手術(shù)室細(xì)節(jié)護(hù)理改善手術(shù)患者負(fù)性情緒和并發(fā)癥的臨床觀察

楊慧

摘 要：目的 探討手術(shù)室細(xì)節(jié)護(hù)理改善手術(shù)患者焦慮/抑郁情緒及降低并發(fā)癥發(fā)生的效果。方法 選擇2017年1月～2018年1月我院收治的102例手術(shù)患者為研究對象，隨機(jī)分為觀察組和對照組，每組51例。對照組給予傳統(tǒng)手術(shù)室護(hù)理，觀察組在對照組基礎(chǔ)上給予手術(shù)室細(xì)節(jié)護(hù)理。采用焦慮自評量表和抑郁自評量表評價(jià)患者的負(fù)性情緒，記錄兩組患者術(shù)中、術(shù)后并發(fā)癥情況及護(hù)理滿意度。結(jié)果 干預(yù)后，觀察組患者SAS評分和SDS評分分別為（33.10±7.44）分和（33.25±7.71）分，低于對照組的（40.03±10.87）分和（39.20±9.43）分，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組并發(fā)癥發(fā)生率為1.96%，低于對照組的17.65%，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組患者護(hù)理滿意度為96.08%，高于對照組的86.27%，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 手術(shù)室細(xì)節(jié)護(hù)理是對傳統(tǒng)手術(shù)護(hù)理的優(yōu)化，在改善手術(shù)患者負(fù)性情緒、減少并發(fā)癥和提高護(hù)理滿意度方面效果顯著。

關(guān)鍵詞：手術(shù)室細(xì)節(jié)護(hù)理；焦慮；抑郁；并發(fā)癥

中圖分類號：R473.6 文獻(xiàn)標(biāo)識碼：A DOI：10.3969/j.issn.1006-1959.2018.17.056

文章編號：1006-1959（2018）17-0176-03

Abstract：Objective To investigate the effect of operating room detail nursing on anxiety/depression in patients with surgery and to reduce the incidence of complications.Methods A total of 102 surgical patients admitted to our hospital from January 2017 to January 2018 were enrolled in the study.They were randomly divided into observation group and control group，with 51 cases in each group.The control group was given traditional operating room care，and the observation group was given detailed nursing care of the operating room on the basis of the control group.The negative emotions of the patients were evaluated by the Self-rating Anxiety Scale and the Self-rating Depression Scale.The intraoperative and postoperative complications and nursing satisfaction of the two groups were recorded.Results After intervention，the SAS score and SDS score of the observation group were（33.10±7.44）and（33.25±7.71）， respectively，which were lower than the control group（40.03±10.87）and（39.20±9.43），the difference was statistically significant（P<0.05）. The incidence of complications in the observation group was 1.96%，which was lower than that in the control group 17.65%，the difference was statistically significant（P<0.05）.The nursing satisfaction of the observation group was 96.08%，which was higher than that of the control group 86.27%，the difference was statistically significant（P<0.05）.Conclusion Operating room detail care is an optimization of traditional surgical care，which is effective in improving negative emotions，reducing complications and improving nursing satisfaction.

Key words：Operating room detail care；Anxiety；Depression；Complications

手術(shù)治療成功受到許多因素影響，如術(shù)前診斷、術(shù)中操作以及術(shù)后護(hù)理等影響[1]。手術(shù)是一個(gè)團(tuán)隊(duì)性工作，手術(shù)中需要主刀和多個(gè)助手，分工明確。因此，手術(shù)室工作具有工作量大、工作強(qiáng)度大以及時(shí)效性強(qiáng)的特點(diǎn)。隨著近年來手術(shù)護(hù)理的應(yīng)用研究不斷深入，人們逐漸意識到手術(shù)操作與手術(shù)護(hù)理在手術(shù)治療中的重要性，其中細(xì)節(jié)性護(hù)理是提高手術(shù)護(hù)理的關(guān)鍵。細(xì)節(jié)護(hù)理是在傳統(tǒng)手術(shù)治療基礎(chǔ)上對手術(shù)室治療細(xì)節(jié)進(jìn)行優(yōu)化，從而提高護(hù)理質(zhì)量，提高手術(shù)安全性和患者滿意度[2]。本研究以2017年1月～2018年1月我院收治的102例外科手術(shù)患者為研究對象，對比分析手術(shù)室細(xì)節(jié)護(hù)理與傳統(tǒng)手術(shù)護(hù)理的差異性以及應(yīng)用價(jià)值，現(xiàn)報(bào)道如下。

1資料與方法

1.1一般資料 選取2017年1月～2018年1月解放軍第一八七醫(yī)院收治的102例外科手術(shù)患者為研究對象，本研究經(jīng)醫(yī)院倫理會(huì)批準(zhǔn)。……