探究围术期护理对急性阑尾炎的积极作用。方法 将2020年3月~2022年3月至我院接受治疗的急性阑尾炎患者84例纳入研究。以Excel表格法均分为优质组与基础组,每组均为42例。基础组给予常规基干预,优质组加用优质围术期干预。比较两组的相...探究围术期护理对急性阑尾炎的积极作用。方法 将2020年3月~2022年3月至我院接受治疗的急性阑尾炎患者84例纳入研究。以Excel表格法均分为优质组与基础组,每组均为42例。基础组给予常规基干预,优质组加用优质围术期干预。比较两组的相关临床指标。结果 干预后优质组PHQ-9(10.42±4.16 vs 13.55±3.98)分、GAD-7(8.41±1.52 vs 10.98±2.51)分评分均低于基础组(P<0.05);优质组术后相关指标中术后下床活动(24.16±2.67 vs 35.67±3.51)h、肛门排气(32.55±3.81 vs 47.56±5.20)h、进食(9.08±2.51 vs 25.36±5.91)h以及住院(7.76±1.84 vs 10.69±2.51)d时间均少于基础组(P<0.05);优质组术后并发症少于基础组(7.14 vs 23.81)%(P<0.05);优质组生活质量中躯体疼痛(86.51±3.87 vs 82.55±4.12)分、躯体功能(87.58±4.28 vs 84.69±3.91)分、总体健康(85.98±4.16 vs 83.67±3.75)分及活力(87.87±4.25 vs 84.12±3.98)分评分均高于基础组(P<0.05)。结论 优质护理干预对急性阑尾炎患者的应用效果较好,患者的负性情绪减少,术后相关指标改善,术后并发症率降低,生活质量改善,具有重要临床应用价值,建议进一步推广及应用。展开更多
Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics ...Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.展开更多
文摘探究围术期护理对急性阑尾炎的积极作用。方法 将2020年3月~2022年3月至我院接受治疗的急性阑尾炎患者84例纳入研究。以Excel表格法均分为优质组与基础组,每组均为42例。基础组给予常规基干预,优质组加用优质围术期干预。比较两组的相关临床指标。结果 干预后优质组PHQ-9(10.42±4.16 vs 13.55±3.98)分、GAD-7(8.41±1.52 vs 10.98±2.51)分评分均低于基础组(P<0.05);优质组术后相关指标中术后下床活动(24.16±2.67 vs 35.67±3.51)h、肛门排气(32.55±3.81 vs 47.56±5.20)h、进食(9.08±2.51 vs 25.36±5.91)h以及住院(7.76±1.84 vs 10.69±2.51)d时间均少于基础组(P<0.05);优质组术后并发症少于基础组(7.14 vs 23.81)%(P<0.05);优质组生活质量中躯体疼痛(86.51±3.87 vs 82.55±4.12)分、躯体功能(87.58±4.28 vs 84.69±3.91)分、总体健康(85.98±4.16 vs 83.67±3.75)分及活力(87.87±4.25 vs 84.12±3.98)分评分均高于基础组(P<0.05)。结论 优质护理干预对急性阑尾炎患者的应用效果较好,患者的负性情绪减少,术后相关指标改善,术后并发症率降低,生活质量改善,具有重要临床应用价值,建议进一步推广及应用。
基金The study was funded by Vice-chancellor for Research and Technology,Hamadan University of Medical Sciences(No.9805223881).
文摘Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.
