优化肾移植补液方案对护士工作状态及护理能力的效果分析

Analysis of the effect of different perioperative fluid rehydration protocols on nurses'workload and nursing ability after kidney transplantation

目的 分析肾移植围术期两种不同补液方案对护士工作状态及人性化护理能力的影响。方法 采用回顾性分析的方法,将2020年6月至2020年12月上海3家三级甲等综合医院器官移植科的100名护士,参与实施传统补液方案肾移植患者护理的50名纳入对照组,参与实施单一品种连续补液方案(复方果糖电解质注射液)肾移植患者护理的50名纳入试验组,采用简易应对方式量表、工作投入量表和护士人性化护理能力量表对两组护士分别进行调查。结果 试验组积极应对维度为(25.32±4.30)分,对照组为(23.10±4.63)分,试验组得分情况高于对照组,且差异有统计学意义(P=0.003)。两组消极应对维度得分差异无统计学意义(P> 0.05)。试验组工作投入得分及人性化护理能力得分均高于对照组且有统计学意义(P <0.05)。结论 单一品种连续补液方案可有效缓解护士应对临床护理工作的压力,提高其工作积极性,激发护士主动增加工作投入度,并促进其人性化护理能力的成长。

Objective To analyze the effect of different perioperative fluid rehydration protocols on nurses'workload and nursing ability after kidney transplantation from multiple dimensions.Methods Using a retrospective study,100 nurses organ transplantation from three hospitals in Shanghai from June 2020 to December 2020 were divided into experimental group(n=50)and control group(n=50).The control group received the traditional fluid rehydration protocol,and the experimental group received the compound fructose electrolyte solution.All nurses received three questionnaires:the simplified coping style questionnaire(SCSQ),the utrecht work engagement scale(UWES),and the healthcare professional humanization scale for nursing(HUMAS).Results The positive coping dimension of the experimental group was(25.32±4.30)points,while the control group was(23.10±4.63)points.The score of the experimental group was higher than that of the control group,and there was a statistical difference(P=0.003).There was no statistically significant difference in the scores of negative coping dimensions between the two groups(P>0.05).The scores of work engagement and humanistic nursing ability in the experimental group were higher than those in the control group and had statistical significance(P<0.05).Conclusion The single variety continuous rehydration protocol could effectively help to decrease the pressure and workload of nurses,improve the work enthusiasm,motivate their work engagement,and develop their nursing abilities.