手术室护理干预对甲状腺手术患者心理状态及生命体征的效果  

Effect of nursing intervention in operation room on psychological status and vital signs for patients with thyroid surgery

作　　者：王江华[1] 崔雅清[1] 

机构地区：[1]陕西省人民医院手术室,陕西西安710068

出　　处：《实用临床医药杂志》2017年第14期72-74,共3页Journal of Clinical Medicine in Practice

基　　金：陕西省卫生和计划生育委员会基金项目(S2015YFSF0341)

摘　　要：目的探讨手术室护理干预对甲状腺手术患者心理状态及生命体征的影响。方法选取本院80例甲状腺手术患者,根据随机数字法分为对照组(常规护理)和观察组(护理干预),各40例,比较2组访视前后焦虑、抑郁评分,术后1、6、12 h疼痛评分,以及术前、麻醉前、术后生命体征变化情况。结果与对照组相比,观察组访视后焦虑及抑郁评分均降低,术后6、12 h疼痛评分均降低,观察组麻醉前、术后心率、收缩压、舒张压均降低,2组比较差异有统计学意义(P<0.05)。结论手术室护理干预能够有效调节甲状腺手术患者的负面情绪,减少手术应激,使患者更好地耐受手术治疗。Objective To study the effect of nursing intervention in operation room on psychological status and vital signs for patients with thyroid surgery. Methods A total of 80 patients with thyroid surgery in our hospital were randomized into control group （routine nursing） and observation group （nursing intervention） according to random number method, with 40 patients per group. The scores of anxiety and depression on pre-and postvisit, pain score on 1 h, 6h, 12h post-operation, and the changes of vital signs on pre-operation, pre-anesthesia, and post - operation in two groups were compared. Results Compared with the control group, the scores of anxiety and depression were significantly decreased on post-visit in the observation group （P 〈 0.05 ） ; Compared with the control group, the pain scores on 6, 12 h post-operation were obviously decreased in the observation group （ P 〈 0.05 ） ; Compared with the control group, the heart rate, systolic blood pressure, diastolic blood pressure on pre-anesthesia and post- operation were significantly reduced in the observation group （P 〈 0.05 ）. Conclusion The nursing intervention in operation room can effectively adjust the negative emotions for patients with thyroid surgery, reduce the surgical stress, and makes patients tolerate the surgical treatment.

关 键 词：手术室 护理干预 甲状腺 心理 

分 类 号：R472.3[医药卫生—护理学]