舒适手术室护理模式在腹腔镜腹股沟疝修补术中的应用

Application of comfortable operating room nursing in laparoscopic inguinal hernia repair

目的探讨舒适手术室护理模式在腹腔镜腹股沟疝修补术中的应用效果。方法将2020年1月至2022年6月霍邱县第一人民医院收治的80例行腹腔镜腹股沟疝修补术的患者以随机数字表法分为观察组和对照组,每组40例。对照组予常规手术室护理,观察组在对照组的基础上加用舒适手术室护理模式。比较2组访视时(护理前)、术毕清醒后(护理后)汉密尔顿焦虑量表(HAMA)评分、Kolcaba舒适状况量表(GCQ)评分,观察进入术前等待间时(T_(0))、麻醉前(T_(1))、术后5 min(T_(2))的心率、血压,记录2组术前等待时间、麻醉恢复室停留时间及并发症发生情况,评价2组患者对手术室护理服务的满意度。结果2组患者护理前的HAMA评分、GCQ评分比较,差异无统计学意义(P>0.05);护理后,观察组患者HAMA评分低于对照组,GCQ评分高于对照组(P<0.05)。2组患者T_(0)时的心率、收缩压、舒张压比较,差异无统计学意义(P>0.05);T_(1)和T_(2)时,观察组患者心率、收缩压、舒张压均低于对照组(P<0.05)。观察组患者麻醉恢复室停留时间为(36.01±6.60)min,较对照组(41.88±5.47)min明显缩短(P<0.05)。观察组患者对服务态度、行为举止、健康教育、信息核对、人文关怀方面的手术室护理满意度评分均高于对照组(P<0.05)。结论针对腹腔镜腹股沟疝修补术患者,实施舒适手术室护理模式,可缓解患者焦虑情绪,减轻应激反应,缩短麻醉恢复室停留时间,提高患者满意度。

Objective To explore the application effect of comfortable operating room nursing in laparoscopic inguinal hernia repair.Methods According to the random number table method,80 patients undergoing laparoscopic inguinal hernia repair in the First People's Hospital of Huoqiu County were divided into an observation group and a control group between January 2020 and June 2022,with 40 cases in each group.The control group was given routine operating room nursing,while the observation group was additionally given comfortable operating room nursing.The scores of the Hamilton Anxiety Scale(HAMA)and Kolcaba General Comfort Questionnaire(GCQ)were compared between the two groups at the visit(before nursing)and after the operation(after nursing).The heart rate(HR),blood pressure entered the pre-operation waiting room(T_(0)),before anesthesia(T_(1)),and 5 min after the operation(T_(2))were observed.The preoperative waiting time and stay time in the anesthesia recovery room in both groups were recorded.The satisfaction with the operating room nursing service was evaluated.Results Before nursing,there was no significant difference in HAMA score or GCQ score(P>0.05).After nursing,the HAMA score of patients in the observation group was lower than that in the control group,while the GCQ score was higher than that in the control group(P<0.05).At T_(0),there was no significant difference in HR,systolic blood pressure(SBP),or diastolic blood pressure(DBP)between the two groups(P>0.05).At T_(1) and T_(2),HR,SBP,and DBP in the observation group were lower than those in the control group(P<0.05).The stay time in anesthesia recovery room in the observation group was significantly shorter than that in the control group[(36.01±6.60)min vs(41.88±5.47)min,P<0.05],and scores of satisfaction with operating room nursing(service attitude,behaviors,health education,information checking,humanistic care)were higher than those in the control group(P<0.05).Conclusion Comfortable operating room nursing can relieve anxiety,improve comfort,reduce stress response,shorten stay time in anesthesia recovery room and improve patients satisfaction after laparoscopic inguinal hernia repair.