外科创伤性患者的手术急救护理与心理护理干预效果分析

Analysis of the effect of surgical emergency nursing and psychological nursing intervention for surgical traumatic patients

目的探讨外科创伤性患者实施手术急救护理与心理护理的干预效果。方法 90例外科创伤性患者,随机分为传统护理组和综合护理组,每组45例。传统护理组患者给予基本护理,综合护理组患者给予手术急救护理与心理护理。观察比较两组患者的家属满意度、手术急救时间、呼吸机辅助呼吸时间、术后住院时间、死亡情况以及护理前后心率、焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分。结果综合护理组患者家属满意度为95.56%,明显高于传统护理组的80.00%,差异有统计学意义(χ~2=5.075, P=0.024<0.05)。综合护理组患者的手术急救时间、呼吸机辅助呼吸时间、术后住院时间均明显短于传统护理组,差异均有统计学意义(P<0.05)。两组患者护理前的心率、SAS评分、SDS评分比较差异均无统计学意义(P>0.05)。经护理后,综合护理组的心率、SAS评分、SDS评分分别为(80.67±6.12)次/min、(24.67±2.12)分、(21.21±2.11)分,均明显优于传统护理组的(73.35±5.11)次/min、(41.35±5.24)分、(42.31±5.10)分,差异均有统计学意义(P<0.05)。综合护理组患者死亡率为6.67%,明显低于传统护理组的22.22%,差异有统计学意义(χ~2=4.406, P=0.036<0.05)。结论外科创伤性患者实施手术急救护理与心理护理的干预效果显著,能够明显改善患者的生命体征,缓解焦虑抑郁情绪,缩短急救时间,促进术后尽快恢复,降低死亡率,提高患者家属满意度,值得临床推广。

Objective To discuss the effect of surgical emergency nursing and psychological nursing intervention for surgical traumatic patients. Methods A total of 90 surgical traumatic patients were randomly divided into traditional nursing group and comprehensive nursing group, with 45 cases in each group. Traditional nursing group received basic nursing, and comprehensive nursing group received surgical emergency nursing and psychological nursing. Observation and comparison were made on family satisfaction, first aid time, ventilatorassisted breathing time, hospitalization time, death, heart rate, self-rating anxiety scale(SAS) score and selfrating depression scale(SDS) score before and after nursing between the two groups. Results Comprehensive nursing group had obviously higher family satisfaction degree as 95.56% than 80.00% in traditional group,and the difference was statistically significant(χ^2=5.075, P=0.024<0.05). Comprehensive nursing group had obviously shorter surgical first aid time, ventilator-assisted breathing time, and postoperative hospitalization time than traditional nursing group, and their difference was statistically significant(P<0.05). Both groups had no statistically significant difference in heart rate, SAS score and SDS score before nursing(P>0.05). After nursing, comprehensive nursing group had obviously better heart rate, SAS score and SDS score respectively as(80.67±6.12) times/min,(24.67±2.12) points and(21.21±2.11) points than(73.35±5.11) times/min,(41.35±5.24) points and(42.31±5.10) points in traditional nursing group, and their difference was statistically significant(P<0.05). Comprehensive nursing group had obviously lower death rate as 6.67% than 22.22% in traditional nursing group, and the difference was statistically significant(χ~2=4.406, P=0.036<0.05). Conclusion Surgical emergency nursing and psychological nursing shows remarkable intervention effect for surgical traumatic patients. It can significantly improve the vital signs of patients, alleviate anxiety and depression, shorten the first aid time, promote postoperative recovery as soon as possible, reduce death rate and improve the satisfaction of patients’ families. It is worthy of clinical promotion.