陈佩

【摘要】 目的：探究围手术期优质护理在截石位手术中的应用效果。方法：选取2017年2月-2019年11月于笔者所在医院采用截石位行手术治疗的患者100例，依据护理方案不同划分为两组研究组与对照组，各50例患者。对照组采用常规手术护理，研究则基于对照组采用优质护理，分析两组患者血流动力学指标，SAS、SDS评分，并发症，满意度等情况。结果：术毕研究组心率、舒张压與对照组比较，差异无统计学意义（P>0.05），术毕时研究组收缩压高于对照组（P<0.05）;术后研究组SDS评分及SAS评分均低于对照组（P<0.05）;研究组并发症发生率低于对照组（P<0.05）;研究组护理满意度高于对照组（P<0.05）。结论：截石位手术患者围手术期护理中采用优质护理，能有效平稳患者血压，避免截石位体位改变性低血压现象出现，改善患者不良心态，减少发生并发症，提高护理满意度，值得在临床推广。

【关键词】 优质护理 截石位手术 焦虑、抑郁评分 满意度 并发症

doi：10.14033/j.cnki.cfmr.2020.21.034 文献标识码 B 文章编号 1674-6805（2020）21-00-04

Application Effect of Perioperative Quality Nursing in Lithotomy Operation/CHEN Pei. //Chinese and Foreign Medical Research， 2020， 18（21）： -85

[Abstract] Objective： To explore the application effect of perioperative quality nursing in lithotomy operation. Method： From February 2017 to November 2019， 100 patients who were operated in our hospital were divided into two groups， study group and control group， each with 50 patients. Routine operation nursing was used in the control group， while high quality nursing was used in the study group. Hemodynamic indexes， SAS， SDS scores， complications， satisfaction and other conditions were analyzed in the two groups. Result： There was no significant difference of heart rate and diastolic blood pressure between the study group and the control group （P>0.05）. The systolic blood pressure of the study group was higher than that of the control group （P<0.05）， the SDS score and SAS score of the study group were lower than that of the control group （P<0.05）， the complication rate of the study group was lower than that of the control group （P<0.05）， and the nursing satisfaction of the study group was higher than that of the control group （P<0.05）. Conclusion： High quality nursing can effectively stabilize the blood pressure， avoid the occurrence of hypotension， improve the patients good mentality， reduce the complications and improve the nursing satisfaction， which is worthy of clinical promotion.

[Key words] High quality nursing Lithotomy operation Anxiety and depression scores Satisfaction Complications

First-authors address： Kunshan First Peoples Hospital， Kunshan 215300， China

截石位是诸多手术科室中较为常用的一种手术体位，如泌尿外科、普外科、妇科、肛肠科等。截石位手术耗时较长，体位摆放比较特殊，患者需要承受较大的痛苦，术后极易出现体位并发症，还会影响患者生理、心理状态。截石位摆放难度较大，体位摆放标准较高，以临床角度而言，截石位是为了保证患者能够适应手术而摆放的一种强迫姿势。截石位摆放不正确还会造成大腿根部皮肤受压、血管神经受压、软组织挫伤等。截石位摆放时间过长极易压迫腓骨小头，造成腓总神经损伤，还会引发患者下肢出现其他并发症，如麻木、瘀血、酸痛、肿胀等。因此，为改善护理效果，减少体位不适引发的并发症，应给为患者摆放安全、准确、舒适的截石体位。本次研究对截石位手术患者围手术期采用优质护理进行护理，探讨优质护理的应用效果，为今后截石位手术选择合适的护理措施提供一些依据。