杨婵萍　李镠洋　吴小凌

[摘要]目的 探析手术室优质护理对急诊手术患者生理、心理的影响。方法 选取我院于2014年3月～2016年4月急诊手术的156例手术患者为研究对象，根据抽签法分组每组78例。对照组和观察组分别给予手术室常规护理和手术室优质护理，对比分析临床护理效果。结果 护理前，两组患者SAS、SDS评分结果比较，差异均无统计学意义（P>0.05）；护理后两组患者的SAS、SDS评分均有所降低，与护理前比较，差异有统计学意义（P<0.05）；观察组SAS、SDS评分均低于对照组，差异有统计学意义（P<0.01）。观察组患者的心率、呼吸频率及血压值均明显优于对照组（P<0.05）。观察组护理满意度为97.44%，明显高于对照组的66.67%，两组差异有统计学意义（P<0.05）。结论 对急诊手术患者实施手术室优质护理，真正体现了以患者为中心的医院工作原则，可改善患者的生理指标，缓解患者及家属的负面情绪，值得在临床上应用和推广。

[关键词]手术室优质护理；急诊手术患者；生理；心理

[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721（2017）08（a）-0178-04

[Abstract]Objective To investigate the effect of high-quality nursing care on physiology and psychology of patients undergoing emergency operation.Methods A total of 156 emergency surgical patients were selected from March 2014 to April 2016，and 78 patients were grouped according to the lottery method.The control group and the observation group were given routine nursing and operating room care in the operating room，and the clinical nursing effect was compared and analyzed.Results Before nursing，there were no significant differences among the scores of SAS and SDS in two groups （P>0.05）；after nursing，the scores of SAS and SDS in two groups were both decreased，and compared with those before nursing，the differences were statistically significant （P<0.05），and those in the observation group were lower than those in the control group，and the differences were statistically significant （P<0.01）.The heart rate，respiratory rate and blood pressure were significantly better in the observation group than in the control group （P<0.05）.The satisfaction rate of the observation group was 97.44%，which was significantly higher than that of the control group 66.67%.There was significant difference between the two groups （P<0.05）.Conclusion The patients with emergency operation of the implementation of high quality care，truly reflects the patient-centered hospital work principles，can improve the physiological indicators of patients，relieve the negative emotions of patients and their families，worthy of clinical application and promotion.

[Key words]Operating room quality care；Emergency surgery patients；Physiology；Psychological

急診手术患者多为危急重症，患者病情较为严重，且病情变化快，导致患者在生理和心理上均承受着巨大的压力和负担。此外，急诊手术的风险相对较大，且手术创伤性大，导致患者的生理和心理处于应激状态下，影响其生命体征的稳定性[1]。当前医学模式不断改变，护理模式也从原来的生物医学模式逐渐转变为生物-心理-社会医学模式，护理工作从原来单纯护理操作转变为融合心理护理及人文关怀于一身的优质护理。尤其是随着近年来医疗技术水平的快速提升，患者及其家属均对护理质量提出了非常高的要求。本次研究选取156例急诊手术患者为研究对象，给予部分患者手术室优质护理，对手术室优质护理对急诊手术患者生理、心理的影响进行探讨，现报道如下。

1资料与方法

1.1一般资料endprint

本研究选取我院2014年3月～2016年4月收治的156例手术患者为研究对象，根据抽签法分组，每组78例。观察……