专职术前访视在外科ICU的作用探讨

Role of professional preoperative visit in surgical ICU

目的探讨专职术前访视在外科ICU的作用。方法选取2007年10月～2008年6月进入普外科ICU且均已行专职术前访视的术后病人320例为观察组,选取2005年10月～2007年9月进入普外科ICU且均未行专职术前访视的术后病人300例为对照组。比较两组病人术后急性认知功能障碍发生率、护士对病人相关病情知晓率及病人对护理工作的满意度。结果两组病人术后急性认知功能障碍发生率、护士对病人相关病情知晓率及病人对护理工作满意度比较,差异均有统计学意义(均P<0.01)。其中观察组病人术后急性认知功能障碍的发生率低于对照组,而在护士对病人相关病情知晓率和病人对护理工作满意度方面则高于对照组。结论专职术前访视可降低老年病人术后急性认知功能障碍的发生率,提高护士对病人相关病情知晓率和病人对护理工作的满意度。

Objective To observe the role of professional preoperative visit in surgical ICU. Methods A total of 320 elderly patients who were visited one day before operation in surgical ICU from October 2007 to June 2008 were selected as test group, while another 300 cases without visit before the operation from October 2005 to September 2007 were set as control group. Rate of acute postoperative cognitive dysfunction, nurses＇ awareness of illness and patients＇ satisfaction with nursing work were compared between the two groups. Results The rate of acute postoperative cognitive dysfunction was significantly lower in test group compared with control group （P 〈 0.01）, while the rate of nurses＇ awareness of illness and patients＇ satisfaction of nursing work were both higher in test group （both P 〈 0.01 ）. Conclusions Professional preoperative visit plays an important role in reducing the rate of postoperative cognitive dysfunction in elderly patients; in addition, it will also improve nurses＇ awareness of illness and patients＇ satisfaction with nursing work.