术患者入手术室后实施麻醉前集中护理管理模式对其应激的影响.方法 选取择期手术患者236例,随机分为干预组和对照组各118例.干预组患者术日入手术室后在麻醉复苏间实施麻醉前集中护理管理,并进行相应的人文关怀等护理干预措施；麻醉前5～10 min由巡回护士接入手术间,在巡回护士的人文关怀下进行麻醉手术.对照组以传统护理管理模式,入手术室后接入安排的相应手术间等待麻醉手术.评估比较两组患者心率、血压、血糖和心理状态的差异.结果 干预组患者术后3d焦虑自评量表(SAS)评分结果为(42.3±3.8)分,对照组为(50.6±3.4)分,组间比较差异具有统计学意义(t =8.63,P＜0.01).干预组患者麻醉前血糖为(4.7±0.3)mmol/L,心率为(78.3±7.4)次/min,收缩压为(16.9±0.3)kPa,对照组分别为(5.3±0.4) mmol/L、(95.3±7.6)次/min、(18.3±0.6) kPa,组间比较差异具有统计学意义(t值分别为14.10,7.82,8.12;P＜0.01).结论 术前集中护理管理并实施相关的护理干预,可降低患者的情绪反应,提高其后续的手术、治疗依从性,提高患者的术前安全性.
目的 探討擇期手術患者入手術室後實施痳醉前集中護理管理模式對其應激的影響.方法 選取擇期手術患者236例,隨機分為榦預組和對照組各118例.榦預組患者術日入手術室後在痳醉複囌間實施痳醉前集中護理管理,併進行相應的人文關懷等護理榦預措施；痳醉前5～10 min由巡迴護士接入手術間,在巡迴護士的人文關懷下進行痳醉手術.對照組以傳統護理管理模式,入手術室後接入安排的相應手術間等待痳醉手術.評估比較兩組患者心率、血壓、血糖和心理狀態的差異.結果 榦預組患者術後3d焦慮自評量錶(SAS)評分結果為(42.3±3.8)分,對照組為(50.6±3.4)分,組間比較差異具有統計學意義(t =8.63,P＜0.01).榦預組患者痳醉前血糖為(4.7±0.3)mmol/L,心率為(78.3±7.4)次/min,收縮壓為(16.9±0.3)kPa,對照組分彆為(5.3±0.4) mmol/L、(95.3±7.6)次/min、(18.3±0.6) kPa,組間比較差異具有統計學意義(t值分彆為14.10,7.82,8.12;P＜0.01).結論 術前集中護理管理併實施相關的護理榦預,可降低患者的情緒反應,提高其後續的手術、治療依從性,提高患者的術前安全性.
목적 탐토택기수술환자입수술실후실시마취전집중호리관리모식대기응격적영향.방법 선취택기수술환자236례,수궤분위간예조화대조조각118례.간예조환자술일입수술실후재마취복소간실시마취전집중호리관리,병진행상응적인문관부등호리간예조시；마취전5～10 min유순회호사접입수술간,재순회호사적인문관부하진행마취수술.대조조이전통호리관리모식,입수술실후접입안배적상응수술간등대마취수술.평고비교량조환자심솔、혈압、혈당화심리상태적차이.결과 간예조환자술후3d초필자평량표(SAS)평분결과위(42.3±3.8)분,대조조위(50.6±3.4)분,조간비교차이구유통계학의의(t =8.63,P＜0.01).간예조환자마취전혈당위(4.7±0.3)mmol/L,심솔위(78.3±7.4)차/min,수축압위(16.9±0.3)kPa,대조조분별위(5.3±0.4) mmol/L、(95.3±7.6)차/min、(18.3±0.6) kPa,조간비교차이구유통계학의의(t치분별위14.10,7.82,8.12;P＜0.01).결론 술전집중호리관리병실시상관적호리간예,가강저환자적정서반응,제고기후속적수술、치료의종성,제고환자적술전안전성.
Objective To investigate the selective operation patients in operation room in anesthesia before nursing management model on the stress influence research.Methods 236 patients undergoing elective operation were randomly divided into intervention group and control group with 118 cases in each group.Intervention group patients,preoperative in anesthesia recovery in anesthesia before nursing management,and corresponding humanistic care nursing interventions,in 5-10 minutes before anesthesia by nurse access implementation of the operation,in the humane care of itinerate nurse performed under anesthesia operation.The control group with traditional nursing management in operation room,after access arrangement corresponding operation for waiting operation anesthesia.Heart rate,blood pressure,blood glucose and psychological condition were compared and analyzed between the two groups.Results In the preoperative 3d SAS of the intervention group and the control group were (42.3 ± 3.8 ) score and ( 50.6 ± 3.4 ) score,and they had significant difference (t =8.63,P ＜0.01 ); blood glucose,heart rate,systolic blood pressure of the intervention group before anesthesia were (4.7 ±0.3) mmol/L,(78.3 ±7.4),times/min,(16.9 ±0.3) kPa; in the control group they were ( 5.3 ± 0.4) mmol/L,(95.3 ± 7.6) times/min,( 18.3 ± 0.6) kPa,and the differences were statistically significant (t =14.10,7.82,8,12,respectively,P ＜ 0.01 ).Conclusions Preoperative intensive care management and related nursing intervention pattern for patients with operation can reduce the patient' s emotional response; improve the follow-up operation and treatment compliance.Besides,it also enable patients to maintain good physical and mental condition and improve the patient' s preoperative safety,prevent nursing adveese events.
