細節護理在手術室護理工作中的應用效果

林澤華 彭見有

[摘要]目的 探討細節護理在手術室護理工作中的應用效果。方法 選取2017年1～ 11月我院收治的110例需手術的患者作為研究對象，采用隨機數字表法將其分為對照組、觀察組，每組55 例。對照組采用手術室常規護理，觀察組在手術室常規護理的基礎下實施細節護理，觀察并比較兩組患者護理質量評分、患者滿意度。結果 觀察組護士對患者病情的掌握率、基礎護理合格率、健康教育宣教率及護理質量滿意度高于對照組，差異有統計學意義（P<0.05）。觀察組的總滿意度高于對照組，差異有統計學意義（P<0.05）。結論 在手術室護理中實施細節護理的效果較好，可明顯提高護理質量評分及患者滿意度，從而提高護理治療依從性，保障手術順利進行。

[關鍵詞]細節護理；手術室；護理；應用效果

[中圖分類號] R472.3 [文獻標識碼] A [文章編號] 1674-4721（2018）5（b）-0183-03

The application effect of detail nursing care in operating room

LIN Ze-hua PENG Jian-you

Operating Room， Guangzhou Traditional Chinese Medicine Hospital，Guangdong Province，Guangzhou 510000，China

[Abstract]Objective To study the application effect of detail nursing care in operating room.Methods From January to November 2017，110 patients who needed surgery were selected as the research object，and randomly divided into control group and observation group，55 cases in each group. The control group was given routine nursing in the operating room，while the observation group was given detailed nursing on the basis of routine nursing in operating room and the nursing quality scores and patient satisfaction of the two groups were observed and compared.Results The nurses′ mastery rate of patients′ illness，qualified rate of basic nursing， health education and propaganda rate and satisfaction rate of nursing quality in the observation group were higher than those in the control group，and the difference was statistically significant （P<0.05）.The total satisfaction of the observation group was higher than that of the control group，the difference was statistically significant （P<0.05）.Conclusion The effect of detailed nursing care in operating room care is better，and the nursing quality score and patient satisfaction can be significantly improved，thereby improving the compliance of nursing care and ensuring the smooth operation.

[Key words]Detail nursing；Operating room；Nursing；Application effect

隨著醫療改革的進一步發展，要求醫護人員在提高服務技術的前提下進一步提高醫護人員服務質量[1]，同時對手術室護士服務的要求也越來越嚴格，不僅要有精湛的護理技術、扎實的理論基礎以及良好的服務態度，還要有為手術患者、麻醉醫師及手術醫師提供細節護理服務的理念。近年來，細節護理受廣泛手術患者的青睞，通過術前、術中和術后更細節、更為全面的護理，緩解了患者術前緊張的情緒，為患者的術中舒度適創造了一定的條件，并且促進了患者術后康復狀況，進一步提高手術質量與患者滿意度[2-3]。所有手術患者圍術期均無嚴重并發癥發生，取得了較好的成績，現報道如下。

1 資料與方法

1.1 一般資料

選取2017年1～11月我院收治的110例需手術的患者作為研究對象，采用隨機數字表法將其分為對照組、觀察組，每組55 例。觀察組中，患者年齡26～78歲，平均（42.8±6.3）歲；其中四肢骨折內固定手術10例，甲狀腺手術10例，乳腺癌手術10例，胃腸手術10例，宮腹聯合手術10例，白內障手術5例。對照組中，患者年齡30～80歲，平均（46.8±7.2）歲，其中四肢骨折內固定手術8例，甲狀腺手術12例，乳腺癌手術10例，胃腸手術10例，宮腹聯合手術8例，白內障手術7例；兩組患者的一般資料比較，差異無統計學意義（P>0.05），具有可比性。本研究患者及家屬均知情并且經過醫院醫學倫理委員會批準，患者及家屬同意接受手術治療并簽署知情同意書。