非全身麻醉骨折患者手术室护理需求分析

Investigation on nursing demands of fracture patients with non-general anesthesia orthopedics surgery and related nursing measures

目的调查非全身麻醉下行骨折内固定术患者对手术室的护理需求,并针对患者需求采取护理干预措施。方法选取2014年6月—2016年6月非全身麻醉下行骨折内固定术的患者80例,调查患者对手术不同阶段的护理需求。另选取同期行骨折内固定术治疗的患者240例,其中18-40岁、41-60岁、〉60岁各80例,调查不同年龄段患者对手术室护理需求。结果手术不同阶段的护理需求分析显示,手术前需要＂了解手术步骤及配合＂的患者最多,占77.50%（62/80）;手术中需要＂了解手术的进展情况＂的患者最多,占91.25%（73/80）;手术后,需要＂及时解除疼痛与不适＂的患者最多,占85.00%（68/80）。不同年龄段患者对手术室护理需求分析显示,18-40岁患者中需要＂了解手术步骤及配合＂的最多,占78.75%（63/80）;41-60岁患者中需要＂了解手术是否顺利成功＂的最多,占88.75%（71/80）;〉60岁患者中需要＂了解麻醉后注意事项＂的患者最多,占86.25%（69/80）。结论手术室护理人员应重视患者的术前、术中和术后的护理需求,以及不同年龄段患者的需求,采取适当的干预措施,为手术患者提供有效的护理服务。

Objective To investigate the nursing demands of fracture patients with non-general anesthesia orthopedics surgery,and to provide related nursing measures. Methods A total of 80 fracture patients with non-general anesthesia orthopedics surgery between June 2014 and June 2016 were included in this study. The self-designed questionnaire was used to investigate the nursing demands at different phase of operation. Another 240 patients with non-general anesthesia orthopedics surgery during same period were selected,in which 80 cases aged between 18 and 40,80 cases aged between 40 and 60,80 cases aged over 60. Their demands on nursing service in operation room were investigated by self-made questionnaire. Results In terms of nursing demands at different phase of operation,62 cases（77. 50%） patients need to understand the operation steps and cooperation before operation,73 cases（91. 25%） patients need to understand the progress during operation,68 patients（85%） needed a timely care to relieve the pain and discomfort after operation. In terms of demands at different age groups,78. 75%（63 /80） of those aged between 18 and 40 to required knowledge of operation procedure and coordination,88. 75%（ 71 /80） of those aged between 41 and 60 need to know whether the operation was successful,86. 25%（69 /80） of those aged over 60 need to understand the cautions after anesthesia. Conclusion Nursing staff in Operation room should pay attention to the patient＇s preoperative,intraoperative and postoperative needs,as well as the needs of patients in different ages,and take appropriate interventions to provide effective nursing services for patients with surgery.