基于风险评估的预警性护理在子宫肌瘤患者手术室护理中的应用效果

Application Effect of Early-Warning Nursing Based on Risk Assessment in Operating Room Nursing of Patients with Uterine Fibroids

目的 探讨基于风险评估的预警性护理在子宫肌瘤患者手术室护理中的应用效果。方法 选取2020年1月至2021年12月河南省中医院收治的90例子宫肌瘤手术患者为研究对象,采用随机数表法分为观察组(接受基于风险评估的预警性护理)、对照组(接受常规手术室护理),每组45例。对比两组患者手术不同时间段(术前、气腹10 min、手术结束时)的应激反应(体温、心率)、手术时间、下床时间、住院时间以及手术期间风险事件发生率。结果 术前两组应激反应指标差异无统计学意义(P>0.05);气腹10 min与手术结束时,观察组体温、心率低于对照组(P<0.01)。观察组患者手术时间、下床时间、住院时间短于对照组(P<0.05),手术并发症发生率低于对照组(4.44%比20.00%,P<0.05)。结论 基于风险评估预警性护理干预模式的实施,能够改善子宫肌瘤手术患者的手术应激反应水平,同时缩短手术时间、下床时间、住院时间,有效降低手术并发症发生率。

Objective To analyze the application effect of early-warning nursing based on risk assessment in uterine fibroids.Methods A total of 90 patients admitted to Henan Provincial Hospital of Traditional Chinese Medicine from January 2020 to December 2021 were selected as research subjects, and the patients were divided into observation group(receiving early warning care based on risk assessment) and control group(receiving routine operating room care) by random number table method, with 45 cases in each group. The stress response(body temperature, heart rate), operation time, getting out of bed time, hospitalization time, and the incidence of risk events during the operation were compared at different time periods(preoperatively, 10 minutes after pneumoperitoneum, at the end of surgery).Results There was no statistical difference in stress response indexes between the two groups before operation(P>0.05). The temperature and heart rate in observation group were lower than those in control group at 10 minutes after pneumoperitoneum and at the end of operation(P<0.01). The time of operation, getting out of bed and hospitalization in observation group were shorter than those in control group(P<0.05). The incidence of surgical complications in observation group was lower than that in control group(4.44% vs 20.00%, P<0.05).Conclusion Based on the implementation of the early-warning nursing intervention mode of risk assessment, it can significantly improve the level of surgical stress response in uterine fibroids surgery patients, and shorten the operation time, getting out of bed time, hospitalization time, and effectively reduce the incidence of surgical complications.