手术室标准化护理方案实施对患者血流动力学和情绪的影响

Effect of operating room standardized nursing program on hemodynamics and mood of patients

目的 探讨手术室标准化护理方案实施对患者血流动力学、情绪的影响,并评价护理满意度。方法 选择2017年10月至2017年12月于笔者医院手术室行手术治疗342例患者作为对照组,2018年1月至2018年3月的411例患者作为观察组。对照组实施常规手术室护理,观察组采用标准化护理方案护理。比较两组患者入院时、术前30min的血流动力学指标、焦虑及抑郁量表评分以及护理满意度。结果术前30min,两组患者的收缩压、舒张压及心率均较入院时升高,且观察组患者的收缩压、舒张压及心率均明显低于对照组,差异有统计学意义(P<0.05)。两组患者的HAMA及SDS评分均较入院时增加,且观察组患者的HAMA及SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组的护理满意度评分明显高于对照组[(4.62±1.08)比(3.96±0.82)],差异有统计学意义(P<0.05)。结论 手术室标准化护理方案实施有助于保持患者血流动力学稳定,缓解患者术前的焦虑、抑郁情绪,提高患者满意度。

Objective To explore the effects of the implementation of standardized nursing program on the hemodynamics and mood of patients, and to evaluate the satisfaction of nursing. Methods From October 2017 to December 2017, 342 patients underwent surgery in the operating room of the author's hospital as a control group, 411 patients from January 2018 to March 2018 as a observation group. The control group was treated with routine operating room care, and the observation group was treated with standardized nursing program. Hemodynamic parameters, anxiety and depression scale scores, and nursing satisfaction were compared between the two groups at admission, 30 min before surgery. Results At 30 minutes before operation, the systolic blood pressure, diastolic blood pressure, and heart rate of the two groups were higher than those at admission, the systolic blood pressure, diastolic blood pressure, and heart rate of the observation group were significantly lower than those of the control group, with statistically significant differences (P<0.05). At 30 minutes before operation, the HAMA and SDS scores of the two groups were significantly higher than those at admission, and the HAMA and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The nursing satisfaction score of the observation group was significantly higher than that of the control group [(4.62±1.08) vs.(3.96±0.82)], with statistically significant difference (P<0.05). Conclusion The implementation of standardized nursing program in the operating room helps to maintain the patients' hemodynamic stability, relieve the pre-operative anxiety and depression, and improve patients’ satisfaction.