针对性术前干预对择期手术患儿的影响及效果

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目的探讨针对性术前干预对择期手术患儿的影响及取得的临床效果。方法 124例需要择期手术的患儿作为研究对象,将其随机分为对照组和观察组,每组62例。对照组采取常规的护理工作模式,观察组采用针对性术前干预,即将需在手术室建立的静脉通路改在人手术室前、在父母陪伴下完成静脉穿刺;将术后护理健康指导时机改在术前1d完成。观察并对比两组不同护理模式对患儿的影响及收到的效果。结果观察组一次静脉穿刺成功率95.16%、家长手术室外等候时间(97.00±26.06)min、患儿及家长满意度98.39%,均明显优于对照组的83.87%、(133.00±16.95)min、88.71%,两组比较,差异具有统计学意义(P<0.05)。结论针对性术前干预不仅可以提高小儿一次静脉穿刺成功率,减轻患儿的恐惧及患儿家长等候时间过长带来的心理压力,同时可以提高满意度,提升医疗护理质量和工作效率。 Objective To investigate the effect of targeted preoperative intervention on children undergoing elective surgery and the clinical effects achieved. Methods A total of 124 children undergoing elective surgery were randomly divided into control group and observation group, with 62 cases in each group. The control group to take the usual mode of nursing work, the observation group using the targeted preoperative intervention, the venous access to be established in the operating room will be changed in front of the operating room, accompanied by their parents to complete the venipuncture; postoperative care and health guidance 1d before surgery completed. Observed and compared two groups of different nursing patterns on the impact of children and received the results. Results The success rate of primary venipuncture in observation group was 95.16%, and the waiting time for outdoor operation was 97.00 ± 26.06 min and the satisfaction rate of children and parents was 98.39%, which were significantly better than that of control group (83.87%, 133.00 ± 16.95) min and 88.71 %, The difference between the two groups was statistically significant (P <0.05). Conclusions Targeted preoperative intervention can not only improve the success rate of primary venipuncture in children, relieve the fear of children and the psychological pressure caused by the prolonged waiting time of parents, but also improve the satisfaction, improve the quality of medical care and work efficiency.
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