综合性护理干预对外科手术围术期患者预后指标的影响分析.docVIP

精品论文 参考文献 综合性护理干预对外科手术围术期患者预后指标的影响分析 隋桂琴 　　[摘 要]目的 探讨?综合性护理干预对外科手术围术期患者预后指标的影响分。方法 把在我院确证并进行治疗的290例甲状腺手术的患者进行随机分为治疗组与参照组，治疗组为150例，参照组为140例，治疗组的患者进行综合的护理配合术前的体位训练，一直到训练到患者可以坚持到手术需要的时间，参照组的患者在手术前不进行体位训练。观察两组患者在手术中体位的舒适度和耐受力的情况，对患者在手术后48小时内的头痛和恶心以及呕吐的情况进行记录分析。结果 在手术前进行了综合护理配合体位训练的治疗组的患者甲状腺治疗组0、Ⅰ度120例占比80%，明显高于参照组88例62.86%，治疗组Ⅱ、Ⅲ、Ⅳ度占比20.00%，远低于参照组37.14%，差异均具有统计学意义，Plt;0.05。治疗组Ⅰ度患者125例83.33%，远高于参照组75例53.57%，治疗组Ⅱ、Ⅲ、Ⅳ度患者25例16.67%，远低于参照组55例39.29%，差异均具有统计学意义Plt;0.05。结论 甲状腺手术前对患者进行综合护理配合体位训练可以有效的预防甲状腺手术体位综合征的发生。 　　[关键词]综合护理 甲状腺手术体位综合征 术前体位训练 应用研究 　　DOI:10.3760/cma.j.issn.1672-7088.2015.21.47 　　作者单位：266109，山东省青岛，城阳区人民医院门诊换药室 　　 　　[作者简介]隋桂琴（1965—），女，城阳区人民医院主管护师。 　　The Influence of Comprehensive Preoperative Nursing on Postoperative Indicators of Patients Receiving Surgery 　　Sui Guiqin 　　Abstract: Objective To explore the influence of comprehensive preoperative nursing on postoperative indicators of patients receiving surgery. Methods 290 cases of thyroid surgery patients visiting the authorrsquo;s hospital were randomly divided into the treatment group and control group. The treatment group had 150 cases, all receiving comprehensive care with preoperative position training till the operation time. The control group had 140 cases, with no preoperatively position training. The comfort and tolerance of body position in the two groups were observed. Patientsrsquo; headache, nausea and vomiting within 48 hours after surgery in the two groups were recorded and compared. Results The 0, Ⅰdegrees patients in the treatment group which received comprehensive preoperative nursing combined with position training is 120, accounting for 80%, significantly higher than the control grouprsquo;s 88 cases (62.86%), theⅡ, Ⅲ, Ⅳ degree of the treatment group accounted for 20.00%, which is far lower than the control grouprsquo;s 37.14%, the differences were statistically significant (P lt; 0.05). There are 125 patients with Ⅰ degree in the treatment group, accounting for 83.33%, far high