CAJ | 학술논문

目的：探讨个性化护理干预在肝胆外科围手术期患者中应用的价值。方法选取2013年10月~2014年12月肝胆外科围手术期的患者75例，随机分为观察组38例及对照组37例。对照组给予常规护理，观察组采取个性化护理干预。对两组患者干预前及干预后抑郁自评量表（SDS）和焦虑自评量表（SAS）得分及心率、血压变化情况进行比较。并观察其护理的满意度及不良反应发生率。结果干预后观察组患者的SDS、SAS得分显著低于对照组，两组比较，差异有统计学意义（P＜0.05）。干预后观察组患者的收缩压、舒张压及心率显著低于对照组，两组比较，差异有统计学意义（P＜0.05）。观察组的护理满意率为92.11%，明显高于对照组的78.38%，两组比较，差异有统计学意义（P＜0.05）。观察组患者的不良反应发生率为7.89%，明显低于对照组的18.92%，两组比较，差异有统计学意义（P＜0.05）。结论对肝胆外科围手术期患者采取个性化护理干预，可降低其忧虑抑郁情绪，血压及心率保持稳定，减少不良反应情况的发生。
목적：탐토개성화호리간예재간담외과위수술기환자중응용적개치。방법선취2013년10월~2014년12월간담외과위수술기적환자75례，수궤분위관찰조38례급대조조37례。대조조급여상규호리，관찰조채취개성화호리간예。대량조환자간예전급간예후억욱자평량표（SDS）화초필자평량표（SAS）득분급심솔、혈압변화정황진행비교。병관찰기호리적만의도급불량반응발생솔。결과간예후관찰조환자적SDS、SAS득분현저저우대조조，량조비교，차이유통계학의의（P＜0.05）。간예후관찰조환자적수축압、서장압급심솔현저저우대조조，량조비교，차이유통계학의의（P＜0.05）。관찰조적호리만의솔위92.11%，명현고우대조조적78.38%，량조비교，차이유통계학의의（P＜0.05）。관찰조환자적불량반응발생솔위7.89%，명현저우대조조적18.92%，량조비교，차이유통계학의의（P＜0.05）。결론대간담외과위수술기환자채취개성화호리간예，가강저기우필억욱정서，혈압급심솔보지은정，감소불량반응정황적발생。
Objective To explore the value of individualized nursing intervention in patients with perioperative period in Department of hepatobiliary Surgery. Methods 75 patients were collected and randomly divided into observation group (38 cases) and control group (37 cases), who were in perioperative period in department of hepatobiliary surgery from 2013 October to 2014 December. The control group was given routine nursing, and the observation group was given individualized nursing intervention. The SDS score, SAS score, heart rate, and blood pressure changes of two groups were compared between before the intervention and after the intervention. The nursing satisfaction and the incidence of adverse reactions were all observed.Results After intervention, the SDS scores, SAS scores of observation group were significantly lower than that of the control group (P<0.05). After intervention, systolic blood pressure, diastolic blood pressure and heart rate of the observation group patients were significantly lower than those of the control group, There were significant differences between two groups (P<0.05). The nursing satisfaction rate in the observation group was 92.11%, which significantly higher than the control group 78.38%. There was a significant difference between the two groups (P<0.05). The adverse reaction rate of observation group was 7.89%, significantly lower than that of the control group 18.92%, with a significant difference between the two groups (P<0.05).Conclusion The individualized nursing intervention can reduce the anxiety, depression and blood pressure, and keep the heart rate stable, and reduce the occurrence of adverse reactions of patients with perioperative period in department of hepatobiliary surgery.