舒适护理在外科门诊手术中的应用

Application of comfort nursing in operation surgery department

目的 观察外科门诊手术应用舒适护理的临床疗效,为临床治疗提供指导和帮助.方法 选择2010年3月～2013年4月于海口市人民医院进行外科门诊手术的273例患者为研究对象,将其分为对照组（n=137）和实验组（n=136）.对照组给予常规护理措施,实验组给予舒适护理.对比观察两组患者血压、心率、脉搏等各项生理指标的变化情况,结合焦虑自评量表（SAS）和抑郁自评量表（SDS）综合分析舒适护理对手术结果的影响.结果 两组患者术前舒张压与收缩压,以及术中和术后舒张压比较,差异均无统计学意义（P＞0.05）.而对照组术中、术后收缩压[（149.43±12.11）mmHg、（127.36±11.34）mm Hg]（1 mm Hg=0.133 kPa）及术中心率[（86.4±3.5）次/min]明显高于实验组[114.25±10.17）mmHg、（103.48±9.74）mm Hg,（70.2±4.3）次/min],两组比较差异均有统计学意义（P＜0.05）.实验组患者术前SAS及SDS评分[（28.5±4.5）、（20.8±3.6）分]与对照组[（30.3±3.2）、（22.6±2.4）分]比较,差异均无统计学意义比较（P＞0.05）;实验组患者术中、术后的SAS及SDS评分[SAS：（49.2±5.3）、（31.7±3.5）分;SDS：（50.2±3.8）、（31.3±2.8）分]均低于对照组[SAS：（61.4±2.5）、（34.4±2.8）分;SDS：（60.4±3.1）、（33.4±2.5）分],差异均有统计学意义（P＜0.05）.对照组患者术前、术中紧张程度明显高于实验组,差异有统计学意义（P＜0.05）.结论 舒适护理不仅可以缓解外科门诊手术患者的紧张焦虑,而且还能够改善患者血压、心率等,为手术后患者的康复提供更好的基础支撑,值得在临床上推广和应用.

Objective To Observe the clinical effects of comfortable nursing on surgery in surgical outpatient, and to provide guidance and help for clinical treatment. Methods 273 patients with surgery in surgical outpatient from March 2010 to April 2013 in the People＇s Hospital of Haikou City （＂our hospital＂ for short） were selected as study objects, and they were divided into control group （n = 137） and experimental group （n = 136）. The control group were given routine nursing intervention and the experimental group were given comfortable nursing, the physiological indexes of two groups, such as blood pressure, heart rate, pulse and so on were observed and compared. The effects of comfortable nursing on the result of the operation were comprehensively analyzed according to the self-evaluation of anxiety scale （SAS） and depression self rating scale （SDS）. Results The differences of preoperative diastolic and systolic blood pres- sure of patients in the control group, as well as intraoperative and postoperative diastolic blood pressure between two groups were not statistically significant （P 〉 0.05）. The intraoperative and postoperative systolic blood pressure [（149.43±12.11）, （127.36±11.34） mm Hg] （1 mm Hg=0.133 kPa） and intraoperative heart rate [（86.4±3.5） times/min] were signifi- cantly higher than those in the experimental group [114.25±10.17） mm Hg, （103.48±9.74） mm Hg, （70.2±4.3） times/min], the differences were statistically significant （P 〈 0.05）. the preoperative SAS and SDS scores of the experimental group were （28.5±4.5）, （20.8±3.6） scores, and SAS and SDS scores of the control group were （30.3±3.2）, （22.6±2.4） scores, while there was no statistically significant difference between two groups （P 〉 0.05）. The intraoperative and postoperative SAS and SDS scores of the experimental group [SAS： （49.2±5.3）, （31.7±3.5） scores; SDS： （50.2±3.8）, （31.3±2.8） scores] were lower than those of the control group [SAS： （61.4±2.5）, （34.4±2.8） scores; SDS： （60.4±3.1）, （33.4±2.5） scores], the dif- ferences were statistically significant （P 〈 0.05）. The intraoperative and postoperative tension of the control group were higher than those of the experimental group, the difference was statistically significant （P 〈 0.05）. Conclusion Comfort- able nursing can not only relieve the strain on surgical outpatient surgery in patients with anxiety, but also can improve the patients＂ blood pressure, heart rate, etc., providing a better basis for recovery after the operation, worthy of clinical popularization and application.