基于量化评估策略的手术室护理在腹腔镜胆囊切除术老年患者中的应用效果

Application effects of operating room nursing based on quantitative evaluation strategy in elderly patients undergoing laparoscopic cholecystectomy

目的:观察基于量化评估策略的手术室护理在腹腔镜胆囊切除术老年患者中的应用效果。方法:选取2020年6月至2022年6月于该院行腹腔镜胆囊切除术的68例老年患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各34例。对照组实施常规手术室护理,观察组实施基于量化评估策略的手术室护理。比较两组护理前后心理状态[简明心境量表(BPOMS)]评分、应激反应指标[去甲肾上腺激素(NE)、皮质醇(Cor)、肾上腺素(AD)]水平及并发症发生率。结果:护理后,两组BPOMS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组NE、Cor及AD水平均高于护理前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.94%(1/34),低于对照组的23.53%(8/34),差异有统计学意义(P<0.05)。结论:基于量化评估的手术室护理应用于腹腔镜胆囊切除术老年患者,可改善患者心理状态,降低其应激反应和并发症发生率,效果优于常规手术室护理。

Objective:To observe application effects of operating room nursing based on quantitative evaluation strategy in elderly patients undergoing laparoscopic cholecystectomy.Methods:A prospective study was conducted on 68 elderly patients who underwent laparoscopic cholecystectomy in this hospital from June 2020 to June 2022.According to the random number table method,they were divided into control group and observation group,34 cases in each group.The control group was given routine operating room nursing,while the observation group was given routine operating room nursing based on quantitative evaluation strategy.The psychological state[brief profile of mood states(BPOMS)]score,the stress response index[norepinephrine(NE),cortisol(Cor)and epinephrine(AD)]levels before and after the nursing,and the incidence of complications were compared between the two groups.Results:After the nursing,the BPOMS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of NE,Cor and AD in the two groups were higher than those before the nursing,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.94%(1/34),which was lower than 23.53%(8/34)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The operating room nursing based on quantitative evaluation in the elderly patients undergoing laparoscopic cholecystectomy can improve the psychological state of these patients and reduce the incidence of stress response and complications.Moreover,it is superior to routine operating room nursing.