手术室强化式护理干预在鼻内镜鼻窦手术患者中的应用  

Application of Intensified Nursing Intervention in the Operating Room for Patients Undergoing Nasal Endoscopic Sinus Surgery

作　　者：周昆[1] ZHOU Kun(Department of Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450052

出　　处：《河南医学研究》2024年第21期4016-4020,共5页Henan Medical Research

摘　　要：目的探讨手术室强化式护理干预在鼻内镜鼻窦手术患者中的应用价值。方法回顾性分析,采集2023年1—6月于郑州大学第一附属医院接受常规护理干预的50例鼻内镜鼻窦手术患者资料,纳入对照组;采集2023年7—12月于医院接受手术室强化式护理干预的50例鼻内镜鼻窦手术患者资料,纳入观察组。患者疾病资料、手术资料、干预资料等资料均保存完整。整理患者资料,记录并对比两组患者情绪状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、苏醒期躁动发生情况[Richmond镇静躁动评估量表(RASS)评估]、术后恢复时间(苏醒时间、拔管时间、苏醒室停留时间)。结果干预前,两组患者的HAMA、HAMD评分对比,差异无统计学意义(P>0.05);干预后,两组患者的HAMA、HAMD评分均降低,且观察组低于对照组(P<0.05)。相较于对照组,观察组苏醒期躁动发生率较低,且苏醒时间、拔管时间、苏醒室停留时间均较短(P<0.05)。结论为鼻内镜鼻窦手术患者实施手术室强化式护理干预,可以改善患者不良情绪,减少苏醒期躁动的发生,缩短术后恢复时间。Objective To explore the application value of intensified nursing intervention in the operating room for patients undergoing nasal endoscopic sinus surgery.Methods A retrospective analysis was conducted to collect data from 50 patients who underwent routine nursing intervention during nasal endoscopic sinus surgery at the First Affiliated Hospital of Zhengzhou University from January to June 2023,and they were included in the control group.Data from 50 patients who underwent intensive nursing intervention in the operating room of the hospital from July to December 2023 for nasal endoscopic sinus surgery were collected,and included in the observation group.Patient disease data,surgical data,intervention data,and other related materials were all kept intact.The patient’s data were collected,and the emotional state[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],emergence agitation[Richmond sedation agitation scale(RASS)],postoperative recovery time(recovery time,extubation time,recovery room residence time)were recorded and compared between the two groups.Results Before the intervention,there was no statistical significant difference in HAMA and HAMD scores between the two groups of patients(P>0.05).After intervention,the HAMA and HAMD scores of both groups of patients decreased,and the observation group was lower than the control group(P<0.05).Compared with the control group,the observation group had a lower incidence of restlessness during the awakening period,and had shorter awakening time,extubation time,and awakening room stay time(P<0.05).Conclusion Implementing intensified nursing interventions in the operating room for patients undergoing nasal endoscopic sinus surgery can improve their negative emotions,reduce the occurrence of restlessness during the recovery period,and shorten the postoperative recovery time.

关 键 词：鼻内镜鼻窦手术 手术室护理 强化护理 躁动 情绪 

分 类 号：R473.6[医药卫生—护理学]