80例术前访视体会及对患者的影响.docVIP

精品论文 参考文献 80例术前访视体会及对患者的影响 周洁 　　（ 成都市龙泉驿区第一人民医院手术室；四川成都610000） 　　【摘要】目的：总结性分析术前访视体会及对患者的影响。方法：将我院开展整体护理后接受的80例拟行手术治疗患者和整体护理前接受的50例行手术治疗患者分别列入研究组和对照组，前者术前给予规范化访视，后者依照常规护理程序，比较两组临床护理效果。结果：研究组患者生理状况和心理状况改善均优于对照组，手术主动配合率（88.8%）和护理总满意率（96.3%）均高于对照组（70.0%、84.0%），比较差异显著（P＜0.05）。结论：规范化术前访视可有效改善患者生理和心理状况，使其能够主动配合手术治疗，提高临床疗效及护理满意度。 　　【关键词】手术治疗；整体护理；术前访视；心理；生理 　　[Abstract] Objective: To summarize the experience of preoperative visit to the patients and the influence on the patients. Methods: the holistic nursing care was carried out in our hospital after receiving 80 cases of quasi received prior to surgery patients and nursing of 50 cases underwent operation were included in the study group and the control group, the former preoperative given standardized interview, the latter according to routine nursing procedures, were compared between the two groups in clinical nursing effect. Results: study group patients physical condition and mental status improvement were better than that of the control group, actively operative coordination rate (88.8%) and nursing satisfaction rate (96.3%) were higher than those of control group (70.0%, 84.0%), the difference was significant (P lt; 0.05). Conclusion: standardized preoperative interview can effectively improve the physiological and psychological status of patients, so that it can actively cooperate with surgical treatment, improve the clinical efficacy and nursing satisfaction. 　　[Key words] surgical treatment; holistic nursing; preoperative interview; psychology; physiology 　　随着“生物-心理-社会”医学模式的确立以及整体性护理理念的普及，护理内涵得以不断扩大，术前访视是整体护理的首要环节和不可或缺的内容，相关工作的开展直接影响到患者的治疗依从性以及手术的顺利进行，尤其是对于一些病情较为严重的患者，更有必要在术前对其生理、心理等方面情况进行综合分析，以确保护理的针对性和有效性，提高手术治疗效果[1]。本研究选取我院2015年6月至9月接收的80例拟行手术治疗患者作为研究对象，实施术前访视取得了较为满意的效果，现报道如下。 　　1资料与方法 　　1.1一般资料 　　将我院2015年6月~9月接收的80例拟行手术治疗患者列入研究组，男性38例，女性42例，年龄范围为9~74岁，平均年龄为（39.2plusmn;5.8）岁，其中＜14岁患儿12例，＞60岁老年患者33例，其余患者35例；麻醉方式：全身麻醉28例，硬膜外麻醉45岁，局部麻醉7例。另选2015年3月~5月开展整体护理工作前接收的50例行手术治疗患者列入对照组，男性22例，女性28例，年龄范围为9~75岁，平均年龄为（39.4pl