中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
32期
101-103
,共3页
护理干预%腹腔镜胆囊切除术%生命体征
護理榦預%腹腔鏡膽囊切除術%生命體徵
호리간예%복강경담낭절제술%생명체정
Nursing intervention%Macroscopic cholecystectomy%Vital signs
目的：探讨研究护理干预对腹腔镜胆囊切除术患者生命体征的影响。方法：选择本院收治的择期行腹腔镜胆囊切除术的96例患者作为研究对象，按照随机数字对照表法平均分为两组，对照组（48例）给予常规护理措施，研究组（48例）在围手术期给予全面护理干预。分别记录两组患者术前1 d、进入手术室初以及麻醉苏醒时的心率、呼吸频率和平均动脉压，并记录患者对护理工作的满意度。结果：研究组患者对护理工作的满意度为93.8%，显著高于对照组的66.7%，差异有统计学意义（P<0.05）；术前1 d，两组患者心率、呼吸频率和平均动脉压比较，差异无统计学意义（P>0.05）；研究组患者进入手术室初以及麻醉苏醒时的心率、呼吸频率和平均动脉压与术前1 d相比无明显差异，明显优于对照组，组间比较差异均有统计学意义（P<0.05）。结论：围手术期给予全面护理干预能够减轻腹腔镜胆囊切除术患者的紧张恐惧感，减轻了手术刺激带来的生命体征变化，从而使患者能更好地接受手术治疗，提高了护理满意度，值得临床推广和普及。
目的：探討研究護理榦預對腹腔鏡膽囊切除術患者生命體徵的影響。方法：選擇本院收治的擇期行腹腔鏡膽囊切除術的96例患者作為研究對象，按照隨機數字對照錶法平均分為兩組，對照組（48例）給予常規護理措施，研究組（48例）在圍手術期給予全麵護理榦預。分彆記錄兩組患者術前1 d、進入手術室初以及痳醉囌醒時的心率、呼吸頻率和平均動脈壓，併記錄患者對護理工作的滿意度。結果：研究組患者對護理工作的滿意度為93.8%，顯著高于對照組的66.7%，差異有統計學意義（P<0.05）；術前1 d，兩組患者心率、呼吸頻率和平均動脈壓比較，差異無統計學意義（P>0.05）；研究組患者進入手術室初以及痳醉囌醒時的心率、呼吸頻率和平均動脈壓與術前1 d相比無明顯差異，明顯優于對照組，組間比較差異均有統計學意義（P<0.05）。結論：圍手術期給予全麵護理榦預能夠減輕腹腔鏡膽囊切除術患者的緊張恐懼感，減輕瞭手術刺激帶來的生命體徵變化，從而使患者能更好地接受手術治療，提高瞭護理滿意度，值得臨床推廣和普及。
목적：탐토연구호리간예대복강경담낭절제술환자생명체정적영향。방법：선택본원수치적택기행복강경담낭절제술적96례환자작위연구대상，안조수궤수자대조표법평균분위량조，대조조（48례）급여상규호리조시，연구조（48례）재위수술기급여전면호리간예。분별기록량조환자술전1 d、진입수술실초이급마취소성시적심솔、호흡빈솔화평균동맥압，병기록환자대호리공작적만의도。결과：연구조환자대호리공작적만의도위93.8%，현저고우대조조적66.7%，차이유통계학의의（P<0.05）；술전1 d，량조환자심솔、호흡빈솔화평균동맥압비교，차이무통계학의의（P>0.05）；연구조환자진입수술실초이급마취소성시적심솔、호흡빈솔화평균동맥압여술전1 d상비무명현차이，명현우우대조조，조간비교차이균유통계학의의（P<0.05）。결론：위수술기급여전면호리간예능구감경복강경담낭절제술환자적긴장공구감，감경료수술자격대래적생명체정변화，종이사환자능경호지접수수술치료，제고료호리만의도，치득림상추엄화보급。
Objective:To observe the vital signs for patients undergoing macroscopic cholecystectomy after nursing intervention.Method:96 cases of elective laparoscopic cholecystectomy were randomly divided into study group with 48 cases and the control group with 48 cases.The control group were treated by conventional nursing measures and the study group were treated by comprehensive nursing intervention in perioperative.The heart rate,respiratory rate,mean arterial pressure at 1 d before operration,early into the operating room,anesthesia waking were recorded. Satisfaction of nursing work of patients were recorded.Result:The nursing job satisfaction of study group was 93.8%,was significantly higher than 66.7%in the control group(P<0.05).The heart rate,respiratory rate,mean arterial pressure at 1 d before operration of two groups had no significant difference statistically(P>0.05).The heart rate,respiratory rate, mean arterial pressure at early into the operating room and anesthesia waking of study group had no significant difference statistically compared 1 d before operration,and was superior to control group,statistics had significant difference (P<0.05).Conclusion:Comprehensive nursing intervention in perioperative can reduce the laparoscopic cholecystectomy patients’ nervous fear,and reduce the vital signs of change for surgical stimulation,and improve nursing satisfaction,so that patients can accept the surgical treatment better,and it is worthy of clinical promotion and popularization.
