林澤華 彭見有

[摘要]目的 探討細(xì)節(jié)護(hù)理在手術(shù)室護(hù)理工作中的應(yīng)用效果。方法 選取2017年1～ 11月我院收治的110例需手術(shù)的患者作為研究對象，采用隨機(jī)數(shù)字表法將其分為對照組、觀察組，每組55 例。對照組采用手術(shù)室常規(guī)護(hù)理，觀察組在手術(shù)室常規(guī)護(hù)理的基礎(chǔ)下實(shí)施細(xì)節(jié)護(hù)理，觀察并比較兩組患者護(hù)理質(zhì)量評分、患者滿意度。結(jié)果 觀察組護(hù)士對患者病情的掌握率、基礎(chǔ)護(hù)理合格率、健康教育宣教率及護(hù)理質(zhì)量滿意度高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組的總滿意度高于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 在手術(shù)室護(hù)理中實(shí)施細(xì)節(jié)護(hù)理的效果較好，可明顯提高護(hù)理質(zhì)量評分及患者滿意度，從而提高護(hù)理治療依從性，保障手術(shù)順利進(jìn)行。

[關(guān)鍵詞]細(xì)節(jié)護(hù)理；手術(shù)室；護(hù)理；應(yīng)用效果

[中圖分類號] R472.3 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-4721（2018）5（b）-0183-03

The application effect of detail nursing care in operating room

LIN Ze-hua PENG Jian-you

Operating Room， Guangzhou Traditional Chinese Medicine Hospital，Guangdong Province，Guangzhou 510000，China

[Abstract]Objective To study the application effect of detail nursing care in operating room.Methods From January to November 2017，110 patients who needed surgery were selected as the research object，and randomly divided into control group and observation group，55 cases in each group. The control group was given routine nursing in the operating room，while the observation group was given detailed nursing on the basis of routine nursing in operating room and the nursing quality scores and patient satisfaction of the two groups were observed and compared.Results The nurses′ mastery rate of patients′ illness，qualified rate of basic nursing， health education and propaganda rate and satisfaction rate of nursing quality in the observation group were higher than those in the control group，and the difference was statistically significant （P<0.05）.The total satisfaction of the observation group was higher than that of the control group，the difference was statistically significant （P<0.05）.Conclusion The effect of detailed nursing care in operating room care is better，and the nursing quality score and patient satisfaction can be significantly improved，thereby improving the compliance of nursing care and ensuring the smooth operation.

[Key words]Detail nursing；Operating room；Nursing；Application effect

隨著醫(yī)療改革的進(jìn)一步發(fā)展，要求醫(yī)護(hù)人員在提高服務(wù)技術(shù)的前提下進(jìn)一步提高醫(yī)護(hù)人員服務(wù)質(zhì)量[1]，同時(shí)對手術(shù)室護(hù)士服務(wù)的要求也越來越嚴(yán)格，不僅要有精湛的護(hù)理技術(shù)、扎實(shí)的理論基礎(chǔ)以及良好的服務(wù)態(tài)度，還要有為手術(shù)患者、麻醉醫(yī)師及手術(shù)醫(yī)師提供細(xì)節(jié)護(hù)理服務(wù)的理念。近年來，細(xì)節(jié)護(hù)理受廣泛手術(shù)患者的青睞，通過術(shù)前、術(shù)中和術(shù)后更細(xì)節(jié)、更為全面的護(hù)理，緩解了患者術(shù)前緊張的情緒，為患者的術(shù)中舒度適創(chuàng)造了一定的條件，并且促進(jìn)了患者術(shù)后康復(fù)狀況，進(jìn)一步提高手術(shù)質(zhì)量與患者滿意度[2-3]。所有手術(shù)患者圍術(shù)期均無嚴(yán)重并發(fā)癥發(fā)生，取得了較好的成績，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取2017年1～11月我院收治的110例需手術(shù)的患者作為研究對象，采用隨機(jī)數(shù)字表法將其分為對照組、觀察組，每組55 例。觀察組中，患者年齡26～78歲，平均（42.8±6.3）歲；其中四肢骨折內(nèi)固定手術(shù)10例，甲狀腺手術(shù)10例，乳腺癌手術(shù)10例，胃腸手術(shù)10例，宮腹聯(lián)合手術(shù)10例，白內(nèi)障手術(shù)5例。對照組中，患者年齡30～80歲，平均（46.8±7.2）歲，其中四肢骨折內(nèi)固定手術(shù)8例，甲狀腺手術(shù)12例，乳腺癌手術(shù)10例，胃腸手術(shù)10例，宮腹聯(lián)合手術(shù)8例，白內(nèi)障手術(shù)7例；兩組患者的一般資料比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。本研究患者及家屬均知情并且經(jīng)過醫(yī)院醫(yī)學(xué)倫理委員會批準(zhǔn)，患者及家屬同意接受手術(shù)治療并簽署知情同意書。