安全风险防御机制下手术室护理干预在全膝关节置换术患者中的应用效果  

Application Effect of Operating Room Nursing Intervention under Safety Risk Defense Mechanism in Patients Undergoing Total Knee Arthroplasty

作　　者：杨静[1] 阎莉[1] 张建梅[1] 姜婷婷[1] YANG Jing;YAN Li;ZHANG Jianmei;JIANG Tingting(Huai’an First People's Hospital,Huai’an 223300,China;不详)

机构地区：[1]淮安市第一人民医院,江苏淮安223300

出　　处：《中外医学研究》2024年第36期139-142,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究安全风险防御机制下手术室护理干预在全膝关节置换术(TKA)患者中的应用效果。方法:选择2021年1月—2024年1月淮安市第一人民医院收治的80例TKA患者作为研究对象,按照随机数表法将患者分为对照组与观察组,各40例。对照组给予常规护理,观察组给予安全风险防御机制下手术室护理。比较两组护理风险事件、循环功能及术后并发症。结果:观察组护理风险事件、并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组手术30 min、术毕心率(HR)低于对照组,平均动脉压(MAP)高于对照组,差异有统计学意义(P<0.05)。结论:TKA患者实施安全风险防御机制下手术室护理干预,可有效降低护理风险事件、术后并发症发生率,稳定循环功能。Objective:To investigate the application effect of operating room nursing intervention under safety risk defense mechanism in patients undergoing total knee arthroplasty (TKA).Method:A total of 80 patients with TKA admitted to Huai’an First People's Hospital from January 2021 to January 2024 were selected as the research objects and divided into the control group and the observation group according to the random number table method,with 40 cases in each group.The control group was given routine nursing,while the observation group was given operating room nursing intervention under safety risk defense mechanism.The nursing risk events,circulatory function and postoperative complications were compared between two groups.Result:The incidence of nursing risk events and complications in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05).The heart rate (HR) in the observation group 30 min after operation and at the end of operation were lower than those in the control group,and the mean arterial pressure (MAP) were higher than those in the control group,and the differences were statistically significant (P<0.05).Conclusion:The implementation of operating room nursing intervention under safety risk defense mechanism for TKA patients can effectively reduce the incidence of nursing risk events and postoperative complications,and stabilize the circulatory function.

关 键 词：安全风险防御机制 手术室护理 全膝关节置换术 护理风险事件 并发症 心率 平均动脉压 

分 类 号：R47[医药卫生—护理学]