手术室精细化护理干预对改善患者术后疼痛、睡眠质量及护理质量的应用价值

The Application Value of Fine Nursing Intervention in Operating Room to Improve Postoperative Pain,Sleep Quality and Nursing Quality

目的:分析手术室精细化护理干预对改善患者术后疼痛、睡眠质量及护理质量的应用价值。方法:选取2022年1月至2022年12月南靖县医院收治的手术患者84例作为研究对象,按照随机数字表法分为观察组和对照组,每组42例。对照组给予常规护理干预,观察组给予精细化护理干预,比较2组手术室护理时间效率,主要统计术前准备、运送患者、手术时间;采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的变化,采用焦虑自评量表(SAS)比较2组患者焦虑情绪的改善效果,采用视觉模拟评分法(VAS)比较2组患者的疼痛感感受;采用Kolcaba舒适度量表(GCQ)比较2组患者舒适度改善情况,同时比较2组患者护理质量及护理满意度。结果:护理干预后,观察组术前准备时间、运送患者时间、手术时间均显著短于对照组;观察组PSQI评分、SAS评分均显著低于对照组;观察组VAS评分显著低于对照组,GCQ评分显著高于对照组;观察组物品管理、护理文书、环境管理、基础护理、护理满意度评分均显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:对手术患者采取手术室精细化护理干预能够有效提高护理质量,减轻患者疼痛感,改善睡眠质量,提高护理舒适度,缓解不良情绪,为手术治疗创造有利条件,有效提高护理质量与护理满意度,值得推广使用。

Objective:To analyze the application value of fine nursing intervention in operating room to improve postoperative pain,sleep quality and nursing quality.Methods:A total of 84 surgical patients admitted to Nanjing County Hospital from January 2022 to December 2022 were selected as research objects and were divided into observation group and control group according to the random number table method,with 42 cases in each group.The control group was given routine nursing intervention,and the observation group was given fine nursing intervention.The time efficiency of nursing in the operating room was compared between the two groups,and preoperative preparation,transport of patients and operation time were mainly counted.Pittsburgh Sleep Quality Index(PSQI)was used to compare the change of sleep quality between the two groups.Self-rating Anxiety Scale(SAS)was used to compare the improvement effect of anxiety between the two groups,and Visual Analog Scale(VAS)was used to compare the pain perception between the two groups.Kolcaba General Comfort Questionnaire(GCQ)was used to compare the improvement of comfort level between the two groups,the nursing quality and nursing satisfaction between the two groups were compared as well.Results:After nursing intervention,the preoperative preparation time,transport time and operation time in the observation group were significantly shorter than those of the control group,PSQI score and SAS score of the observation group were significantly lower than those of the control group,VAS score of the observation group was significantly lower than that of the control group,and GCQ score was significantly higher than that of the control group.The scores of goods management,nursing documents,environmental management,basic nursing and nursing satisfaction in the observation group were significantly higher than those in the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:The operation room fine nursing intervention for patients with surgery can effectively improve the quality of nursing,reduce patient′s pain,improve sleep quality,improve nursing comfort,relieve bad mood,create favorable conditions for surgical treatment,effectively improve nursing quality and nursing satisfaction,which is worthy of promotion and use.