老年膀胱癌患者围术期手术室护理安全全程干预探讨

摘要

Objective To explore the safety hidden trouble and the effect of the whole course in the operation room nursing of the elderly patients with bladder cancer. Methods 58 cases of elderly patients with bladder cancer who underwent transurethral resection of bladder cancer were selected in Lianyungang hospital of traditional Chinese medicine from January 2010 to May 2016, were randomly assigned to observe group of 30 cases, control group of 28 cases. The control group was given conventional peri operative nursing, the observation group in the control group on the basis of nursing, really of elderly patients with physiological function decline, various underlying diseases, poor nutritional status and psychological quality decline and other characteristics, giving corresponding nursing intervention. Compared two groups of patients with quality of care scores were observed and nursing risk occurrence rate and patient satisfaction scores. Results Two groups of patients of the intervention of nursing risk occurrence rate and quality of care scores had no significant difference (P >0.05), intervention observation group of nursing risk incidence was signiifcantly lower than that of the control group, the control rate was signiifcantly higher than that of the control group (P<0.05), intervention to observe the scores of the quality of nursing group was signiifcantly higher than that of control group (P<0.05), after the intervention, the observation group of patients satisfaction was signiifcantly higher than that of control group (P<0.05). Conclusion The clinical characteristics of elderly patients with bladder cancer, in the operation of the nursing process, to be given targeted nursing intervention, can effectively avoid the risk of care, improve the quality of care and patient satisfaction, to provide protection for the safety of the operation.%目的：探讨老年膀胱癌患者围术期手术室护理中存在的安全隐患及全程干预效果。方法对2010年1月～2016年5月在连云港市中医院行经尿道等离子体膀胱肿瘤切除术的58例老年膀胱癌患者随机分配为观察组30例，对照组28例。对照组给予常规围手术期护理，观察组在对照组护理基础上，针对老年患者生理机能减退、基础病多样、营养状态欠佳和心理素质下降等特点，给予相应护理干预。观察比较两组患者手术护理质量评分结果、护理风险发生率及患者满意度评分。结果两组患者干预前护理风险发生率及护理质量评分差异无统计学意义（P＞0.05）；干预后观察组护理风险发生率低于对照组，控制率高于对照组（P＜0.05）；干预后观察组护理质量评分高于对照组（P＜0.05）；干预后观察组患者满意度高于对照组（P＜0.05）。结论针对老年膀胱癌患者的临床特点，在手术护理过程中，要给予针对性护理干预，可有效避免护理风险，提高护理质量和患者满意度，为手术安全提供保障。