手术室整体护理对脑瘫患儿术后康复的影响

Effect of Holistic Nursing in Operation Room on Post-operative Rehabilitation of Cerebral Palsy

目的观察手术室整体护理对接受选择性后根切断术的脑瘫患儿术后康复的影响。方法采用回顾性研究,对在手术室常规护理和整体护理下接受选择性后根切断术的脑瘫患儿在入室血压心率乘积、术后镇痛药物需求、术后拔除尿管后是否发生尿潴留、术后早期参与康复训练方面进行比较。结果与接受手术室常规护理的患儿相比,接受整体护理的患儿入室后的血压心率乘积显著降低,术后对镇痛药物的需求显著减少,术后拔除尿管后发生尿潴留的机率显著降低,参与康复训练的起始时间显著提前(P<0.05)。结论手术室整体护理能够有效地降低患儿对手术的恐惧,降低术后不良因素的影响,有利于患儿早期接受进一步的康复训练。

Objective To observe the effect of holistic nursing care by nurses in operation room on post-operative rehabilitation of patients with cerebral palsy accepting selective posterior rhizotomy. Methods The retrospective study was performed to compare the difference of pre operative Rate Pressure Product （RPP） and post-operative Pain Relieving Drug Request （PRDR）, Incidence of Uri nary Retention （IUR） after the removal of urinary catheter, and Starting Time for Rehabilitation Training （STRT） between patients with cerebral palsy accepting selective posterior rhizotomy under common nursing care and holistic nursing care by nurses in operation room. Results Pre-operative RPP and post-operative PRDR, IUR, and STRT in the group of patients under holistic nursing care by nurses in operation room were significantly lower than those in the control group （P〈0.05）. Conclusion The holistic nursing care by nurses in operation room can effectively reduce patients＇ fear to the operation, decrease undesirable factors and facilitate the advanced rehabilitation training as early as possible.