急救护理联合手术室护理在脊柱损伤手术患者中的应用探讨  

Application of Emergency Nursing Combined with Operating Room Nursing in Surgical Patients with Spinal Injuries

作　　者：肖慧珍 曹慧娟 李金荣 XIAO Huizhen;CAO Huijuan;LI Jinrong(The 73rd Army Group Hospital of the Army,Xiamen 361000,China)

机构地区：[1]陆军第七十三集团军医院,福建厦门361000

出　　处：《中华灾害救援医学》2025年第2期225-228,236,共5页Chinese Journal of Disaster Medicine

基　　金：2022年厦门市医疗卫生指导性项目(3502Z20224ZD1238)。

摘　　要：目的探讨急救护理联合手术室护理在脊柱损伤手术患者中的应用效果。方法回顾性选取2022年6月至2024年6月陆军第七十三集团军医院收治的68例脊柱损伤患者临床资料,根据所采取护理方案的不同分为观察组(予以急救护理联合手术室护理)和对照组(予以常规护理),每组34例。比较两组研究对象急救及住院时间、负面心理、病情康复情况、日常生活能力和生活质量、护理满意度。结果与对照组相比,观察组到达现场时间、入院后候诊时间、入院到接受治疗时间、住院时间明显更短(P<0.001)。观察组术后24h的焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分较对照组低(P<0.001);观察组术后3个月的国际功能、残疾和健康分类(ICF)评分及日常生活能力量表(ADL)评分较观察组低(P<0.001),生活质量(SF-36)评分较对照组高(P<0.001)。观察组的护理满意度显著高于对照组(P<0.05)。结论急救护理联合手术室护理可显著缩短脊柱损伤患者急救和住院时间,改善患者负面心理,促进患者病情康复,提高患者日常生活能力、生活质量,提高患者护理满意度。Objective To explore the application effect of emer gency nursing combined with operating room nursing in patients undergoing spinal injury surgery.Methods A retrospective study was conducted on the clinical data of 68 patients with spinal injuries admitted to the 73rd Army Group Hospital from June 2022 to June 2024.According to the different nursing plans adopted,they were divided into an observation group(receiving emergency nursing combined with operating room nursing)and a control group(receiving routine nursing),with 34 patients in each group.Compare the first aid and hospitalization time,negative psychology,recovery status,daily living ability and quality of life,and nursing satisfaction between two groups of research subjects.Results Compared with the control group,the observation group had significantly shorter arrival time at the scene,waiting time after admission,time from admission to treatment,and hospitalization time(P<0.001).The Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)scores of the observation group 24 hours after surgery were lower than those of the control group(P<0.001);The International Classification of Functioning,Disability and Health(ICF)score and Activities of Daily Living(ADL)score of the observation group patients were lower than those of the observation group at 3 months after surgery(P<0.001),and the quality of life(SF-36)score was higher than that of the control group(P<0.001).The nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The combination of emergency nursing and operating room nursing can significantly shorten the emergency and hospitalization time of spinal injury patients,improve their negative psychology,promote their recovery,enhance their daily living ability and quality of life,and improve their nursing satisfaction.

关 键 词：急救护理 手术室护理 脊柱损伤 

分 类 号：R472.2[医药卫生—急诊医学]