手术室护士对择期手术患者实施术前访视的临床效果评价
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摘要
目的探讨手术室护士对择期手术患者实施术前访视的临床意义。方法 2015年1月—2018年10月该院120例择期手术患者随机分观察组对照组,各60例,对照组按照手术常规护理程序予以护理,观察组成立了术前访视小组,并制定了《手术室护士术前访视内容调查表》,对术前访视的时间、内容及形式等实施规范化管理,主要以术前评估和术前宣教为主。结果观察组手术相关知识知晓评分(22.13±2.12)分、术前准备依从性(5.23±0.27)分、护士满意度评分(98.47±1.12)分全部高于对照组的(14.48±5.37)分、(4.11±0.86)分、(91.47±2.26)分(t=17.34,3.22,3.01,P<0.05),VAS评分(2.45±1.35)分、SAS评分(39.23±13.23)分低于对照组(3.75±1.40)分、(42.27±10.12)分(t=7.73,4.86,P<0.05)。结论将术前访视应用于手术室护理流程中,有利于患者掌握手术相关知识知晓、提高术前准备依从性,改善焦虑情绪和抑郁情绪,便于手术顺利的实施,减少术后疼痛和提高患者满意度。
Objective To explore the value of preoperative visits by nurses in operating room for patients undergoing elective surgery. Methods Form January 2015 to October 2018, a total of 120 patients undergoing elective surgery in our hospital were randomly divided into observation group and control group, with 60 cases in each group. The control group was given nursing according to the routine nursing procedure. The observation group established a preoperative visiting group. A questionnaire on the contents of preoperative visits of nurses in operating rooms was also developed.Standardized management of the time, content and form of preoperative visits was mainly based on preoperative assessment and preoperative education. Results In the observation group, operation-related knowledge awareness score was(22.13±2.12)points, preoperative preparation compliance was(5.23±0.27)points, nurse satisfaction score was(98.47±1.12)points, which were higher than those of control group(14.48±5.37)points,(4.11±0.86)points,(91.47±2.26)points(t=17.34, 3.22, 3.01,P<0.05). VAS score(2.45±1.35)points, SAS score(39.23±13.23)points were lower than that of control group(3.75±1.40)points,(42.27±10.12)points(t=7.73, 4.86,P<0.05). Conclusion The application of preoperative visits in operating room nursing can help patients grasp the knowledge related to surgery, improve preoperative preparation compliance, improve anxiety and depression, facilitate the implementation of surgery, reduce postoperative pain and improve patient satisfaction.
Objective To explore the value of preoperative visits by nurses in operating room for patients undergoing elective surgery. Methods Form January 2015 to October 2018, a total of 120 patients undergoing elective surgery in our hospital were randomly divided into observation group and control group, with 60 cases in each group. The control group was given nursing according to the routine nursing procedure. The observation group established a preoperative visiting group. A questionnaire on the contents of preoperative visits of nurses in operating rooms was also developed.Standardized management of the time, content and form of preoperative visits was mainly based on preoperative assessment and preoperative education. Results In the observation group, operation-related knowledge awareness score was(22.13±2.12)points, preoperative preparation compliance was(5.23±0.27)points, nurse satisfaction score was(98.47±1.12)points, which were higher than those of control group(14.48±5.37)points,(4.11±0.86)points,(91.47±2.26)points(t=17.34, 3.22, 3.01,P<0.05). VAS score(2.45±1.35)points, SAS score(39.23±13.23)points were lower than that of control group(3.75±1.40)points,(42.27±10.12)points(t=7.73, 4.86,P<0.05). Conclusion The application of preoperative visits in operating room nursing can help patients grasp the knowledge related to surgery, improve preoperative preparation compliance, improve anxiety and depression, facilitate the implementation of surgery, reduce postoperative pain and improve patient satisfaction.
引文
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[12]孙静.术前访视在心胸外科手术患者中的应用[J].国际护理学杂志,2018,37(7):930-932.
[2]余细凤.与术前访视者护理的沟通技巧[J].中国社区医师,2016,11(12):232-233.
[3]郭莉芳.术前访视应用于手术室护理的影响效果分析[J].护理实践与研究,2016,17(2):323-325.
[4]梁顺萍,饶玲,卞存霞.术前访视在手术室整体护理中的重要性[J].基层医学论坛,2016,12(13):369-370.
[5]张丹,伍琳林,刘琳伟,等.术前访视应用于手术室护理探究[J].医学理论与实践2015,28(4):527-528.
[6]倪艳乐,金桂芳,陈旭权.1临床护理路径在手术室整体护理中的应用[J].懈放军护理杂志,2014,31(11):42-43.
[7]张瑾,任维,马明华,等.术前访视与术后回访在手术室全程护理中的实践应用[J].当代医学,2015,21(23):394-395.
[8]林萍.集中多媒体术前访视模式对于择期关节置换者干预效果的前瞻性研究[J].上海护理,2015,13(2):221-223.
[9]黄凤和.术前访视联合安全管理对手术室护理质量及者满意度的影响[J].数理医药学杂志,2015,29(6):361-362.
[10]黄晓燕.系统化、规范化术前访视模式对手术者护理质量的影响[J].齐鲁护理杂志,2015,31(8):81-83.
[11]宋燕姣,陈月秀.术前访视中认知行为干预对手术患者手术应激反应的影响[J].国际护理学杂志,2016,35(23):3242-3244.
[12]孙静.术前访视在心胸外科手术患者中的应用[J].国际护理学杂志,2018,37(7):930-932.