全子宫切除应用循证护理对术中咪达唑仑用量的影响研究  

Effect of evidence - based nursing on the dosage of midazolam in the operation of total hysterectomy

作　　者：赵逢玲[1] 杜秀华[1] 王翠东[1] 石凌[1] 

机构地区：[1]山东省滕州市中心人民医院,277500

出　　处：《国际护理学杂志》2011年第9期1282-1285,共4页international journal of nursing

摘　　要：目的探讨循证护理（Evidence—Based Nursing，EBN）在全子宫切除术前探视后对眯达唑仑用量的影响。方法择期全麻下子宫切除术患者230例，随机分为循证组和对照组，每组115例。循证组术前探视应用循证护理模式，对照组采用常规模式。记录术前1d及麻醉前5min患者的心率和平均动脉压。麻醉师记录咪达唑仑的用量和麻醉后病人的苏醒、清醒时间。巡回护士在手术前、麻醉前、术后进行3次通过发放焦虑自评量表的方法，进行情绪障碍评价。术后2—3d对以上230例患者发放一份手术室护士满意度调查表，对两组患者的满意度进行比对。结果与对照组相比，循证组在麻醉前5—10min的心率和平均动脉压低于对照组（P〈0．05）；循证组在咪达唑仑用量，苏醒、清醒时间上均低于对照组，差异有统计学意义（P〈0．05）；两组患者焦虑值比较，麻醉前10-20min焦虑值有统计学意义（P〈0．05）。两组患者对手术室的满意度，循证组明显高于对照组。差异有统计学意义（P〈0．05）。结论术前访视应用循证护理模式有利于缓解全子宫切除术患者的紧张焦虑情绪，减轻患者的应激反应，减少镇静催眠药咪达唑仑的用量，从而减少药物的不良反应，对患者术后苏醒、清醒、肌力恢复时间都有很大程度的缩短，提高了患者的满意度。Objective To invesfigate the effect of evidence - based nursing （EBN） on the dosage of midazolam in the operation of total hysterectomy. Methods A total of 230 patients who accepted elective operation of hysterectomy were randomly divided into two groups as follows： evidence - based group and control group （ n = 115 ） . The patients in evidence - based group received evidence - based hunting in the preoperative interview, while the patients in control group received traditional nursing. Heart rate and mean arterial blood presure were recorded one day before the surgery and five minutes before anesthesia. Anesthetist recorded the dosage of midezolam, a, amakening sad awaking time. Emotional obstacles were evaluated by the anxiety self- rating scale 3 times before operation, before anesthesia and after operation. In order to compared satisfaction degree for surgery nurse in patients of two groups, nurse issued questionnaires to 230 patients in two or three days after operation. Results Compared w/th control group, in evidence - based group heart rate and mean arterial pressure which were recorded bdore anesthesia five minutes were significantly lower （ P 〈 0. 05） ; and the dosage of midamlam and awake time of evidence - based group were lower than those of the control group. The anxiety value of patients in two groups before anesthesia 10 - 20min were statistiually significant The results indicated that satisfaction degree of patients in evidence -based group was higher th,n that of control group. There were statistical differences. （P 〈 0. 05） . Conclusions The evidence - based nursing in the preoperative interview can relieve tension and anxiety of the patients with hysterectomy, reduce the dosage of midazolam, decrease stress response and improves patients＇ satisfaction degree.

关 键 词：全子宫切除术 循证护理 护理效果 

分 类 号：R473.71[医药卫生—护理学]