何珊

[摘要] 目的 觀察椎管内麻醉患者围手术期舒适护理的干预效果。 方法 选取我院2015年3月～2016年12月实施椎管内麻醉手术的患者75例，随机分为观察组38例及对照组37例。对照组采用常规护理，观察组采用围手术期舒适护理，观察两组患者的术中血压及心率的变化情况，疼痛程度，护理满意度及并发症发生情况。 结果 观察组患者的心率改变、收缩压、舒张压等波动幅度明显小于对照组，差异有统计学意义（P<0.05）。观察组患者的SAS、SDS及VAS评分明显低于对照组，与对照组相比较，差异有统计学意义（P<0.05）。观察组患者的护理满意率为92.11%，明显高于对照组的81.08%，两组比较差异有统计学意义（P<0.05）。观察组患者的并发症发生率为10.52%，明显低于对照组的29.73%，两组比较差异有统计学意义（P<0.05）。 结论 对椎管内麻醉患者实施围手术期舒适护理，患者疼痛情况明显减轻，护理满意度提高，减少并发症发生率，值得在临床推广应用。

[关键词] 围术期；舒适护理；椎管内麻醉；并发症；护理满意度

[中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616（2017）16-119-03

Effect analysis of comfortable nursing during perioperative period of patients undergoing spinal anesthesia

HE Shan

Anzhen Hospital of Beijing，Beijing 100029，China

[Abstract] Objective To observe the effect analysis of comfortable nursing during perioperative period of patients undergoing spinal anesthesia. Methods 75 cases of spinal anesthesia operation in our hospital from March 2015 to December 2016 were randomly divided into 37 cases of the control group and 38 cases of the observation group.The control group was treated with routine nursing，and the observation group was treated with perioperative comfort care.The changes of blood pressure and heart rate，the degree of pain， the degree of nursing satisfaction and complications were observed in the two groups were all observed. Results The fluctuation rate of heart rate，systolic pressure and diastolic pressure in the observation group was significantly smaller than that in the control group，with a significant difference （P<0.05）.The scores of SAS， SDS and VAS in the observation group were significantly lower than those in the control group，compared with the control group，the difference was statistically significant（P<0.05）.The satisfaction rate of nursing in the observation group was 92.11%，which was obviously higher than 81.08% in the control group，and the difference between the two groups was statistically significant （P<0.05）.The complication rate of the observation group was 10.52%，which was lower than that of the control group by 29.73%，and the difference between the two groups was statistically significant （P<0.05）. Conclusion The perioperative comfort nursing for patients undergoing spinal anesthesia can reduce the pain obviously，improve the nursing satisfaction and reduce the incidence of complications.It is worth popularizing in clinical practice.

[Key words] Perioperative period；Comfort care；Spinal anesthesia；Complications；Nursing satisfactionendprint

椎管内麻醉作为临床常见的麻醉方法，适用于体格条件较好且短时间进行手术的患者[1-2]。术者在椎管内麻醉状态下处于清醒状态，因此护理显得尤为重要。舒适护理作为一种比较全面的护理方法，对患者的生理、心理及躯体感受进行整体化护理，以患者的舒适为主，对减少麻醉及手术对患者的不良反应具有重要意义[3]。本研究对椎管内麻醉患者施行围手术期舒适护理，对其临床效果进行探讨，现报道如下。

1 资料与方法

1.1 一般资料

选取我院2015年3月～2016年12月实施椎管内麻醉手术的患者75例为研究对象，男42例，女33例，年龄35～72岁，平均（44.2±6.1）岁，所有患者按照随机数字表法，分为对照组37例与观察组38例。观察组男21例，女17例，年龄35～71岁，平均（43.6±6.1）岁；对照组21例，女16例，年龄35～71岁，平均（44.2±6.2）歲.两组患者性别、年龄等一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2 方法

对照组采取常规护理，包括入院后的健康宣教、观察生命体征、抗炎、抗病毒治疗等。研……