手术室整体护理对围手术期病人心身影响研究.docVIP

手术室整体护理对围手术期病人心身影响研究 　　[摘要] 目的：探讨手术室整体护理对围手术期病人生理心理的影响。方法：选择围手术期病人112例，随机分为观察组和对照组，观察组实施整体护理，对照组接受传统护理。对两组病人焦虑抑郁评分、心率、血压、术后下床活动时间、伤口愈合时间、并发症及满意度进行比较。结果：术前3 d，两组病人焦虑抑郁值差异无显著性(P0.05)；术前晚上，对照组焦虑抑郁评分显著升高（P0.05)，观察组焦虑抑郁值均显著低于对照组（P0.05)，但随着手术临近，两组病人心率、血压均不断上升，且对照组均明显高于观察组（P0.05)；两组病人均无恶心、呕吐等并发症发生，术后愈合良好，而且观察组病人的满意度明显高于对照组(P0.05)。结论：整体护理可有效缓解病人焦虑抑郁情绪，降低对手术的应激反应，使手术和麻醉顺利实施。 　　[关键词] 手术室；整体护理；围术期；影响 　　[中图分类号] R248.2 [文献标识码]A [文章编号]1673-7210（2008）02（c）-016-03 　　 　　Psychological and physical influence research of whole nursing to peri-operation patients 　　XU Dong-mei 　　(Department of Operating Room,The First Hospital,Shangqiu,Henan 476100,China) 　　[Abstract] Objective:To discuss psychological and physical influence of whole nursing to peri-operation patients.Methods: 112 peri-operation patients were divided into observation group and control group. Patients in observation group accept whole nursing, those in control group accept traditional nursing, whose anxiety and depression score, heart rate, blood pressure, out-bed move time, cut cure time, syndrome and satisfaction degree were compared.Results: The anxiety and depression score of two groups were not significant 3 days before operation(P0.05);the score of control group rise before operation（P0.05),the score of observation group was obviously lower than that of control group（P0.05),but with the operation drawing near, the heart rate and blood pressure of control group were higher than that of observation group（P0.05);the two groups have no syndrome such as nausea and retch, after-operation concrescence was good,and the satisfaction of observation group is high than control group(P0.05). Conclusion:The whole nursing can reduce anxiety and depression feeling,decrease hyper response to carry out operation and anaesthesia favorably. 　　[Key words] Operation room; Whole nursing; Peri-operation; Influence 　　 　　整体护理作为康复治疗的一个方面，它主要是以病人为中心，以现代护理理论为指导，以护理程序为框架，把病人看作一个整体，从生理、心理、社会、文化、精神等方面全方位考虑病人的问题，并根据不同问题予以相应的护理措施[1]，其护理观