基于循证的标准化操作流程的手术室护理在腹膜后巨大肿瘤切除术患者中的应用  

Application of Operating Room Nursing Under Evidence-Based StandardizedOperation Process in Patients Undergoing Retroperitoneal Resection of Large Tumors

作　　者：马晓楠 史鹏许 董蕊蕊[1] 郭仲辉[1] MA Xiaonan;SHI Pengxu;DONG Ruirui;GUO Zhonghui(Department of Operation,Clinical Medical College of Henan University of Science and Technology/the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471003,China)

机构地区：[1]河南科技大学临床医学院/河南科技大学第一附属医院手术部,河南洛阳471003

出　　处：《河南医学研究》2024年第5期933-936,共4页Henan Medical Research

摘　　要：目的探讨基于循证的标准化操作流程(SOP)的手术室护理在腹膜后巨大肿瘤切除术患者中的应用效果。方法回顾性纳入2022年4月至2023年3月在河南科技大学临床医学院行腹膜后巨大肿瘤切除术的66例患者进行研究。按照手术室护理方法将接受常规手术室护理模式的34例患者设为常规组,接受基于循证的SOP手术室护理的32例患者设为SOP组。比较两组患者的临床指标(术中出血量、手术时间、住院时间),干预前后的心理状态[汉密尔顿郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、90项心理症状自评量表(SCL-90)],护理期间不良事件发生情况以及护理满意度。结果SOP组患者的术中出血量、手术时间、住院时间均低于常规组患者,差异有统计学意义(P<0.05);干预前两组患者的HAMD、HAMA、SCL-90比较,差异无统计学意义(P>0.05),干预后两组患者HAMD、HAMA、SCL-90相较于干预前均下降(P<0.05),且SOP组患者低于常规组患者(P<0.05);SOP组患者的不良事件率为6.25%(2/32),低于常规组患者26.47%(9/34)(P<0.05);SOP组患者的护理满意度为96.88%(31/32),高于常规组患者的79.41%(27/34)(P<0.05)。结论基于循证的SOP的手术室护理在腹膜后巨大肿瘤切除术患者中的应用效果良好,可改善患者临床指标、术后疼痛情况、心理状态,并降低不良事件发生率。Objective To explore the application of operating room nursing under evidence-based standardized operation process(SOP)in patients undergoing retroperitoneal resection of large tumors.Methods A total of 66 patients undergoing retroperitoneal resection of large tumors in the Clinical Medical College of Henan University of Science and Technology were retrospectively enrolled from April 2022 to March 2023.According to different nursing methods in operating room,they were divided into routine group(34 cases,routine nursing)and SOP group(32 cases,operating room nursing under evidence-based SOP).The clinical indexes(intraoperative blood loss,operation time,hospitalization time),psychological state[Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA),symptom check list-90(SCL-90)]before and after intervention,adverse events during nursing and nursing satisfaction were compared between the two groups.Results The intraoperative blood loss,operation time and hospitalization time in SOP group were lower than those in routine group(P<0.05).Before intervention,there were no differences in scores of HAMD,HAMA and SCL-90 between the two groups(P>0.05).After intervention,scores of HAMD,HAMA and SCL-90 in both groups were decreased(P<0.05),which were lower in SOP group than routine group(P<0.05).The incidence of adverse events in SOP group was lower than that in routine group[6.25%(2/32)vs 26.47%(9/34),P<0.05],and nursing satisfaction rate was higher than that in routine group[96.88%(31/32)vs 79.41%(27/34),P<0.05].Conclusion Application effect of operating room nursing under evidence-based SOP is good in patients undergoing retroperitoneal resection of large tumors,which can improve clinical indexes,postoperative pain and psychological state,and reduce the incidence of adverse events.

关 键 词：循证 标准化操作流程 手术室护理 腹膜后巨大肿瘤切除术 

分 类 号：R473.6[医药卫生—护理学]