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目的探讨手术室护理干预对手术患者应激反应、负性情绪及预后的影响。方法选取2016-06—2017-06手术治疗的普外科患者144例为研究对象,根据入院时间采用奇偶数随机分为观察组和对照组各72例。对照组给予手术室常规护理,观察组实施手术室护理干预,比较两组应激反应、负性情绪、预后情况。结果观察组术中收缩压(SBP)、舒张压(DBP)、心率(HR)均明显低于对照组(t=3.961,4.951,5.609,P<0.05);术后2 d时观察组汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分均明显低于对照组(t=7.485,6.789,P<0.05);随访统计,观察组术后并发症2.78%明显低于对照组11.11%,切口甲级愈合率、患者满意度明显高于对照组(98.61%VS 90.28%,97.22%VS 87.50%)(χ2=3.869,4.765,4.823,P<0.05)。结论手术室护理干预有助于控制手术患者术中血压、心率波动,缓解焦虑、抑郁程度,促进术后康复。
Objective To investigate the effect of operating room nursing intervention on stress response, negative emotion and prognosis in surgical patients. Methods A total of 144 patients with general surgery who underwent surgical treatment from June 2016 to June 2016 were selected as the study subjects and randomly divided into observation group (72 cases) and control group (72 cases) according to the time of admission. The control group was given routine care in the operating room, and the observation group was given nursing intervention in the operating room. The stress response, the negative emotion and the prognosis of the two groups were compared. Results The SBP, DBP and HR of the observation group were significantly lower than those of the control group (t = 3.961, 4.91, The scores of HAMA and HAMD in observation group were significantly lower than those in control group (t = 7.485,6.789, P <0.05). The follow-up statistics showed that the postoperative complications in observation group were significantly lower than 2.78% In the control group, 11.11%, the incision Grade A healing rate and patient satisfaction were significantly higher than those in the control group (98.61% VS 90.28%, 97.22% VS 87.50%) (χ2 = 3.869,4.765,4.823, P <0.05). Conclusion Nursing intervention in operating room can help to control intraoperative blood pressure, heart rate fluctuation, relieve anxiety and depression, and promote postoperative recovery.