“G+OEC”护理模式策略对老年开胸手术患者术后苏醒质量的影响

Effect of“G+OEC”nursing model strategy on postoperative recovery quality of elderly patients undergoing thoracotomy

目的探讨“G+OEC”护理模式策略对老年开胸手术患者术后苏醒质量的影响。方法选择2019年11月至2021年12月于本院行开胸手术的老年患者90例,随机分为对照组和观察组各45例。对照组行常规护理,观察组在对照组基础上实施“G+OEC”护理模式,两组均连续干预半个月。比较两组干预前后的生理应激(SBP、DBP、肾上腺素、皮质醇)和心理应激指标(SCL-90量表评分)水平,评估两组并发症发生率。结果干预后两组生理应激指标水平均所有改善,且与对照组相比较,观察组SBP、DBP、肾上腺素、皮质醇均较低(P<0.05);干预后SCL-90量表各维度评分均所有下降,且与对照组相比较,观察组强迫、躯体化、焦虑、抑郁、恐惧、敌对、偏执、人际关系和精神病性评分均较低(P<0.05);与对照组相比较,观察组并发症发生率较低(P<0.05)。结论将“G+OEC”护理模式应用于老年开胸手术患者,有利于提高患者术后苏醒质量,缓解机体生理、心理应激反应,且能有效降低并发症发生率。

Objective To explore the effect of“G+OEC”nursing mode strategy on postoperative recovery quality of elderly patients undergoing thoracotomy.Methods A total of 90 elderly patients who underwent thoracotomy in our hospital from November 2019 to December 2021 were selected and randomly divided into control group and observation group,with 45 patients in each group.The control group received routine nursing,and the observation group received“G+OEC”nursing mode on the basis of the control group.Both groups were continuously intervened for half a month.The levels of physiological stress(SBP,DBP,adrenaline,cortisol)and psychological stress indicators(SCL-90 scale score)before and after intervention were compared between the two groups,and the incidence of complications was assessed.Results The levels of physiological stress indexes in both groups were improved after intervention,and SBP,DBP,adrenaline and cortisol in the observation group were lower than those in the control group(P<0.05).After the intervention,the scores of all dimensions of SCL-90 scale decreased,and compared with the control group,the scores of compulsion,somatization,anxiety,depression,fear,hostility,paranoia,interpersonal relationship and psychosis were lower in the observation group(P<0.05).Compared with the control group,the complication rate of the observation group was lower(P<0.05).Conclusion The application of“G+OEC”nursing mode in elderly patients with thoracotomy can improve the quality of postoperative recovery,relieve physiological and psychological stress reactions,and effectively reduce the incidence of complications.