整体护理方法与循证护理方法在手术室护理工作中的应用效果评价

Effect Evaluation of the Holistic Nursing Care and Evidence-Based Nursing in the Operation Room

目的探讨在手术室护理工作中应用整体护理与循证护理的临床效果。方法回顾性总结我院手术患者86例资料。结果观察组患者术前存在焦虑或恐惧心理者6例(14.0%),存在紧张和失眠现象者8例(18.6%),情绪异常者10例(23.3%),沉默或者异常多语者9例(20.9%),明显低于对照组统计结果 (P<0.05);观察患者术中平均心率(77.3±3.2)次,术中平均动脉压(96.1±2.8)mmHg,与术前相比无明显波动(P>0.05),而对照组患者统计结果显示手术前后心率与动脉压波动较大(P<0.05)。结论整体护理与循证护理在手术室中的应用有利于缓解患者压力,提高手术治疗预后效果。

Objective To explore the clinical effect of the holistic nursing care and evidence - based nursing in the operation room. Methods A retrospective study of 86 cases of operation patients in our hospital was made. Results In the observation group, there were 6 cases of preoperative anxiety or fear （ 14% ）, 8 cases of tension and insomnia （ 18.6% ）, 10 cases of emotional abnormality （23.3%）, 9 cases of silent or abnormal muhilingual （20. 9% ）. The sever- ity of these symptoms was significantly lower than that of the control group （ P 〈 0. 05 ） ; in the observation group, the aver- age heart rate during operation was （77.3 ＋ 3.2） , the mean arterial pressure was （ during 96. 1 ± 2. 8 ） mmHg, and there was no obvious fluctuation compared with the preoperative （P 〉 0. 05 ）. In the control group, the heart rate and arterial pressure fluctuations were big before and after the operation （P 〈 0. 05）. Conclusion The holistic nursing care and evi- dence - based nursing in the operation room nursing are beneficial to relieve patient＇s pressure and to improve the operation therapeutic efficacy.