霍福英?刘书宇?李莲娣?柴方圆

[摘要] 目的 探討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（P<0.01）；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（P<0.01）。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（P<0.01）。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（P<0.01）；但干预组显著低于对照组，差异有统计学意义（P<0.01）。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<0.01）. After operation， SAS and SDS of intervention group were lower than those of the control group， which showed significant difference （P<0.01）. Psychological reaction degree after entering the operation room of the intervention group was lower that of the control group， which showed significant difference（P<0.01）. Five minutes after entering the operation room， HR， SBP， DBP of two groups were higher than those at the one day before operation， which showed significant difference （P<0.01）. But， those of the intervention group were lower than those of the control group， which showed significant difference（P<0.01）. Conclusion Holistic nursing care in operation room for gynecological surgery can effectively alleviate the anxiety and depression of patients， relieve psychological reaction during operation， and alleviate HR and blood pressure fluctuation in operation.

[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顺利进行、手术效果等而

产生焦虑情绪，也会因缺乏对生殖器功能正确的认知、缺乏术前配合等有关知识而觉得忐忑不安、焦虑、抑郁[1-3]。这些不良情绪均会影响手术的顺利进行，影响术中患者的生命体征[4]。我们将整体护理引入到手术室护理中，取得了较好的临床效果。现将结果报道如下。

1 资料与方法

1.1 一般资料

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。纳入标准：年龄18～60岁，均為子宫切除术或者附件切除术；未合并神经系统疾病及精神系统疾病，认知能力正常，理解能力正常，有正常的读写能力；患者手术方法及本次研究知情同意。60例患者随机分为干预组与对照组各30例。……