手术室整体护理在妇科手术中应用效果.docVIP

手术室整体护理在妇科手术中应用效果 　　[摘要] 目的 探?手术室整体护理在妇科手术中的应用效果。方法 选择2016年1～6月在我院手术室行妇科手术的患者60例为研究对象，随机分为干预组与对照组各30例。对照组给予常规手术护理，干预组给予手术室整体护理。比较两组干预前及手术后SAS、SDS评分，入手术室后心理反应情况，术前1d以及入手术室后5min心率及血压水平。结果 两组术后SAS评分以及SDS平均均较干预前下降，差异有统计学意义（P0.01）；手术后，干预组患者SAS评分以及SDS评分均显著低于对照组，差异有统计学意义（P0.01）。干预组入手术室后心理反应程度显著低于对照组，差异有统计学意义（P0.01）。入手术室后5min，两组心率、收缩压及舒张压均较术前1天升高，差异有统计学意义（P0.01）；但干预组显著低于对照组，差异有统计学意义（P0.01）。结论 手术室整体护理能够有效缓解患者焦虑抑郁情况，缓解术中心理反应，平缓术中心率及血压波动。 　　[关键词] 手术室整体护理；妇科手术；焦虑；抑郁；血压波动 　　[中图分类号] R472.3 [文献标识码] A [文章编号] 2095-0616（2017）09-88-04 　　Application effect of holistic nursing care in operation room for gynecological surgery 　　HUO Fuying1 LIU Shuyu2 LI Liandi3 CHAI Fangyuan1 　　1.Operation Room， the Second Affiliated Hospital of Mudanjiang Medical University， Mudanjiang 157000， China； 2.Imaging Department， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3.Department of Anesthesiology， the Second Affiliated Hospital of Mudanjiang Medical University， Mudanjiang 157000， China 　　[Abstract]Objective To discuss application effect of holistic nursing care in operation room for gynecological surgery. Methods 60 cases with gynecological surgery from Jan to Jun 2016 were selected and divided randomly into intervention group and control group， each of 30 cases. The control group was nursed with routine surgical nursing， and the intervention group was nursed with operation room holistic nursing care. SAS， SDS before intervention and post-operation， psychological reaction after entering the operation room， and HR， SBP， DBP at one day before operation and 5 minutes after entering the operation room of two groups were compared. Results SAS and SDS post-operation of two groups were lower than those before intervention， which showed significant difference（P 　　[Key words] Holistic nursing care in operation room； gynecological surgery； Anxiety； Depression； Blood pressure fluctuation 　　妇科常见的手术根据手术途径可分为腹部手术以及阴式手术。腹部手术包括剖腹探查术、全子宫切除术、子宫切除加附件切除术等。患者在术前可能因担心手术是否能够