蔡玉芬

[摘要]目的 分析优质护理在手术室的应用效果。方法 选取2016年1～12月我院采用手术室优质护理前后的手术病例各60例作为研究对象，分别设为对照组和研究组。对照组采用传统的常规护理，研究组采用优质护理。对比两组手术前后心率、血压、焦虑度、术后滿意度以及手术前后不良反应发生情况。结果 手术前两组心率、血压、焦虑度比较，差异无统计学意义（P>0.05）。手术后两组焦虑评分明显低于手术前（P<0.05），且研究组远低于对照组（P<0.05）；手术后两组心率、血压情况明显比术前更稳定（P<0.05），且研究组远优于对照组（P<0.05）。研究组护理服务总满意度明显高于对照组，并发症总发生率明显低于对照组，差异均有统计学意义（P<0.05）。结论 在手术室实施优质护理措施，有利于术后患者身体各项指标的恢复，还可减轻患者焦虑程度，降低不良反应发生率，提高其对护理服务的满意度。

[关键词]优质护理；手术室；效果；焦虑度；满意度

[中图分类号] R472.3 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0177-03

[Abstract] Objective To analyze the effectiveness of application of high quality nursing in operation room. Methods Altogether 60 cases of patients who underwent surgeries in our hospital from January to December 2016 were selected as the subjects of this research and divided into the control group and the study group respectively according to pre and post high quality nursing. In the control group， traditional routine nursing was used during operation； while， high quality nursing was used in the study group. The heart rate， blood pressure， anxiety scale， postoperative satisfaction and the incidence of pre-and post-operational adverse reactions were compared between the two groups. Results There was no statistically significant difference in pre-operational heart rate， blood pressure and anxiety scale between the two groups （P>0.05）. The post-operational anxiety scale of the two groups was significantly lower than that before the operation （P<0.05）， which of the study group was far lower than that of control group （P<0.05）. The post-operational heart rate and blood pressure of the two groups were more stable than those before the operation （P<0.05）， which of the study group were far superior to the control group （P<0.05）. The total satisfaction of nursing service of the study group was significantly higher than that of the control group， and the total incidence of adverse reactions was significantly lower than that of the control group， both with statistically significant difference （P<0.05）. Conclusion The implementation of high quality nursing measures in the operation room is beneficial to the post-operational recovery of patients′ various indexes， which can also reduce the degree of anxiety and the incidence of adverse reactions， and improve their satisfaction with the nursing service.

[Key words] High quality nursing； Operation room； Effectiveness； Anxiety scale； Satisfaction

手术室是为患者提供手术及抢救的场所，也是医院重要的部门之一[1]。手术室的环境直接影响患者手术安全。保证手术室的无菌条件，可满足器官移植及心脏、血管、人工关节置换等手术的要求。高效安全的手术室空气净化系统，是保障手术室无菌环境的有力措施之一。随着现代手术相关技术的迅速发展，手术室护理管理理论、护理模式、护理观念及手术操作等方面均有极大提高。临床对手术室护理人员的思想素质及业务素质的要求越来越高，优质手术室护理是手术安全性和高效性的重要保障，对手术患者的意义重大[2]。本研究将整体化、人性化的观念融入了护理工作，增加了术前、术后的护理访视和心理疏导，获得较好的成效，现报道如下。

1资料与方法

1.1一般资料

选取2016年1～12月我院手术室实施优质护理措施，征得患者及家人同意后，选择实施优质护理措施后手术的患者60例，设为研究组，同时选择此项措施实施前手术患者60例，设为对照组，对照组护理采用的是传统的常规护理。本……