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目的探讨个性化护理干预在硬膜外控制性降压下全髋置换手术中的应用效果。方法 60例实施全髋置换手术治疗的患者,随机分为观察组和对照组,每组30例。对照组在手术中给予常规护理,观察组在对照组的基础上给予个性化护理干预,比较两组的护理效果。结果观察组手术前日的收缩压、舒张压、心率与对照组比较差异无统计学意义(P>0.05),手术当日的收缩压、舒张压、心率均低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理满意度为96.67%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。结论对硬膜外控制性降压麻醉下全髋置换手术的患者术中实施个性化护理,可以提高麻醉效果和护理服务满意度。
Objective To investigate the effect of personalized nursing intervention in total hip arthroplasty under epidural controlled hypotension. Methods Sixty patients undergoing total hip arthroplasty were randomly divided into observation group (n = 30) and control group (n = 30). The control group was given routine care during the operation. The observation group was given personalized nursing intervention on the basis of the control group, and the nursing effect was compared between the two groups. Results The systolic blood pressure, diastolic blood pressure and heart rate of the observation group before surgery were not significantly different from those of the control group (P> 0.05). The systolic blood pressure, diastolic blood pressure and heart rate of the observation group were lower than those of the control group P <0.05). The satisfaction degree of nursing in the observation group was 96.67%, which was significantly higher than that in the control group (80.00%), the difference was statistically significant (P <0.05). Conclusion The implementation of personalized nursing during the operation of total hip arthroplasty under epidural controlled hypotensive anesthesia can improve the anesthetic effect and satisfaction of nursing service.