基于根因分析法的手术室护理对老年髋关节置换手术患者心理应激的影响  

Effect of operating room nursing based on root cause analysis on psychological stress of elderly patients undergoing hip replacement surgery

作　　者：张刚玲 ZHANG Gangling(Sun Yat-sen University Cancer Hospital,Lanzhou,Gansu 730050)

机构地区：[1]中山大学附属肿瘤医院甘肃医院,甘肃兰州730050

出　　处：《智慧健康》2025年第1期145-148,共4页Smart Healthcare

摘　　要：目的分析基于根因分析法的手术室护理对老年髋关节置换手术患者心理应激的影响。方法选取2022年3月—2024年3月本院收治的106例老年髋关节置换手术患者,按随机数表法分为对照组(53例)与干预组(53例)。其中,对照组采用常规护理,干预组采用基于根因分析法的手术室护理,观察两组手术相关指标(手术时间、术中出血量、术后下床活动时间),比较两组干预前、干预后心理应激指标[贝克焦虑量表(BAI)、贝克抑郁量表(BDI)],并统计两组术后不良事件发生情况。结果干预组手术时间、术后下床活动时间比对照组短,术中出血量比对照组少(P<0.05);干预后,干预组BAI评分、BDI评分比对照组低(P<0.05);干预组不良事件发生率比对照组低(P<0.05)。结论基于根因分析法的手术室护理可缩短老年髋关节置换手术患者手术时间、术后下床活动时间,减少出血量,减轻心理应激,降低不良事件发生率。Objective To analyze the influence of operating room nursing based on root cause analysis on psychological stress of elderly patients undergoing hip replacement surgery.Methods From March 2022 to March 2024,106 elderly patients undergoing hip replacement surgery in our hospital were randomly divided into control group(53 cases)and intervention group(53 cases).The control group was given routine nursing care,while the intervention group was given operating room nursing care based on root cause analysis.The operation-related indexes(operation time,intraoperative blood loss and postoperative ambulation time)of the two groups were observed,and the psychological stress indexes before and after intervention were compared[Baker Anxiety Scale.Results The operation time and postoperative ambulation time in the intervention group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group(P<0.05).After the intervention,the scores of BAI and BDI in the intervention group were lower than those in the control group(P<0.05).The incidence of adverse events in the intervention group was lower than that in the control group(P<0.05).Conclusion Operating room nursing based on root cause analysis can shorten the operation time,get out of bed after operation,reduce the amount of bleeding,relieve psychological stress and reduce the incidence of adverse events.

关 键 词：髋关节置换手术 根因分析法 手术室护理 心理应激 

分 类 号：R47[医药卫生—护理学]