精细化护理干预对降低扁桃体术后出血率的效果研究  

Study on the Effect of Refined Nursing Intervention on Reducing Postoperative Bleeding Rate of Tonsils

作　　者：周光翠 Zhou Guangcui(Tongren City People’s Hospital,Tongren,Guizhou 554300)

机构地区：[1]铜仁市人民医院,贵州铜仁554300

出　　处：《科技与健康》2024年第8期97-100,共4页Technology and Health

摘　　要：探讨精细化护理干预对降低扁桃体术后出血率的效果。选择2018年—2020年铜仁市人民医院符合手术指征行扁桃体等离子射频消融术的440例年龄为3~60岁的患者为研究对象,按照自然数排列顺序,采用随机抽签法将其分为两组,每组各220例。将抽取到单号的患者纳入对照组,给予常规护理干预。将抽取到双号的患者纳入观察组,给予精细化护理干预。记录两组患者术后出血率、各项临床指标、术后不同时间段的疼痛评分情况,对比患者护理干预前后负面情绪评分、舒适度评分。结果显示,观察组平均退热时间及平均住院时间等指标优于对照组,平均住院费用少于对照组,术后出血率低于对照组(P<0.05);干预后3天及7天,两组患者的疼痛评分不断下降,且观察组评分显著低于对照组(P<0.05);两组患者干预后负面情绪评分与干预前比较显著降低,舒适度评分升高,且观察组两项指标改善更显著(P<0.05)。研究发现,对行等离子射频消融术的扁桃体患者采取精细化护理干预,可降低术后出血率,帮助其缓解疼痛,可改善患者负面情绪,提高患者舒适度。Explore the effect of refined nursing intervention on reducing postoperative bleeding rate of tonsils.440 patients aged 3~60 years who underwent tonsil plasma radiofrequency ablation in accordance with surgical indications at Tongren City People’s Hospital from 2018 to 2020 were selected as the research subjects.They were randomly divided into two groups in natural number order,with 220 patients in each group.Include the patients selected for the tracking number into the control group and receive routine nursing interventions.Patients who have been selected as double digits will be included in the observation group and given refined nursing interventions.Record the postoperative bleeding rate,various clinical indicators,and pain scores at different time periods between two groups of patients,and compare the negative emotion scores and comfort scores of patients before and after nursing intervention.The results showed that the observation group had better indicators such as average fever relief time and average hospital stay than the control group,lower average hospital expenses than the control group,and lower postoperative bleeding rate than the control group(P<0.05);After 3 and 7 days of intervention,the pain scores of both groups of patients continued to decrease,and the observation group’s scores were significantly lower than those of the control group(P<0.05);After intervention,the negative emotion score of the two groups of patients significantly decreased compared to before intervention,while the comfort score increased.Moreover,the observation group showed more significant improvement in both indicators(P<0.05).Research has found that implementing refined nursing interventions for tonsil patients undergoing plasma radiofrequency ablation can reduce postoperative bleeding rates,help alleviate pain,improve negative emotions,and enhance patient comfort.

关 键 词：精细化护理干预 扁桃体 等离子射频消融术 术后出血 

分 类 号：R473.6[医药卫生—护理学]