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护理细节在手术室中的重要

时间:2021-08-30 来源:未知 编辑:梦想论文 阅读:
0 Introduction
 
Operation room is an important part of the hospital, and it is also an important place for patients, and the safety and effect of surgical treatment depends not only on the technical level of doctors, nursing work also plays an important role. In order to explore the application effect of detailed nursing in operation room nursing, 94 patients were selected as the research object.
 
1 data and methods
 
1.1 clinical data. In our hospital from September 2013 to March 2015 for surgical treatment of 94 patients as the research object, to exclude patients with severe disease, immune dysfunction, cognitive impairment and mental illness, were randomly divided into control group and observation group. The control group of 47 cases, male 19 cases, female 28 cases, including 13 cases of surgical department of orthopedics, obstetrics and Gynecology pelvic surgery 15 cases, 12 cases of general surgery, urinary surgery in 7 cases; 47 cases in the observation group, 18 cases of male, female 29 cases, including 12 cases of Department of orthopedics surgery, 16 cases of gynecological pelvic surgery, 11 cases of general surgery surgery, urinary surgery in 8 cases. There was no significant difference between the two groups in terms of gender, age, type of surgery (>0.05).
 
1.2 method. The control group received routine nursing care, the observation group based on routine nursing care to strengthen the details, the specific contents are as follows: (1) preoperative nursing before operation to patients and their families introduced surgical treatment principle, the desired therapeutic effect and postoperative precautions, citing recent surgery success stories to patients, help them to establish confidence in the treatment in order to reduce the psychological pressure of patients, and the spirit of high tension situation of surgical treatment of adverse effects. Second, do a good job of various surgical items and emergency rescue drugs, equipment preparation. (2) intraoperative nursing:
 
Intraoperative close observation of changes in vital signs of patients, and to check the operation of the relevant instruments, make the patient warm and operation outdoor work to appease the families, to give patients a correct and comfortable posture, asking the subjective experience of patients during the operation, through the hands touch the patient's forehead way, patients were given encouragement and care. At the same time make privacy protection of patients the. (3) postoperative nursing: after the operation, the patients and their family members were informed of the operation, the number of gauze and surgical instruments were accurately counted, and the attention of the patients' family members and the nurses' attention were given.
 
1.3 observation index. The incidence of complications of two groups of patients were observed and compared, and the clinical efficacy of the two groups were compared.
 
1.4 determination of the standard [2]. in patients before discharge nursing satisfaction survey, the questionnaire for our hospital self-made questionnaire, a total of the questionnaire a total of 10 small items, each item of 10 points, out of the total score of 100. 85 a score of is very satisfactory, 70~84 is divided into satisfactory, 50~69 for the general, below 50 points are not satisfied with the satisfaction of nursing satisfaction rate is very satisfied.
 
1.5 statistical analysis. Using SPSS190 for data processing, the form of measurement data, the use of t test; count data expressed as a percentage, using xZ test. The difference of <0.05 expression was statistically significant.
 
2 Results
 
2.1 the incidence of complications between the two groups. 47 patients in the observation group, 1 cases of deep vein thrombosis, 2 cases of postoperative wound infection, subcutaneous emphysema in 1 cases, the complication rate was 8.51%, significantly lower than the control group of 19.15% patients, two groups compared significant difference (P <0.05), see table 1:
 
2.2 comparison of nursing satisfaction between the two groups. 47 patients in the observation group was very satisfactory in 29 cases, 16 cases were satisfactory, nursing satisfaction was 9575%; the control group of 47 patients, 19 patients were very satisfied, 17 cases were satisfactory, nursing satisfaction was 7660%, significant differences between the two groups (P <0.05), see table 2:
 
3 discussion
 
Surgical treatment is a necessary means to save the lives of patients, but the majority of surgical procedures and more details, and the operating room there are various emergency and safety factor, easy to cause the occurrence of medical disputes, many serious effects of [3] on patients and their families, hospitals and so on. Especially in the current doctor-patient contradiction intensified and patient care the quality requirements of continuous improvement, put forward higher request to the medical staff level of nursing care and routine nursing pattern in the past have different current to adapt to the needs of patients and their families.
 
Nursing is a new nursing model in detail on the basis of conventional care, is a kind of fully taking patients as the center, to provide full coverage of the quality of services, staff from multiple perspectives, comprehensive care of patients. It is used in the operation room nursing, nursing staff from the preoperative, technical details of the human hand, through the details of the work carried out to ensure the provision of the best quality, comprehensive operation room care services. In this study, the observation group were treated with nursing details, results showed that the incidence of complications in the observation group than in the control group, and the patients in the observation group nursing satisfaction was higher than the control group, significant differences between the two groups. To sum up, the details of the application of nursing in the operation room nursing effect is significant, with a high value of popularization and application.
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