摘要
目的:探究手术室护理路径对心脏外科手术患者的影响。方法:选取2019年3月-2021年1月厦门大学附属第一医院心脏外科102例心脏外科手术患者为研究对象。根据双色球随机分组法将其分为对照组(n=51)与研究组(n=51)。对照组给予常规手术护理,研究组给予手术室护理路径。比较两组手术时间及住院时间、术后24 h应激反应指标、护理前后心理状态、手术室护理质量及护理满意度。结果:研究组手术时间和住院时间均短于对照组(P<0.05)。研究组C反应蛋白(CRP)、胰岛素抵抗指数(HOMA-IR)、体温、心率均低于对照组,血氧饱和度高于对照组(P<0.05)。护理后,研究组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0.05)。研究组职业素质、术前准备、手术室环境、管理质量评分均高于对照组(P<0.05)。研究组护理总满意度显著高于对照组(P<0.05)。结论:心脏外科手术患者采用手术室护理路径能有效改善患者的不良情绪,缩短手术及住院时间,且应激反应较小,对提升手术室护理质量和患者满意度有积极意义,临床可优先应用。
Objective:To explore the influence of nursing path in operating room on patients undergoing cardiac surgery operation.Method:A total of 102 patients undergoing cardiac surgery operation from March 2019 to January 2021 in the Department of Cardiac Surgery of the First Affiliated Hospital of Xiamen University were selected as the study subjects.They were divided into the control group(n=51)and the study group(n=51)according to the two-color ball random grouping method.The control group was given routine surgical nursing,while the study group was given nursing path in operating room.The operation time,hospital stay,stress response indexes 24 h after operation,psychological state before and after nursing,nursing quality in operating room and nursing satisfaction were compared between the two groups.Result:The operation time and hospital stay in the study group were shorter than those in the control group(P<0.05).The C-reactive protein(CRP),homeostasis model assessment of insulin resistance index(HOMA-IR),body temperature and heart rate in the study group were lower than those in the control group,and blood oxygen saturation was higher than that in the control group(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)in the study group were lower than those in the control group(P<0.05).The scores of professional quality,preoperative preparation,operating room environment and management quality in the study group were higher than those in the control group(P<0.05).The total satisfaction of nursing in the study group was significantly higher than that in the control group(P<0.05).Conclusion:The adoption of nursing path in operating room for patients undergoing cardiac surgery operation can effectively improve the patients’bad mood,shorten the operation and hospital stay,and have less stress reaction.It is of positive significance to improve the nursing quality in the operating room and the satisfaction of patients.It can be used preferentially in clinic.
作者
官莉贞
洪素千
GUAN Lizhen;HONG Suqian(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)
出处
《中外医学研究》
2023年第1期88-91,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
手术室护理路径
心脏外科手术
护理满意度
手术室护理质量
Nursing path in operating room
Cardiac surgery operation
Nursing satisfaction
Nursing quality in operating room
