中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
17期
2031-2033
,共3页
手术室护理%焦虑%抑郁%手术后并发症%术前访视%护理满意度
手術室護理%焦慮%抑鬱%手術後併髮癥%術前訪視%護理滿意度
수술실호리%초필%억욱%수술후병발증%술전방시%호리만의도
Operating room nursing%Anxiety%Depression%Postoperative complication%Preoperative interview%Nursing satisfaction
目的 探讨术前访视在手术室整体护理中的应用价值.方法 选择200例择期手术患者按随机数字表法随机分为观察组和对照组各100例.手术室护理人员对观察组患者进行术前访视,对照组无术前访视.于术前1d和进入手术室时,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者进行测评,比较两组患者收缩压(SBP)、心率(HR)变化以及术后并发症发生率和护理满意度.结果 术前1d,两组患者SAS、SDS评分比较,差异均无统计学意义(P＞0.05)；入手术室时观察组患者的SAS评分和SDS评分分别为(36.0±3.5),(37.5±3.0)分,均低于对照组的(41.0±4.0),(40.0±3.5)分,差异均有统计学意义(t分别为2.33,2.37；P＜0.05).术前1d,两组患者SBP、HR比较,差异均无统计学意义(P＞0.05)；入手术室时观察组患者的SBP和HR分别为(132.0±17.0)mm Hg,(82.0±11.0)次/min,均低于对照组的(150.0±19.0)mmHg,(96.0±18.0)次/min,差异均有统计学意义(t分别为2.51,2.46；P＜0.05).观察组患者术后并发症发生率为3.0％,低于对照组的10.0％,护理满意度为97.0％,高于对照组的80.0％,差异均有统计学意义(x2分别为4.03,14.20;P ＜0.05).结论 实施规范的术前访视,能够提高患者对手术刺激的耐受能力,减少并发症的发生,提高护理满意度,值得临床推广.
目的 探討術前訪視在手術室整體護理中的應用價值.方法 選擇200例擇期手術患者按隨機數字錶法隨機分為觀察組和對照組各100例.手術室護理人員對觀察組患者進行術前訪視,對照組無術前訪視.于術前1d和進入手術室時,採用焦慮自評量錶(SAS)、抑鬱自評量錶(SDS)對兩組患者進行測評,比較兩組患者收縮壓(SBP)、心率(HR)變化以及術後併髮癥髮生率和護理滿意度.結果 術前1d,兩組患者SAS、SDS評分比較,差異均無統計學意義(P＞0.05)；入手術室時觀察組患者的SAS評分和SDS評分分彆為(36.0±3.5),(37.5±3.0)分,均低于對照組的(41.0±4.0),(40.0±3.5)分,差異均有統計學意義(t分彆為2.33,2.37；P＜0.05).術前1d,兩組患者SBP、HR比較,差異均無統計學意義(P＞0.05)；入手術室時觀察組患者的SBP和HR分彆為(132.0±17.0)mm Hg,(82.0±11.0)次/min,均低于對照組的(150.0±19.0)mmHg,(96.0±18.0)次/min,差異均有統計學意義(t分彆為2.51,2.46；P＜0.05).觀察組患者術後併髮癥髮生率為3.0％,低于對照組的10.0％,護理滿意度為97.0％,高于對照組的80.0％,差異均有統計學意義(x2分彆為4.03,14.20;P ＜0.05).結論 實施規範的術前訪視,能夠提高患者對手術刺激的耐受能力,減少併髮癥的髮生,提高護理滿意度,值得臨床推廣.
목적 탐토술전방시재수술실정체호리중적응용개치.방법 선택200례택기수술환자안수궤수자표법수궤분위관찰조화대조조각100례.수술실호리인원대관찰조환자진행술전방시,대조조무술전방시.우술전1d화진입수술실시,채용초필자평량표(SAS)、억욱자평량표(SDS)대량조환자진행측평,비교량조환자수축압(SBP)、심솔(HR)변화이급술후병발증발생솔화호리만의도.결과 술전1d,량조환자SAS、SDS평분비교,차이균무통계학의의(P＞0.05)；입수술실시관찰조환자적SAS평분화SDS평분분별위(36.0±3.5),(37.5±3.0)분,균저우대조조적(41.0±4.0),(40.0±3.5)분,차이균유통계학의의(t분별위2.33,2.37；P＜0.05).술전1d,량조환자SBP、HR비교,차이균무통계학의의(P＞0.05)；입수술실시관찰조환자적SBP화HR분별위(132.0±17.0)mm Hg,(82.0±11.0)차/min,균저우대조조적(150.0±19.0)mmHg,(96.0±18.0)차/min,차이균유통계학의의(t분별위2.51,2.46；P＜0.05).관찰조환자술후병발증발생솔위3.0％,저우대조조적10.0％,호리만의도위97.0％,고우대조조적80.0％,차이균유통계학의의(x2분별위4.03,14.20;P ＜0.05).결론 실시규범적술전방시,능구제고환자대수술자격적내수능력,감소병발증적발생,제고호리만의도,치득림상추엄.
Objective To study the application value of preoperative interview during the holistic nursing in operation room.Methods Totals of 200 patients who had chosen the date for operation were randomly divided into the observation group and the control group,each with 100 cases.The observation group was interviewed by nursing staff before operation,while the control group was not.SAS and SDS were used to evaluate patients in both groups one day before operation and right before they entered the operating room.Blood pressure,heart rate,incidence rate of complications and nursing satisfaction were compared between two groups.Results One day before operation,there was no statistically significant difference of SAS and SDS between two groups (P ＞ 0.05).Right before patients entered the operating room,score of SAS and SDS was (36.0±3.5),(37.5 ±3.0)in the observation group,(41.0 ±4.0),(40.0 ±3.5)in the control group,and the differences were statistically significant (t =2.33,2.37,respectively ; P ＜ 0.05).One day before operation,there was no statistically significant difference of SBP and HR between two groups (P ＞ 0.05).Right before patients entered the operating room,their SBP and HR was (132.0 ± 17.0) mm Hg,(82.0±11.0) times/min in the observation group,(150.0 ± 19.0) mm Hg,(96.0 ± 18.0) times/min in the control group,and the differences were statistically significant (t =2.51,2.46,respectively; P ＜ 0.05).The incidence of complications after operation and nursing satisfaction rate were 3.0％ and 97.0％ in the observation group,10.0％ and 80.0％ in the control group,and the differences were statistically significant (x2 =4.03,14.20,respectively;P ＜ 0.05).Conclusions Standardized preoperative interview can improve patients' tolerance of operation stimulation,reduce the incidence of complications,increase nursing satisfaction,thus is worthy of clinical promotion.
