预见性护理与循证护理在手术室麻醉患者中应用的效果评价

Evaluation of the application effect of foreseeable nursing and evidence-based nursing in anesthesia patients in the operation room

目的探讨手术室麻醉的有效护理方式。方法将2011年1-12月122例局麻患者随机分为护理组和对照组各61例，护理组给予预见性护理，对照组接受循证护理方法。通过自制的患者满意度调查表评价护理质量、术后认知功能及生活质量情况。结果护理组患者满意度为91．80％，与对照组的88．52％相比较，差异无统计学意义；2组患者治疗前生活质量各因子评分比较差异无统计学意义，手术后护理组在情感功能及认知功能方面得分显著高于对照组，在躯体功能方面显著低于对照组。结论著能将2种护理方法进行有机结合运用于手术室麻醉患者中，对于改善患者恐惧晴绪，提高生活质量大有裨益。

Objective To discuss an effective nursing mode for operation room anesthesia. Methods 122 cases of patients with local anesthesia： in our hospital from January to December 2011 were divided into the nursing group and the control group with 61 cases in each group. They were given foreseeable nursing and evidence-based nursing respectively. The quality of nursing care, postoperative cognitive function and life quality were evaluated by self-made patient satisfaction questionnaire. Results The satisfactory degree of patients in the nursing group was 91.80%, compared with the control group of 88.52%, the result showed no significant difference. Each factor of life quality demonstrated no evident difference between two groups before treatment, but after treatment, the scores of emotional function and cognitive function were higher, while the score of somatic function was lower in the nursing group compared with those in the control group. Conclusions If the two methods of nursing can be combined in anesthetized patients in operation room, it can be of great importance to decrease the patients fear and improve the quality of life.