精细化护理在青年卵圆孔未闭封堵术患者围手术期的应用效果

Application effect of meticulous nursing in young patients with patent foramen ovale closure during perioperative period

目的探讨精细化护理在青年卵圆孔未闭(PFO)封堵术患者围手术期的应用效果。方法选取2020年9月至2022年9月赣州市人民医院收治的60例青年PFO封堵术患者,依据随机数字表法分为对照组与观察组,每组各30例。对照组予以常规护理,观察组在对照组方法的基础上予以精细化护理。于护理前、后,比较两组患者的心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)];于术前、手术当日,比较两组患者的心率(HR)、收缩压(SBP)、舒张压(DBP)变化情况;比较两组患者的手术用时、穿刺置入导管时间、术后24 h呼叫护士次数;比较两组患者的护理满意度。结果护理1周后,两组患者的SAS、SDS评分均低于本组护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。手术当日,两组患者的HR均快于本组术前,SBP、DBP均高于本组术前,差异有统计学意义(P<0.05);但观察组手术当日的HR慢于对照组,SBP、DBP均低于对照组,差异有统计学意义(P<0.05)。观察组的手术用时、穿刺置入导管时间均短于对照组,术后24 h呼叫护士平均次数少于对照组,护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论精细化护理应用于PFO封堵术患者中,可改善患者不良心理状况,稳定生命体征,缩短手术时间,提高患者满意度。

Objective To explore the application effect of meticulous nursing in young patients with patent foramen ovale(PFO)closure during perioperative period.Methods A total of 60 young patients with PFO closure admitted to Ganzhou People's Hospital from September 2020 to September 2022 were selected and divided into control group and observation group according to the random number table method,with 30 cases in each group.The control group was given routine nursing,and the observation group was given meticulous nursing on the basis of the control group.Before and after nursing,the psychological status(self-rating anxiety scale[SAS],self-rating depression scale[SDS])of the two groups were compared.The changes of heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)were compared between the two groups before and on the day of operation.The operation time,the time of puncture and catheter placement,and the number of calls to nurses within 24 hours after operation were compared between the two groups.And the nursing satisfaction of the two groups was compared.Results After 1 week of nursing,the SAS and SDS scores of the two groups were lower than those before nursing,and the scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).On the day of operation,HR of the two groups were faster than those before operation,SBP and DBP were higher than those before operation,and the differences were statistically significant(P<0.05).However,the HR of the observation group on the day of operation was slower than that of the control group,and the SBP and DBP were lower than those of the control group,and the differences were statistically significant(P<0.05).The operation time and catheterization time of the observation group were shorter than those of the control group,the average number of calls to nurses 24 hours after operation was less than that of the control group,and the total nursing satisfaction was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of meticulous nursing in patients with PFO closure can improve the adverse psychological status of patients,stabilize vital signs,shorten the operation time and improve patient satisfaction.