个性化护理对泌尿外科患者围术期生理应激和满意度的影响  

Effects of personalized nursing on perioperative physiological stress and satisfaction of patients in Department of Urology

作　　者：周雪芬[1] 张志君[2] 

机构地区：[1]浙江省舟山市中医骨伤联合医院护理教研室,316000 [2]浙江省舟山市中医骨伤联合医院外科病区,316000

出　　处：《中华现代护理杂志》2016年第6期802-805,共4页Chinese Journal of Modern Nursing

基　　金：浙江省市公建医药卫生专项基金计划项目(2010SSA014)@@@@Zhejiang City Medical Special Fund Public Construction Projects

摘　　要：目的：探讨在泌尿外科患者护理中落实个性化护理模式对其围术期生理应激和满意度的影响。方法以入院病例号为编号将150名泌尿外科患者分成两组,每组各75例,对照组患者实施泌尿外科常规护理,观察组患者在围术期护理过程中落实个性化护理模式；观察两组患者围术期的生理应激情况（体温、心率、收缩压）、术后疼痛评分、焦虑抑郁情绪评分、并发症以及护理满意度。结果术前2h和手术中,观察组收缩压、心率均低于对照组,差异均有统计学意义（P〈0.05）；观察组患者术中体温、收缩压、心率较术前2 h比较差异无统计学意义（P〉0.05）。手术后,观察组疼痛评分[（4.7±2.6）分],低于对照组（t=2.545,P〈0.05）；心理情况评分[（75.5±3.7）分]和满意度评分[（88.6±2.4）分]高于对照组,差异有统计学意义（t值分别为2.668,2.773；P〈0.05）。结论个性化护理模式理念符合并满足泌尿外科手术患者围术期需求,可稳定患者围术期生命指征,降低疼痛敏感性,提高满意度。Objective To explore the effects of personalized nursing mode on the perioperative physiological stress and satisfaction of patients in the Department of Urology. Methods According to the ID number, 150 urologic patients were divided into control group and observation group, each of group 75 cases. The patients in the control group accepted routine nursing care in the Department of Urology, while the observation group patients in nursing process implemented the personalized nursing mode in perioperative period. Perioperative physiological stress （body temperature, heart rate, systolic blood pressure）, postoperative pain score, anxiety and depression scores, complications and nursing satisfaction were observed. Results Before and during surgery, the observation group′s systolic blood pressure, heart rate were lower than those in the control group （P〈0.05）, but during surgery, the body temperature, systolic blood pressure, heart rate, in the observation group do not change obviously compared with those before the surgery （P 〉0. 05）. Observation group′s pain score was [（4. 7 ± 2. 6） min], which was lower than that of the control group （ t =2. 545, P〈0.05）, while psychological circumstances score [（75.5 ±3.7）min], and satisfaction scores [（88.6 ± 2. 4） min] were higher compared with those of the control group （ t = 2. 668, 2. 773; P 〈 0. 05 ）. Conclusions The concept of personalized nursing mode meets the requirements of perioperative period in patients undergoing operation in Department of Urology, which can stabilize the indications of perioperative life, reduce the pain sensitivity, and improve the satisfaction degree of patients.

关 键 词：泌尿外科 围术期 生理应激 满意度 个性化护理模式 

分 类 号：R473.6[医药卫生—护理学]