预见性护理模式在老年急腹症术前的应用效果.docVIP

预见性护理模式在老年急腹症术前的应用效果 　　[摘要] 目的 探讨预见性护理模式在老年急腹症术前的应用效果。 方法 选择我院急诊外科2013年2～11月收治的130例老年急腹症患者作为研究对象，采用随机数字表法将其分为对照组与实验组，每组65例。实验组实施预见性护理模式，对照组实施急诊外科护理，比较两组焦虑抑郁发生情况以及病死率、纠正误诊率。 结果 实验组轻中度焦虑、抑郁的发生率高于对照组，重度焦虑、抑郁的发生率低于对照组，两组差异有统计学意义（P0.05）。实验组术前病死率为3.1%，纠正误诊率为18.5%；对照组术前病死率为21.5%，纠正误诊率为3.1%，两组差异有统计学意义（P0.05）。 结论 老年急腹症术前应用预见性护理模式进行护理，可显著改善患者焦虑、抑郁情绪，降低术前病死率与误诊率。 　　[关键词] 老年急腹症；预见性护理模式；焦虑；抑郁 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2016）02（a）-0192-03 　　Application effect of predictive nursing mode in elderly acute abdomen disease before operation 　　XIAO Hui-qin 　　Traditional Chinese Medicine Hospital of Jishui County in Jiangxi Province，Jishui 331600，China 　　[Abstract] Objective To study the application effect of predictive nursing mode in elderly acute abdomen before operation. Methods 130 patients with elderly acute abdomen disease in emergency surgery of our hospital from February to November in 2013 were selected as study group.Patients were divided into experimental group and control group by random number table method， and each group was 65 cases.The experimental group was treated with predictive nursing mode，and control group was treated with emergency surgery nursing.The morbidity of anxiety and depression，mortality rate and the correct misdiagnosis rate in two groups were compared. Results The incidence of mild and moderate anxiety，depression in experimental group were higher than those of control group，and the incidence of severe anxiety and depression was lower than that of the control group，the differences between the two groups were statistically significant（P0.05）.The mortality rate and the correct misdiagnosis rate in experimental group was respectively 3.1%，18.5%，and in the control group was respectively 21.5%，3.1%.The differences between the two groups were statistically significant（P0.05）. Conclusion Using predictive nursing mode in elderly acute abdomen disease before operation can obvious improve the anxiety and depression of patients，and reduc