钱丹

【摘要】 目的：分析全麻下腹腔手術患者应用全方位无缝隙护理配合模式的临床价值。方法：选取83例全麻下腹腔手术患者，经抽签方式分为对照组（41例，常规护理配合模式）、研究组（42例，在对照组基础上给予全方位无缝隙护理配合模式）。比较护理前、麻醉前两组负性情绪与应激情况、麻醉相关并发症、护理满意度。结果：护理前，两组汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、心率、平均动脉压比较，差异均无统计学意义（P>0.05）;麻醉前，两组HAMA、HAMD均升高（P<0.05），但研究组明显比对照组低（P<0.05）;两组心率均加快（P<0.05），但研究组明显比对照组慢（P<0.05）;两组平均动脉压均升高（P<0.05），但研究组明显比对照组低（P<0.05）;研究组麻醉相关并发症发生率明显比对照组低（P<0.05），护理满意度明显比对照组高（P<0.05）。结论：全麻下腹腔手术患者应用全方位无缝隙护理配合模式可改善患者麻醉前负性情绪与应激情况，减少麻醉相关并发症，改善护理体验。

【关键词】 全方位无缝隙护理配合; 全麻; 腹腔手术; 并发症

Practical Study of All-round Seamless Nursing Cooperation Mode in Patients Undergoing Abdominal Surgery under General Anesthesia/QIAN Dan.//Medical Innovation of China，2019，16（26）：086-089

【Abstract】 Objective：To analyze the clinical value of the application of all-round seamless nursing cooperation in patients undergoing abdominal surgery under general anesthesia.Method：A total of 83 patients underwent abdominal anesthesia under general anesthesia were divided into the control group（41 cases，routine nursing cooperation mode）and the study group（42 cases，all-round seamless nursing cooperation mode on the basis of the control group）.The negative emotions and stress before and during anesthesia，complications，and nursing satisfaction of two groups were compared.Result：There were no significant differences between two groups in HAMA，HAMD，heart rate，and mean arterial pressure（P>0.05）.The scores of HAMA and HAMD before anesthesia of both groups were increased（P<0.05），those indexes of the study group were significantly lower than those of the control group（P<0.05）.The heart rate of both two groups were accelerated（P<0.05），that index of the study group was significantly slower than that of the control group（P<0.05）.The mean arterial pressure of both two groups were increased（P<0.05），those index of the study group was significantly lower than that of the control group（P<0.05）.The incidence rate of the study group was significantly lower than that of the control group（P<0.05），the nursing satisfaction was significantly higher than that of the control group（P<0.05）.Conclusion：The application of all-round seamless nursing cooperation mode in patients undergoing general anesthesia for abdominal surgery can improve the negative emotion and stress before anesthesia，reduce complications and improve the nursing experience.

【Key words】 All-round seamless nursing cooperation; General anesthesia; Abdominal surgery; Complication

First-authors address：Jiujiang First Peoples Hospital，Jiujiang 332000，China

doi：10.3969/j.issn.1674-4985.2019.26.023

全麻是临床腹腔手术常用麻醉方式，可减轻患者痛苦，保证手术顺利进行[1]。但有学者认为，全麻在将神经传导阻断的同时将降低患者基础代谢率，導致一系列麻醉相关并发症，且患者面对手术与麻醉将产生负性情绪与应激反应，影响手术与麻醉效果[2-3]。当前国内外学者关于全麻护理的研究较多，但全方位无缝隙护理配合模式相关内容尚少。本研究将分析全方位无缝隙护理配合模式在全麻下腹腔手术患者中应用价值。现报道如下。

1 资料与方法

1.1 一般资料 抽取2017年8月-2019年1月本院全麻下腹腔手术患者83例。纳入标准：符合《腹部外科手术要点及围手术期处理》中腹腔手术适应证[4]，以及《新编麻醉学》中全麻指征[5]，经腹部CT检查确诊，无沟通与理解能力障碍。排除标准：合并指标无法控制的慢性基础性疾病;药物依赖;血液系统疾病;存在其他可能影响研究结果因素的患者。经抽……