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目的探讨手术室全程无缝护理干预对患者应激反应的影响。方法选取我院于2014年6—12月间收治的150例手术患者资料作为研究对象,按照随机数字法,将患者随机分为对照组和实验组,每组各75例,对照组患者提供常规手术护理,实验组给予全程无缝护理干预,观察比较两组患者的心理应激和生理应激情况。结果访视前和麻醉前相比,对照组的SAS评分和SDS评分均明显升高(P<0.05),而实验组访视前与麻醉前的SAS评分和SDS评分变化不大(P>0.05);访视前实验组和对照组患者的SAS评分和SDS评分无明显差异(P>0.05),而麻醉前实验组的SAS评分和SDS评分均明显低于对照组(P<0.05);麻醉前,实验组的舒张压、收缩压、心率、肾上腺素以及皮质醇等明显低于对照组,P<0.05,差异具有统计学意义。结论手术室全程无缝护理能够填补手术室护理服务的缝隙,提高手术室护理服务质量和患者舒适度,减轻患者的各项生理和应激反应,值得临床推广应用。
Objective To investigate the effect of seamless nursing intervention in the operating room on patients’ stress response. Methods The data of 150 surgical patients admitted in our hospital from June to December in 2014 were selected as research objects. According to the random number method, the patients were randomly divided into control group and experimental group, with 75 cases in each group. The patients in control group were given conventional Surgical care, the experimental group to give full seamless nursing intervention, observation and comparison of the two groups of patients with psychological stress and physiological stress. Results Compared with pre-anesthesia, SAS score and SDS score in control group were significantly increased (P <0.05), but there was no significant difference in pre-anesthesia SAS scores and SDS scores ). There was no significant difference in SAS score and SDS score between the experimental group and the control group before visit (P> 0.05), while the SAS score and SDS score of the experimental group before anesthesia were significantly lower than those of the control group (P <0.05) Before the experiment, the diastolic blood pressure, systolic blood pressure, heart rate, adrenaline and cortisol were significantly lower than the control group, P <0.05, the difference was statistically significant. Conclusion The seamless operation in the operating room can fill the gaps in the operating room nursing services, improve the quality of service and patient comfort in the operating room, and alleviate the physiological and stress responses of patients. It is worthy of clinical application.