手术室护理配合对鼻内镜下鼻中隔偏曲矫正术中患者的影响研究

Effect of nursing cooperation in operating room on patients undergoing nasal endosco pic correction of nasal septum deviation

目的探讨手术室护理配合对鼻内镜下鼻中隔偏曲矫正术中患者的影响。方法选取2021年3月~2022年3月在我院80例行鼻内镜下鼻中隔偏曲矫正术的患者,随机数字表法分为两组各40例。对照组行常规手术室护理配合,研究组成立精细化护理小组,基于循证学方法结合术中实际,制定并实施精细化护理配合措施。以汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价两组围术期心理状态,观察两组术中不同时点心率(HR)与收缩压(SBP)、舒张压(DBP)情况,统计术中生命体征异常率。结果研究组麻醉前及苏醒后HAMA评分低于对照组,差异有统计学意义(P<0.05)。研究麻醉前HR、SBP与DBP均低于对照组,差异有统计学意义(P<0.05)。研究组术中血压异常、心动过速、低血氧、低体温发生率低于对照组,差异有统计学意义(P<0.05)结论予以鼻内镜下鼻中隔偏曲矫正术患者精细化手术护理配合,可以更好改善患者围术期紧张焦虑情绪,维持患者生命体征平稳,提高手术耐受,减少不良应激,提高手术安全。

Objective To explore the influence of nursing cooperation in operating room on patients undergoing nasal endoscopic correction of nasal septum deviation.Methods From March 2021 to March 2022,80 patients with nasal septum deviation were selected and randomly divided into two groups with 40 patients in each group.The control group received routine nursing cooperation in the operating room,and the research group established a fine nursing team to formulate and implement fine nursing cooperation measures based on the evidence-based method and the actual operation.The perioperative psychological status of the two groups was evaluated with Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).The HR,SBP and DBP of the two groups at different times during the operation were observed,and the abnormal rate of vital signs during the operation was counted.Results The HAMA score of the study group before and after anesthesia was lower than that of the control group,the difference was statistically significant(P<0.05).HR,SBP and DBP before anesthesia were significantly lower than those in the control group(P<0.05).Conclusion The meticulous surgical nursing cooperation for patients with nasal septum deviation correction under nasal endoscope can better improve the tension and anxiety of patients during the perioperative period,maintain the stability of patients'vital signs,improve the surgical tolerance,reduce adverse stress,and improve the surgical safety.