手术室ERAS理念下护理干预对腹腔镜手术患者应激反应、体温及满意度的影响

Effect of Nursing Intervention under ERAS Concept in Operation Room on Stress Response,Body Temperature and Satisfaction Degree of Laparoscopic Surgery Patients

目的 分析手术室ERAS理念下护理干预对腹腔镜手术患者应激反应、体温及满意度的影响。方法 选取2022年1—9月在本院接受腹腔镜手术治疗的60例患者为研究对象,并根据数字表法分成观察组与研究组,每组30例。其中,对照组采用常规手术室护理,研究组采用手术室ERAS理念下护理干预,分析手术室中两种不同护理模式的干预效果。结果 术前,比较两组患者的血压水平、心率变化情况,组间差异无统计学意义(P>0.05);术中,两组患者的各项应激指标出现明显差异,且研究组优于对照组,组间差异有统计学意义(P<0.05)。对照组在麻醉30min时与研究组相比,差异无统计学意义(P>0.05);在麻醉1h、麻醉苏醒阶段及苏醒后的体温均低于研究组,组间差异有统计学意义(P<0.05)。研究组满意度高于对照组,组间差异有统计学意义(P<0.05)。结论 手术室ERAS理念下护理干预能对维持体温稳定有积极作用,且能预防不良应激反应,患者满意度较高,值得借鉴。

Objective To analyze effect of nursing interventions under the ERAS concept in operation room on stress response,body temperature,and satisfaction degree of patients with laparoscopic surgery.Methods The paper chose 60 patients with laparoscopic surgery in our hospital from January to September 2022 as examples,and divided them into observation group and study group according to digital table method,with 30 cases in each group.Control group was treated with routine operation room nursing,while study group with nursing intervention under the ERAS concept in operation room.Curative effect between two different nursing interventions in operation room was analyzed.Results Stress indicators of control group were higher than study group after intervention,P<0.05.However,analysis of temperature changes between two groups showed,there was no significant difference between control group and study group at 30 minutes of anesthesia,P>0.05,there was significant difference in subsequent indicators,P<0.05.Comparison showed,total satisfaction degree of control group was 66.67%,while that of study group was 90.00%,P<0.05.Conclusion Nursing intervention under the ERAS concept in operation room can achieve positive effect on maintaining temperature stability and preventing adverse stress reactions with high satisfaction degree,which is worthy of reference.