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手术室整体护理在妇科手术中的应用效果

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龙源期刊网 http://www.qikan.com.cn 手术室整体护理在妇科手术中的应用效果 作者:霍福英 刘书宇 李莲娣 柴方圆 来源:《中国医药科学》2017 年第 09 期 [摘要] 目的 探讨手术室整体护理在妇科手术中的应用效果。方法 选择 2016 年 1~6 月在 我院手术室行妇科手术的患者 60 例为研究对象,随机分为干预组与对照组各 30 例。对照组给 予常规手术护理,干预组给予手术室整体护理。比较两组干预前及手术后 SAS、SDS 评分,入 手术室后心理反应情况,术前 1d 以及入手术室后 5min 心率及血压水*。结果 两组术后 SAS 评分以及 SDS *均均较干预前下降,差异有统计学意义(P [关键词] 手术室整体护理;妇科手术;焦虑;抑郁;血压波动 [中图分类号] R472.3 [文献标识码] A [文章编号] 2095-0616(2017)09-88-04 Application effect of holistic nursing care in operation room for gynecological surgery HUO Fuying1 LIU Shuyu2 LI Liandi3 CHAI Fangyuan1 1.Operation Room, the Second Affiliated Hospital of Mudanjiang Medical University, Mudanjiang 157000, China; 2.Imaging Department, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang 157000, China; 3.Department of Anesthesiology, the Second Affiliated Hospital of Mudanjiang Medical University, Mudanjiang 157000, China [Abstract]Objective To discuss application effect of holistic nursing care in operation room for gynecological surgery. Methods 60 cases with gynecological surgery from Jan to Jun 2016 were selected and divided randomly into intervention group and control group, each of 30 cases. The control group was nursed with routine surgical nursing, and the intervention group was nursed with operation room holistic nursing care. SAS, SDS before intervention and post-operation, psychological reaction after entering the operation room, and HR, SBP, DBP at one day before operation and 5 minutes after entering the operation room of two groups were compared. Results SAS and SDS post-operation of two groups were lower than those before intervention, which showed significant difference(P [Key words] Holistic nursing care in operation room; gynecological surgery; Anxiety; Depression; Blood pressure fluctuation 妇科常见的手术根据手术途径可分为腹部手术以及阴式手术。腹部手术包括剖腹探查术、 全子宫切除术、子宫切除加附件切除术等。患者在术前可能因担心手术是否能够顺利进行、手 术效果等而 龙源期刊网 http://www.qikan.com.cn 产生焦虑情绪,也会因缺乏对生殖器功能正确的认知、缺乏术前配合等有关知识而觉得忐 忑不安、焦虑、抑郁[1-3]。这些不良情绪均会影响手术的顺利进行,影响术中患者的生命体征 [4]。我们将整体护理引入到手术室护理中,取得了较好的临床效果。现将结果报道如下。 1 资料与方法 1.1 一般资料 选择 2016 年 1~6 月在我院手术室行妇科手术的患者 60 例为研究对象。纳入标准:年龄 18~60 岁,均为子宫切除术或者附件切除术;未合并神经系统疾病及精神系统疾病,认知能 力正常,理解能力正常,有正常的读写能力;患者手术方法及本次研究知情同意。60 例患者 随机分为干预组与对照组各 30 例。干预组年龄 23~60 岁,*均(46.8± 12.1)岁;对照组年龄 22~58 岁,*均(46.1± 11.9)岁。两组患者一般资料比较差异无统计学意义(P>0.05)。本研 究经过医院医学伦理委员会同意。 1.2 护理方法 1.2.1 对照组手术室护理 给予常规手术室护理,术前病房护士给予常规护理,术前准备, 由巡回护士接入手术室,减少不必要的刺激,缓解患者紧张恐惧情绪,开通静脉通道,链接监 护仪,协助麻醉师完成麻醉,密切观察患者一般情况,熟练积极配合好手术完成,手术结束 后,巡回护士与麻醉师一起将患者送回病房。 1.2.2 干预组手术室护理 给予手术室整体护理。(1)手术室巡回护士参



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