人文关怀在手术患儿麻醉护理中的应用与效果评价

Application and effect evaluation of humanistic care in anesthesia nursing of children undergoing surgery

目的探讨人文关怀护理用于手术患儿麻醉护理中的应用效果。方法选择江苏省中医院2023年1月-12月收治的80例腺样体肥大患儿作为研究对象,采用随机数字表法分为观察组和对照组,每组40例。观察组采用人文关怀护理联合常规护理,对照组采用常规护理。比较两组患儿护理前后生命体征[心率(HR)、收缩压(SBP)、舒张压(DBP)]变化,比较两组患儿术前20min、进入手术室时、麻醉诱导时、术后24h的负面情绪,比较两组患儿麻醉诱导前的配合程度和护理满意度。结果观察组各时间节点负面情绪评分低于对照组,差异有统计学意义(P<0.05)。观察组麻醉诱导前的配合程度优于对照组,差异有统计学意义(P<0.05)。护理前,两组心率(HR)、收缩压(SBP)进行比较,无统计学差异(P>0.05);护理后,两组心率(HR)、收缩压(SBP)数值明显升高,但观察组心率(HR)、收缩压(SBP)低于对照组,差异有统计学意义(P<0.05);护理前后,两组舒张压(DBP)比较,均无统计学差异(P>0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论与常规护理相比较,人文关怀护理能有效缓解患儿的负面情绪,维持生命体征的稳定,提高手术配合度和护理满意度,可在临床大力推广使用。

Objective To explore the application effect of humanistic care nursing in anesthesia nursing of children undergoing surgery.Methods A total of 80 children with adenoid hypertrophy admitted to Jiangsu Hospital of Traditional Chinese Medicine from January to December 2023 were selected as the study objects and divided into observation group and control group by random number table method,with 40 cases in each group.The observation group received humanistic care nursing combined with routine nursing,and the control group received routine nursing.The changes of vital signs heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)before and after nursing were compared between the two groups,and the negative emotions 20min before surgery,when entering the operating room,when anesthesia was induced and 24h after surgery were compared between the two groups,and the degree of cooperation and nursing satisfaction before anesthesia induction were compared between the two groups.Results The negative emotion scores of the observation group was lower than that of the control group at all time points,and the difference was statistically significant(P<0.05).The degree of cooperation before anesthesia induction in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in heart rate(HR)and systolic blood pressure(SBP)between the two groups(P>0.05).After nursing,the heart rate(HR)and systolic blood pressure(SBP)of the two groups were significantly increased,but the heart rate(HR)and systolic blood pressure(SBP)of the observation group were lower than those of the control group,the difference was statistically significant(P<0.05).Before and after nursing,there was no significant difference in diastolic blood pressure(DBP)between the two groups(P>0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with conventional nursing,humanistic nursing can effectively alleviate the negative emotions of children,maintain the stability of vital signs,improve the degree of cooperation and nursing satisfaction,and can be widely used in clinical practice.