基于Autar评分评估的手术室护理在择期手术患者中的应用

Application of operating room nursing based on Autar scale in patients scheduled for surgery

目的 探讨基于深静脉血栓形成风险评估表(Autar)评分评估的手术室护理在择期手术患者中的应用效果。方法 选取2020年2月至2021年6月在西安医学院第一附属医院拟行择期手术的120例患者进行研究,按照随机数表法将患者均分为对照组和研究组各60例。对照组患者采用常规手术室护理措施,研究组患者采用基于Autar评分评估的手术室护理措施。比较两组患者护理前后汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、术后深静脉血栓(DVT)发生率及护理满意度,并评估两组患者的干预效果。结果 护理前,两组患者的HAMD、HAMA评分比较差异均无统计学意义(P>0.05);护理后,两组患者的HAMD、HAMA评分均较护理前降低,且研究组患者的HAMD、HAMA评分分别为(3.32±0.91)分、(4.30±1.07)分,明显低于对照组的(5.42±1.11)分、(5.78±1.28)分,差异均有统计学意义(P<0.05);研究组患者术后DVT发生率为6.66%,明显低于对照组的21.67%,差异有统计学意义(P<0.05);研究组患者的护理满意度为91.67%,明显高于对照组的73.33%,差异有统计学意义(P<0.05);研究组患者的干预总有效率为95.00%,明显高于对照组的75.00%,差异有统计学意义(P<0.05)。结论 基于Autar评分评估的手术室护理对择期手术患者进行干预,能改善患者的焦虑、抑郁状况,降低DVT发生率,值得临床推广应用。

Objective To explore the application effect of operating room nursing based on Autar deep vein thrombosis risk assessment scale in patients scheduled for surgery.Methods A total of 120 patients who were scheduled for surgery in the First Affiliated Hospital of Xi’an Medical College from February 2020 to June 2021 were selected for the study.The patients were divided into a control group and a study group according to the random number table method,with 60 patients in each group.Patients in the control group were treated with routine operating room nursing measures,and patients in the study group were treated with operating room nursing measures based on Autar scale.The scores of Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),the incidence of postoperative deep venous thrombosis(DVT) and nursing satisfaction were compared between the two groups before and after nursing,and the intervention effects of the two groups were evaluated.Results Before nursing,there was no significant difference in HAMD and HAMA scores between the two groups(P>0.05).After nursing,the scores of HAMD and HAMA in the two groups were lower than those before nursing,and the scores in the study group were(3.32±0.91) points and(4.30±1.07) points,which were significantly lower than(5.42±1.11) points and(5.78±1.28) points in the control group(P<0.05).The incidence of postoperative DVT in the study group was 6.66%,which was significantly lower than 21.67%in the control group(P<0.05).The nursing satisfaction of patients in the study group was 91.67%,which was significantly higher than 73.33% in the control group(P<0.05).The total effective rate of intervention in the study group was95.00%,which was significantly higher than 75.00% in the control group(P<0.05).Conclusion The operating room nursing based on Autar scale in patients scheduled for surgery can improve their anxiety and depression,and reduce the incidence of DVT,which is worthy of clinical application.