手术室护理配合在人工全髋关节置换术中的应用价值探讨

Value Discussion of Operating Room Nursing Combined with Artificial Total Hip Arthroplasty

目的探讨手术室护理配合在人工全髋关节置换术中的应用价值。方法从该院2017年3月-2019年1月收治的人工全髋关节置换术治疗的患者中方便选取108例作为研究对象,根据患者手术治疗期间的护理方式的差异分为观察组与对照组,每组54例,纳入对照组中的患者在接受手术治疗时配合常规的护理干预,观察组则以常规护理为基础,同时给予患者手术室护理配合,分别观察两组患者的基本生命体征、护理满意度、并发症发生率、术中出血量以及手术持续时间。结果术后,观察组的呼吸频率、心跳频率以及血压分别为(17.52±3.02)次/min、(92.18±7.64)次/min、(122.02±11.67)mmHg,对照组分别为(19.63±1.54)次/min、(78.62±8.01)次/min、(130.03±10.16)mmHg,组间比较差异有统计学意义(P<0.05);观察组并发症总发生率3.70%明显低于对照组14.81%(χ~2=9.624,P=0.001);观察组的手术持续时间(96.72±29.13)min明显小于对照组(106.35±19.02)min(t=6.374,P=0.021);观察组的术中出血量(106.74±12.03)m L明显低于对照组(127.64±21.34)m L (t=9.643,P=0.016);观察组的护理总满意度96.30%明显高于对照组83.33%(χ~2=12.948,P=0.006)。结论手术室护理配合能够有效提高患者基本生命体征的稳定性与护理满意度,降低并发症发生率、手术持续时间以及术中出血量,在临床上具有较高的应用价值。

Objective To explore the application value of operating room nursing in artificial total hip arthroplasty. Methods Convenient selection of 108 patients were selected from the patients who underwent total hip arthroplasty from March2017 to January 2019 in our hospital. According to the differences in the nursing methods during the surgical treatment, the patients were divided into observation group and control group. Forty-five patients in each group were enrolled in the control group with routine nursing intervention. The observation group was based on routine nursing, and the patients were given surgery room care. The basic vital signs and nursing of the two groups were observed. Satisfaction, complication rate, intraoperative blood loss, and duration of surgery. Results After operation, the respiratory rate, heart rate and blood pressure of the observation group were(17.52±3.02) times/min,(92.18±7.64) times/min,(122.02±11.67) mmHg, and the control group were(19.63±1.54) times/min,(78.62±8.01) times/min,(130.03±10.16) mmHg, the difference between the groups was statistically significant(P<0.05);observation group complications The overall incidence of 3.70% was significantly lower than the control group of 14.81%(χ~2=9.624, P= 0.001);the duration of surgery(96.72±29.13) min in the observation group was significantly smaller than that of the control group(106.35 ±19.02) min(t =6.374, P =0.021);the intraoperative blood loss(106.74±12.03) m L in the observation group was significantly lower than that in the control group(127.64±21.34) mL(t=9.643, P=0.016);the total satisfaction of the observation group was 96.30%. In the control group, 83.33%(χ~2=12.948, P=0.006). Conclusion Operating room nursing can effectively improve the stability of patients’ vital vital signs and nursing satisfaction, reduce the incidence of complications, duration of surgery and intraoperative blood loss, and has high application value in clinical practice.