手术室整体护理在患儿手术中的应用  

Application of holistic nursing in operation room for surgical children patients

作　　者：郭金荣[1] 张月玲[1] 陈双丽[1] 刘芳兰[1] 王芳[1] 

机构地区：[1]山东省滨州市人民医院,256610

出　　处：《中国实用护理杂志》2012年第14期7-9,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨对手术患儿实施手术室整体护理的临床效果。方法随机选取需手术治疗的患儿120例，对照组45例和观察组75例。对照组给予常规护理。观察组给予包括术前访视、心理护理及各项准备在内的整体护理。进入手术室时及手术前严格核对，帮助患儿摆好体位，与麻醉师及手术医生密切配合，做好输液管理及病情观察；术后继续观察疴隋，并护送患儿安返病房，与病房护士做好交接。比较2组治疗护理效果。结果2组患儿均安全度过手术期及麻醉期；观察组患儿及家长的满意度明显高于对照组；对照组患儿出现1例手术意外及2例麻醉知晓，均通过采取有效的护理措施得以纠正，观察组患儿未出现手术意外及麻醉知晓，2组比较差异显著。结论手术室护士对手术患儿实沲整体护理对护理人员提出了较高要求，但是有利于患儿更好的配合手术，取得较好的手术效果，值得临床推广。Objective To explore the clinical effect of holistic nursing in the operation room for surgical children patients. Methods 120 patients required surgical treatment were selected and divided into the control group（45 cases）and the observation group（75 eases）randomly. The control group was given routine nursing,the observation group was given holistic nursing including preoperative interview, psychological care and all the preparations, strict check upon going into the operation room and before surgery, to help children keep graceful position, to cooperate closely with the anesthetist and surgeon, to observe the condition of patients and give good infusion management, to give continued observation of the disease condition after surgery , to make children safe escort back to the ward, and to make transfer with ward nurses. The treatment effect was compared between two groups. Results Two groups of children passed the period of operation and anesthesia safely, without appearing accidental situation. The satisfaction degree of the observation group was significantly higher than the control group. One case appeared operation accident and two cases appeared anesthesia awareness in the control group, and they were correctly handled. No one appeared operation accident and anesthesia awareness in the observation group. The differences between the two groups were significant. Conclusions Application of holistic nursing in the operation room for children patients puts forward higher requirements for nurses. It can help children cooperate with surgery better to achieve better surgical results, which is worthy of promotion.

关 键 词：手术室 整体护理 患儿 

分 类 号：R192.6[医药卫生—卫生事业管理]