手术室综合护理对急诊手术患者焦虑、应激状态及满意度的影响

The effects of comprehensive nursing care on anxiety, stress status and satisfaction of emergency surgery patients

目的探究手术室综合护理对急诊手术患者焦虑、应激状态及满意度的影响。方法选取2015年2月～2016年3月在该院接受手术治疗的患者240例为研究对象，随机分为实验组和对照组各120例。对照组患者给予常规手术室护理，实验组患者则在常规护理的基础上给予手术室综合护理，比较两组患者的焦虑、应激状态及满意度。结果手术前2h实验组和对照组患者的焦虑自评量表（serf-ratinganxiety scale，SAS）评分比较，差异无统计学意义（P〉0．05）；手术后，实验组患者SAS评分明显低于对照组，差异有统计学意义（P〈0．01）；两组患者术前2h及术中的心率比较，差异均无统计学意义（P〉0．05）；两组患者术前2h的收缩压和舒张压比较差异均无统计学意义（均P〉0．05）；实验组患者术中收缩压及舒张压均明显低于对照组患者，差异有统计学意义（均P〈0．01）；对照组患者的护理满意度明显低于实验组患者，差异有统计学意义（P〈0．01）。结论手术室综合护理有利于减轻患者术后的焦虑程度和术中的应激状态，并能提高患者对护理的满意度。

Objective To explore the effects of comprehensive nursing care on anxiety, stress status and sat- isfaction in emergency surgery patients. Methods A total of 240 cases of patients receiving surgical treatment in the hospital from February 2015 to March 2016 were selected as the study subjects, and were randomly divided into the ex- perimental group and the control group, 120 cases of each group. The patients in the control group were given routine operating room nursing, and the experimental group was given comprehensive nursing care on the basis of routine care. The anxiety, stress status and satisfaction of the two groups were compared. Results With regard to the self-rating depression scale comparison of patients in experimental group and control group 2 hours before surgery, the difference had no statistical significance （ P〉0. 05 ）. After surgery, SAS score of patients in experimental group was significantly lower than it of control group, and the difference was statistically significant （P〈0. 01 ）. With regard to the heart rate comparison of patients in both groups 2 hours before surgery and during the surgery, the difference had no statistical sig- nificance （P〉0. 05 ）. With regard to the systolic pressure and diastolic pressure comparison of patients in both groups 2 hours before surgery, the difference had no statistical significance （P〉0. 05 ）. The systolic pressure and diastolic pres- sure of patients in experimental group were significantly lower than it of control group, and the difference had statistical significance （ P〈0. 01 ）. The nursing satisfaction of the control group was significantly lower than that in the experimen- tal group, and the difference was statistically significant （P〈0. 01 ） . Conclusion Comprehensive nursing care in the operating room can help alleviate the anxiety and stress in the operation and improve the patient＇s satisfaction with nurs- ing.