廖春莲 李春玲

[摘要]目的 分析全程无缝隙护理模式开展手术室优质护理服务中的效果。方法 选取我院2017年1月～2018年4月收治的需手术治疗的患者114例，按随机单双数法分为对照组和观察组，每组各57例。对照组采用常规护理，观察组采用全程无缝护理，比较两组术后并发症以及对护理总满意度。结果 观察组临床并发症发生率和手术准备率低于对照组，差异有统计学意义（P<0.05）；两组护理前抑郁自评量表（SDS）和焦虑自评量表（SAS）评分比较，差异无统计学意义（P>0.05）。观察组护理总满意度显著高于对照组，差异有统计学意义（P<0.05）。观察组护理后SDS和SAS评分显著低于对照组，差异有统计学意义（P<0.05）。结论 在手术室内为患者提供全程无缝护理方式可提升临床治疗效果，为现代医学发展中全新的护理方式，有临床推广价值。

[关键词]全程无缝隙护理；手术室；优质护理

[中图分类号] R472.3 [文献标识码] A [文章编号] 1674-4721（2018）11（a）-0216-03

Effect analysis of the whole process of seamless nursing mode in the high quality nursing service in the operating room

LIAO Chun-lian LI Chun-ling

Operating Room， Jiangxi Provincial People′s Hospital， Nanchang 330006， China

[Abstract] Objective To analyze the effect of the whole process of seamless nursing mode in the quality nursing service in the operating room. Methods A total of 114 patients who underwent surgery from January 2017 to April 2018 in our hospital were enrolled. The patients were randomly divided into control group （n=57， regular nursing） and observation group （n=57， the whole process of seamless nursing） by odds/even number. The postoperative complications and nursing satisfaction of the two groups were comapred. Results The incidence of clinical complications and surgical preparation rate in the observation group were lower than those in the control group （P<0.05）. There were no significant differences in self-rating depression scale （SDS） and self-rating anxiety scale （SAS） scores between the two groups before nursing （P>0.05）. The nursing satisfaction of the observation group was significantly higher than that of the control group with significant difference （P<0.05）. After nursing， the SDS and SAS scores of the observation group were significantly lower than those of the control group with statistical significance （P<0.05）. Conclusion Provision of seamless care in the whole process in the operating room can improve the clinical therapeutic effect. It is a novel nursing mode in modern medicine， and has clinical promotion value.

[Key words] Seamless care in the whole process； Operating room； High quality care

現在医学持续发展，大部分外科疾病都可通过手术进行治疗，但患者在陌生手术环境时，因为对疾病和环境的陌生造成心理紧张，影响治疗效果[1]。为缓解患者紧张和焦虑的心情，对患者行全程无缝隙护理十分重要[2]。现选取我院收治的需行手术治疗的患者114例，分析采用全程无缝隙护理应用效果，现报道如下。

1资料与方法

1.1一般资料

选取我院2017年1月～2018年4月收治的需手术治疗的患者114例，按随机单双数法分为对照组和观察组，每组各57例。对照组男28例，女29例；年龄31～65岁，平均（47.14±3.72）岁；骨科手术26例，泌尿科手术21例，生殖系统手术10例。对照组男29例，女28例；年龄32～67岁，平均（47.59±4.17）岁；骨科手术24例，泌尿科手术21例，生殖系统手术12例。纳入标准：确诊须行手术的患者，本研究经医院医学伦理委员会批准，且所有患者均签署知情同意书。排除标准：有严重内脏疾病患者；有沟通障碍患者；……