硬膜外控制性降压下全髋置换手术中个性化护理干预的效果研究
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摘要
目的探讨个性化护理干预在硬膜外控制性降压下全髋置换手术中的应用效果。方法 60例实施全髋置换手术治疗的患者,随机分为观察组和对照组,每组30例。对照组在手术中给予常规护理,观察组在对照组的基础上给予个性化护理干预,比较两组的护理效果。结果观察组手术前日的收缩压、舒张压、心率与对照组比较差异无统计学意义(P>0.05),手术当日的收缩压、舒张压、心率均低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度为96.67%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。结论对硬膜外控制性降压麻醉下全髋置换手术的患者术中实施个性化护理,可以提高麻醉效果和护理服务满意度。
Objective To explore the application effect of personalized nursing intervention in total hip replacement surgery under epidural controlled depressurization. Methods A total of 60 patients with total hip replacement surgery were randomly divided into observation group and control group, with 30 cases in each group. The control group received intraoperative conventional nursing, and the observation group received personalized nursing intervention on the basis of the control group. Nursing effect was compared in two groups. Results The observation group had no statistically significant difference in systolic blood pressure, diastolic blood pressure and heart rate 1 day before operation comparing with the control group(P>0.05), and lower systolic blood pressure, diastolic blood pressure and heart rate on the day of surgery than the control group. The difference had statistical significance(P<0.05). The observation group had obviously higher nursing satisfaction degree as 96.67% than 80.00% in the control group, and the difference had statistical significance(P<0.05). Conclusion Implement of personalized nursing intervention can improve anesthesia effect and nursing satisfaction degree for patients with total hip replacement surgery under epidural controlled depressurization anesthesia.
Objective To explore the application effect of personalized nursing intervention in total hip replacement surgery under epidural controlled depressurization. Methods A total of 60 patients with total hip replacement surgery were randomly divided into observation group and control group, with 30 cases in each group. The control group received intraoperative conventional nursing, and the observation group received personalized nursing intervention on the basis of the control group. Nursing effect was compared in two groups. Results The observation group had no statistically significant difference in systolic blood pressure, diastolic blood pressure and heart rate 1 day before operation comparing with the control group(P>0.05), and lower systolic blood pressure, diastolic blood pressure and heart rate on the day of surgery than the control group. The difference had statistical significance(P<0.05). The observation group had obviously higher nursing satisfaction degree as 96.67% than 80.00% in the control group, and the difference had statistical significance(P<0.05). Conclusion Implement of personalized nursing intervention can improve anesthesia effect and nursing satisfaction degree for patients with total hip replacement surgery under epidural controlled depressurization anesthesia.
引文
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[10]周益锋,柳子明,周海燕,等.血液稀释联合控制性降压对全髋置换术患者细胞免疫功能的影响.中华麻醉学杂志,2004,24(2):139-140.
[11]秦云植.急性等容血液稀释联合控制性降压在全髋关节置换术中的应用.山东医药,2009,49(50):79-80.
[12]陈军,陆康生.异氟醚联合硬膜外麻醉用于全髋置换术控制降压的效果观察.实用临床医学,2005,6(10):63-66.
[13]李建平,陈森林,温剑华,等.急性高容量血液稀释联合控制性降压用于全髋置换术的临床研究.临床合理用药杂志,2011,4(27):22-23.
[14]钟锦秀,张培冰.急性高容性血液稀释联合控制性降压在人工全髋关节置换术中的应用.中国医药导刊,2015(6):602-604.
[15]赵自辉,黄秀娟.急性高容血液稀释结合控制性降压在全髋置换术中的应用.实用医技杂志,2004,11(6):772-773.
[16]谭军源,张小丹,郭璐娣.探究硬膜外控制性降压对全髋置换手术术中出血量的影响.中国实用医药,2016,11(10):195-196.
[2]陈贤,檀文好,黎必万,等.两种不同药物组合行控制性降压用于老年患者髋关节置换术的效果比较.中国现代医学杂志,2015,25(19):107-112.
[3]程丽霞,薛水兰,陈新妹,等.腰麻联合硬膜外麻醉剖宫产患者仰卧位低血压综合征体位干预的护理效果观察.护士进修杂志,2011,26(4):354-355.
[4]周小玲.硬膜外麻醉手术护理体会.中国保健营养(旬刊),2012,22(4):178-179.
[5]谢蓓蕾.人性化护理理念在手术室整体护理中的应用效果评价.中国实用护理杂志,2012,18(6):76-77.
[6]王巧梅.优质护理在肝病治疗康复期的几点心得体会.中国保健营养(旬刊),2013,23(2):299.
[7]肖春红.人性化护理在护理工作中的研究进展.中国疗养医学,2011,16(2):144-145.
[8]夏荣.髋关节置换术中瑞芬太尼控制性降压的临床观察.中国医药导刊,2013(1):138-139.
[9]周克亭,刘志群,邹伟伟.控制性降压复合急性高容血液稀释在全髋关节置换术中应用的观察.骨科,2007,31(2):90-91.
[10]周益锋,柳子明,周海燕,等.血液稀释联合控制性降压对全髋置换术患者细胞免疫功能的影响.中华麻醉学杂志,2004,24(2):139-140.
[11]秦云植.急性等容血液稀释联合控制性降压在全髋关节置换术中的应用.山东医药,2009,49(50):79-80.
[12]陈军,陆康生.异氟醚联合硬膜外麻醉用于全髋置换术控制降压的效果观察.实用临床医学,2005,6(10):63-66.
[13]李建平,陈森林,温剑华,等.急性高容量血液稀释联合控制性降压用于全髋置换术的临床研究.临床合理用药杂志,2011,4(27):22-23.
[14]钟锦秀,张培冰.急性高容性血液稀释联合控制性降压在人工全髋关节置换术中的应用.中国医药导刊,2015(6):602-604.
[15]赵自辉,黄秀娟.急性高容血液稀释结合控制性降压在全髋置换术中的应用.实用医技杂志,2004,11(6):772-773.
[16]谭军源,张小丹,郭璐娣.探究硬膜外控制性降压对全髋置换手术术中出血量的影响.中国实用医药,2016,11(10):195-196.