综合护理干预在普外科农村孤寡老年患者围手术期护理中的应用

摘要

目的:探讨分析综合护理干预在普外科农村孤寡老年患者围手术期护理中的应用价值.方法: 200例普外科农村孤寡老年患者,按照数字抽签法将其随机分为对照组(n=100)与研究组( n=100),对照组实施外科常规护理,而研究组进行围手术期综合护理干预,观察并对比两组护理效果.结果: (1)术后1 d研究组的焦虑(SAS)得分为(40. 91 ± 3. 02),显著低于对照组的(50. 86 ± 2. 79),差异具统计学意义(P＜0. 05);(2)在围手术期中,研究组患者的肾上腺素(E)及去甲肾上腺素(NE)水平变化均无统计学意义(P＞0. 05),但对照组的E、NE变化均有统计学意义(P＜0. 05),且对照组术中、术后的E、NE水平都明显高于研究组(P＜0. 05);(3)研究组术后24 h疼痛VAS评分为(3. 60 ± 0. 83)分、48 h VAS为(1. 48 ± 0. 66)分,而对照组术后24 h VAS为(4.80 ±1.02)分、术后48 h为(3.04 ±0.75)分,组间比较差异具统计学意义(P＜0.05);(4)研究组患者对护理工作的总满意度为97. 0% ,显著优于对照组82. 0% ,差异具统计学意义(P＜0. 05).结论: 与常规护理相比,综合护理干预可有效减轻普外科围手术期农村孤寡老年患者生理、心理应激反应,利于调整其心理状态,促进其术后快速康复,同时还可全面提升护理服务质量,利于护患关系和谐发展.%Objective:To estimate the value of comprehensive nursing intervention in the perioperative period in rural widows in elderly patients in general surgery. Methods:200 cases of rural widows in elderly patients were recruited,and randomly divided into in-tervention group (n=100) and the control group (n=100). The control group received routine surgical nursing,while the intervention group given perioperative comprehensive care intervention,to observe and estimate the nursing effect. Results:1 d after operation,the anxiety score (SAS) of the intervention group was (40. 91+3. 02),significantly lower than that of the control group (50. 86+2. 79), and the difference was statistically significant (P＜0. 05). During perioperative period,there were no signifacantly change with the E and NE level in the intervention group (P＞0. 05),but those in the control group had signifacantly difference (P＜0. 05). The levels of E and NE in the control group were significantly higher than those in the intervention group (P＜0. 05). In the intervention group the 24 h VAS score were (3. 60 ± 0. 83),48h VAS score were (1. 48 ± 0. 66),while 24 h VAS in the control group was (4. 80+1. 02) and 48 h after operation was (3. 04+0. 75). The difference between the groups was statistically significant (P＜0. 05),the satisfaction in the intervention group (97. 0% ) was significantly better than that in the control group (82. 0% ),the difference was statistically sig-nificant (P＜0. 05). Conclusion:Compare with routine nursing,comprehensive nursing intervention can effectively reduce the rural widowed elderly patients with perioperation period of physiological and psychological stress,to adjust their psychological state,promote its rapid recovery after operation,but also can improve the quality of nursing service,conducive to the harmonious relationship between the nurses and patients.