CAJ | 학술논문

目的：探讨在手术室优质护理服务中应用全程无缝隙护理模式的临床效果。方法2013年3月—2014年3月选择拟进行腹部手术的136例患者，按随机数字表法分为对照组与观察组，各68例。对照组实施手术室优质护理，观察组于对照组优质护理基础上实施全程无缝隙护理模式。观察两组患者护理前后心理状态和手术应激及护理满意度情况，采用美国精神科协会所制订的《精神障碍诊断和统计手册》评价患者的焦虑( SAS)和抑郁( SDS)情况，通过监测患者血压、心率、皮质醇水平评价患者手术的应激情况。结果护理后，两组患者SAS和SDS评分均较护理前下降，但观察组下降更为显著，差异有统计学意义(P<0.05)。护理前，两组患者应激状态差异无统计学意义(P>0.05)；护理后，观察组收缩压、舒张压、心率、皮质醇水平低于对照组，差异有统计学意义(P<0.05)。观察组满意度为98.53%(67/68)，高于对照组的91.18%(62/68)，差异有统计学意义(P<0.05)。结论对患者实施优质护理服务时应用全程无缝隙护理模式，其可有效改善手术患者的心理状态，减少各种手术应激发生，促使患者保持良好心态接受手术治疗，提高患者满意度。
목적：탐토재수술실우질호리복무중응용전정무봉극호리모식적림상효과。방법2013년3월—2014년3월선택의진행복부수술적136례환자，안수궤수자표법분위대조조여관찰조，각68례。대조조실시수술실우질호리，관찰조우대조조우질호리기출상실시전정무봉극호리모식。관찰량조환자호리전후심리상태화수술응격급호리만의도정황，채용미국정신과협회소제정적《정신장애진단화통계수책》평개환자적초필( SAS)화억욱( SDS)정황，통과감측환자혈압、심솔、피질순수평평개환자수술적응격정황。결과호리후，량조환자SAS화SDS평분균교호리전하강，단관찰조하강경위현저，차이유통계학의의(P<0.05)。호리전，량조환자응격상태차이무통계학의의(P>0.05)；호리후，관찰조수축압、서장압、심솔、피질순수평저우대조조，차이유통계학의의(P<0.05)。관찰조만의도위98.53%(67/68)，고우대조조적91.18%(62/68)，차이유통계학의의(P<0.05)。결론대환자실시우질호리복무시응용전정무봉극호리모식，기가유효개선수술환자적심리상태，감소각충수술응격발생，촉사환자보지량호심태접수수술치료，제고환자만의도。
Objective To explore clinical effects of whole seamless nursing model on high-quality nursing in Operation Room ( OR) . Methods A total of 136 patients with abdominal surgery had been averagely divided into control group and experimental group by random number table from March 2013 to March 2014. The control group was implemented OR high-quality of nursing while the experimental group was carried out the whole seamless nursing model. The psychological status, operation stress, and nursing satisfaction before and after intervention had been assessed SAS and SDS, that cited form ‘The diagnostic and statistical manual of mental disorders’ made by American Psychiatric Association, and assessed stress reaction by monitoring patient′s blood pressure, heart rate and cortisol levels. Results After intervention, the score of SAS and SDS in two groups decreased, but these of experimental group declined more apparently between two groups (P<0. 05). Before nursing, there were no statistical significance about stress reaction (P >0. 05). The satisfaction was 98. 53% (67/68) in the experimental group, higher than 91. 18% (62/68) in the control group (P<0. 05). Conclusions The whole seamless nursing model can contribute to patient′s psychological status, reduce operation stresses, help patients keep a good mood to take operation, and enhance patient′s satisfaction.