保温护理对68例手术室患者术中应激影响的临床观察

Clinical Observation of the Effect of Thermal Insulation on the Intraoperative Stress Reaction of 68 Patients in the Operating Room

目的探讨保温护理对手术室患者术中应激影响的临床效果。方法整群选取2012年5月—2014年5月在该院外科收治的手术的136例患者随机分为对照组(n=68,予以常规护理)和观察组(n=68,予以保温护理),对比两组生理应激反应情况。结果术后两组生理应激反应的情况与手术前相比,有明显的降低,且观察组患者的术后效果与对照组相比,差异有统计学意义(P<0.05);术后两组各生理指标水平同比术前,明显降低,且观察组患者各项指标水平显著低于对照组,两组间差异有统计学意义(P<0.05);观察组患者对治疗效果、操作、态度以及环境、宣教等5方面的满意度评分均显著优于对照组,两组间差异有统计学意义(P<0.05)。结论保温护理可显著改善手术室患者手术应激反应情况,提高患者的护理质量,能够使患者得到较快的恢复,在临床上有较好的应用价值。

Objective To observe the clinical effect of thermal insulation on the intraoperative stress reaction of patients in the operating room. Methods 136 cases with surgery admitted in the Department of Surgery of our hospital from May 2012 to May 2014 were randomly divided into the control group（n=68） and the observation group（n=68）, treated by the conventional nursing, thermal insulation, respectively. And the physiological stress response was compared between the two groups. Results The physiological stress response decreased significantly in both groups after surgery compared with before surgery, and that decreased more obviously in the observation group than in the control group（P 0.05）. The level of physiological indexes lowered significantly in both groups after surgery compared with before surgery, and that lowered more obviously in the observation group than in the control group（P〈0.05）. The scores of patients＇ satisfaction with therapeutic effect, operation, attitude, environment and propaganda and ed-ucation were much better in the observation group than those in the control group（P〈0.05）. The level of physiological indexes lowered significantly in both groups after surgery compared with before surgery, and that lowered more obviously in the observation group than in the control group（P〈0.05）. The scores of level of patients＇ satisfaction with therapeutic effect, operation, attitude, environment and propaganda and education were much higher in the observation group than those in the control group（P 0.05）.Conclusion Thermal insulation can significantly improve the stress reaction in patients in the operating room, enhance the quality of nursing, and make the patients recover quickly with good clinical application value.