中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
28期
3647-3650
,共4页
顾彩萍%孙维敏%丁晔%陈维艳%李佳清
顧綵萍%孫維敏%丁曄%陳維豔%李佳清
고채평%손유민%정엽%진유염%리가청
神经外科手术%术前评估记录单%术后护理
神經外科手術%術前評估記錄單%術後護理
신경외과수술%술전평고기록단%술후호리
Neurosurgical procedures%Preoperative assessment record sheet%Postoperative nursing
目的:探讨术前评估记录单在经外科患者手术中的应用,为其临床应用提供可参考依据。方法共纳入80例入住神经外科手术治疗患者作为研究对象,采用随机数字法分为观察组与对照组,采用统一的术前评估记录单对观察组患者进行心理、生理等情况的评估,对照组患者仅给予常规术前访视。对两组患者疗效及术后护理效果进行比较。结果观察组患者术中失血量为(268.88±38.38) ml,手术时间为(142.1±10.10)min,住院时间为(12.88±0.56)d,血压升高2例,均明显低于对照组患者的(407.50±54.05)ml,(178.40±11.83)min,(25.63±1.02)d,8例,两组比较差异有统计学意义(t值分别为2.176,2.288,10.960;χ2=4.114,P<0.05)。术后观察组患者HAMA为(10.42±2.64)分,HAMD为(9.44±2.65)分,明显低于术前(13.53±4.63),(12.32±2.44)分及对照组患者术后的(13.12±3.34),(11.82±2.54)分,差异均有统计学意义(t值分别为3.043,3.856,3.544,2.643;P<0.05)。观察组患者满意度评分为(7.64±1.65)分,满意23例,明显高于对照组(6.55±1.63)分,14例,差异有统计学意义(t=3.643,Z=4.073;P<0.05)。结论神经外科手术患者行术前评估可以更好的改善患者的情绪影响,提高手术治疗的疗效并降低术中并发症的发生风险,可以为术前、术中护理措施提供有效的依据。
目的:探討術前評估記錄單在經外科患者手術中的應用,為其臨床應用提供可參攷依據。方法共納入80例入住神經外科手術治療患者作為研究對象,採用隨機數字法分為觀察組與對照組,採用統一的術前評估記錄單對觀察組患者進行心理、生理等情況的評估,對照組患者僅給予常規術前訪視。對兩組患者療效及術後護理效果進行比較。結果觀察組患者術中失血量為(268.88±38.38) ml,手術時間為(142.1±10.10)min,住院時間為(12.88±0.56)d,血壓升高2例,均明顯低于對照組患者的(407.50±54.05)ml,(178.40±11.83)min,(25.63±1.02)d,8例,兩組比較差異有統計學意義(t值分彆為2.176,2.288,10.960;χ2=4.114,P<0.05)。術後觀察組患者HAMA為(10.42±2.64)分,HAMD為(9.44±2.65)分,明顯低于術前(13.53±4.63),(12.32±2.44)分及對照組患者術後的(13.12±3.34),(11.82±2.54)分,差異均有統計學意義(t值分彆為3.043,3.856,3.544,2.643;P<0.05)。觀察組患者滿意度評分為(7.64±1.65)分,滿意23例,明顯高于對照組(6.55±1.63)分,14例,差異有統計學意義(t=3.643,Z=4.073;P<0.05)。結論神經外科手術患者行術前評估可以更好的改善患者的情緒影響,提高手術治療的療效併降低術中併髮癥的髮生風險,可以為術前、術中護理措施提供有效的依據。
목적:탐토술전평고기록단재경외과환자수술중적응용,위기림상응용제공가삼고의거。방법공납입80례입주신경외과수술치료환자작위연구대상,채용수궤수자법분위관찰조여대조조,채용통일적술전평고기록단대관찰조환자진행심리、생리등정황적평고,대조조환자부급여상규술전방시。대량조환자료효급술후호리효과진행비교。결과관찰조환자술중실혈량위(268.88±38.38) ml,수술시간위(142.1±10.10)min,주원시간위(12.88±0.56)d,혈압승고2례,균명현저우대조조환자적(407.50±54.05)ml,(178.40±11.83)min,(25.63±1.02)d,8례,량조비교차이유통계학의의(t치분별위2.176,2.288,10.960;χ2=4.114,P<0.05)。술후관찰조환자HAMA위(10.42±2.64)분,HAMD위(9.44±2.65)분,명현저우술전(13.53±4.63),(12.32±2.44)분급대조조환자술후적(13.12±3.34),(11.82±2.54)분,차이균유통계학의의(t치분별위3.043,3.856,3.544,2.643;P<0.05)。관찰조환자만의도평분위(7.64±1.65)분,만의23례,명현고우대조조(6.55±1.63)분,14례,차이유통계학의의(t=3.643,Z=4.073;P<0.05)。결론신경외과수술환자행술전평고가이경호적개선환자적정서영향,제고수술치료적료효병강저술중병발증적발생풍험,가이위술전、술중호리조시제공유효적의거。
Objective To study the application of preoperative assessment of record sheet on surgical patients in neurosurgery department .Methods Totals of 80 surgical patients were randomly divided into observation group and control group .Patients in observation group were given preoperative assessment record sheet, and patients in control group were given routine preoperative visit .The curative effect and postoperative nursing effects were compared .Results The intraoperative blood loss , operative time , length of hospital stay and patients increasing blood pressure in observation group were (268.88 ±38.38) ml, (142.1 ±10.10) min, (12.88 ±0.56) days,2, respectively, which were significantly lower than (407.50 ±54.05)ml, (178.40 ± 11.83)min, (25.63 ±1.02) days, 8 in control group.The differences were statistically significant (t=2.176, 2.288,10.960, respectively; χ2 =4.114;P <0.05).HAMA and HAMD scores of patients in observation group after operation were (10.42 ±2.64),(9.44 ±2.65),respectively, which were lower than (13.53 ±4.63), (12.32 ±2.44) before operation, and lower than (13.12 ±3.34),(11.82 ±2.54) in control group after operation too, the differences were statistically significant (t=3.043,3.856,3.544,2.643, respectively;P<0.05).Patient satisfaction scores was (7.64 ±1.65) and the number of satisfied patients was 23 in observation group, which were significantly higher than (6.55 ±1.63) and 14 in the control group.The differences were statistically significant difference (t=3.643,Z=4.073;P<0.05).Conclusions Neurosurgery patients with preoperative assessment can better improve the patient ’ s emotional impact , the curative effect of surgical treatment and reduce the risk of intraoperative complications .