术前评估记录单在神经外科手术中的应用  

Application of preoperative assessment of record sheet in neurosurgical procedures

作　　者：顾彩萍[1] 孙维敏[2] 丁晔[3] 陈维艳[1] 李佳清[1] 

机构地区：[1]南京医科大学附属无锡市人民医院神经外科,214023 [2]南京医科大学附属无锡市人民医院医院感染管理处,214023 [3]南京医科大学附属无锡市人民医院大外科,214023

出　　处：《中华现代护理杂志》2014年第28期3647-3650,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨术前评估记录单在经外科患者手术中的应用，为其临床应用提供可参考依据。方法共纳入80例入住神经外科手术治疗患者作为研究对象，采用随机数字法分为观察组与对照组，采用统一的术前评估记录单对观察组患者进行心理、生理等情况的评估，对照组患者仅给予常规术前访视。对两组患者疗效及术后护理效果进行比较。结果观察组患者术中失血量为（268．88±38．38） ml，手术时间为（142．1±10．10）min，住院时间为（12．88±0．56）d，血压升高2例，均明显低于对照组患者的（407．50±54．05）ml，（178．40±11．83）min，（25．63±1．02）d，8例，两组比较差异有统计学意义（t值分别为2．176，2．288，10．960；χ2＝4．114，P＜0．05）。术后观察组患者HAMA为（10．42±2．64）分，HAMD为（9．44±2．65）分，明显低于术前（13．53±4．63），（12．32±2．44）分及对照组患者术后的（13．12±3．34），（11．82±2．54）分，差异均有统计学意义（t值分别为3．043，3．856，3．544，2．643；P＜0．05）。观察组患者满意度评分为（7．64±1．65）分，满意23例，明显高于对照组（6．55±1．63）分，14例，差异有统计学意义（t＝3．643，Z＝4．073；P＜0．05）。结论神经外科手术患者行术前评估可以更好的改善患者的情绪影响，提高手术治疗的疗效并降低术中并发症的发生风险，可以为术前、术中护理措施提供有效的依据。Objective To study the application of preoperative assessment of record sheet on surgical patients in neurosurgery department .Methods Totals of 80 surgical patients were randomly divided into observation group and control group .Patients in observation group were given preoperative assessment record sheet, and patients in control group were given routine preoperative visit .The curative effect and postoperative nursing effects were compared .Results The intraoperative blood loss , operative time , length of hospital stay and patients increasing blood pressure in observation group were （268.88 ±38.38） ml, （142.1 ±10.10） min, （12.88 ±0.56） days,2, respectively, which were significantly lower than （407.50 ±54.05）ml, （178.40 ± 11.83）min, （25.63 ±1.02） days, 8 in control group.The differences were statistically significant （t=2.176, 2.288,10.960, respectively; χ2 =4.114;P 〈0.05）.HAMA and HAMD scores of patients in observation group after operation were （10.42 ±2.64）,（9.44 ±2.65）,respectively, which were lower than （13.53 ±4.63）, （12.32 ±2.44） before operation, and lower than （13.12 ±3.34）,（11.82 ±2.54） in control group after operation too, the differences were statistically significant （t=3.043,3.856,3.544,2.643, respectively;P〈0.05）.Patient satisfaction scores was （7.64 ±1.65） and the number of satisfied patients was 23 in observation group, which were significantly higher than （6.55 ±1.63） and 14 in the control group.The differences were statistically significant difference （t=3.643,Z=4.073;P〈0.05）.Conclusions Neurosurgery patients with preoperative assessment can better improve the patient ’ s emotional impact , the curative effect of surgical treatment and reduce the risk of intraoperative complications .

关 键 词：神经外科手术 术前评估记录单 术后护理 

分 类 号：R473.6[医药卫生—护理学]