摘要
目的:探讨手术室细节护理在老年腹腔镜手术患者中的应用效果。方法:选择2020年3月-2021年11月成武县人民医院收治的82例腹腔镜手术老年患者为研究对象,经计算机余数法随机分为对照组与研究组,各41例。对照组行常规手术护理,研究组行手术室细节护理。比较两组术后并发症发生率、心理状态评分、生活质量评分、护理满意度。结果:研究组术后并发症发生率低于对照组,差异有统计学意义(P=0.023);护理前,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,研究组SAS和SDS评分均低于对照组,差异有统计学意义(P<0.001)。研究组护理后生理功能、社会功能、情感功能、人际关系生活质量评分均高于对照组,差异有统计学意义(P=0.000);研究组护理态度、健康教育、心理支持、病区环境、护理技术评分均高于对照组,差异有统计学意义(P<0.001)。结论:手术室细节护理能有效降低腹腔镜手术老年患者术后并发症发生率,改善患者的负面心理情绪,提升其生活质量,让患者对护理的满意程度得到明显提高。
Objective:To explore the application effect of detailed nursing in the operating room for elderly patients with laparoscopic surgery.Methods:From March 2020 to November 2021,82 elderly patients with laparoscopic surgery in Chengwu County People’s Hospital were selected as the study subjects and they were divided into control group and study group by computer remainder method,with 41 cases in each group.The control group received routine surgical nursing,and the study group received detailed nursing in the operating room.The incidence of postoperative complications,psychological status score,quality of life score and nursing satisfaction were compared between the groups.Results:The incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant (P=0.023).Before nursing,there was no significant difference between the two groups in the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS)(P>0.05).After nursing,the SAS and SDS scores in the study group were lower than those in the control group,and the difference was statistically significant (P<0.001).After nursing,the scores of physiological function,social function,emotional function,and interpersonal quality of life in the study group were higher than those in the control group,and the differences were statistically significant (P=0.000).The nursing attitude,health education,psychological support,ward environment and nursing technology scores in the study group were higher than those in the control group,and the differences were statistically significant (P<0.001).Conclusion:The detailed nursing in the operating room can effectively reduce the incidence of postoperative complications in elderly patients undergoing laparoscopic surgery,improve the patients’negative psychological emotions,improve the quality of life,and significantly improve the patients’satisfaction with nursing.
作者
宋伟
谢纪菲
张振
Song Wei;Xie Ji-fei;Zhang Zhen(Chengwu County People's Hospital,Heze 274200,Shandong Province,China)
出处
《中国社区医师》
2023年第2期129-131,共3页
Chinese Community Doctors
关键词
老年患者
腹腔镜手术
手术室细节护理
生活质量
Elderly patients
Laparoscopic surgery
Detail nursing in operating room
Quality of life
