Humanized nursing is effective in operating room nursing, which can harmonize the relationship between nurses and patients and reduce medical disputes. It is worth popularizing to speed up the postoperative recovery process and reduce complications.
abstract
Objective To explore the clinical effect of humanized nursing in operating room. Methods 62 patients who underwent surgery in our hospital were selected as the research object and divided into two groups according to the nursing mode, with 365,438+0 patients in each group. The nursing mode of the control group was routine nursing, and the observation group was humanized nursing. The nursing effects of the two groups were compared. Results the hospital stay and VAS score in the observation group were better than those in the control group, and the difference was statistically significant (p < 0.05). The incidence of complications in the observation group was 6.5%, and the nursing satisfaction rate was 96.8%, which was statistically significant compared with the control group (P
key word
Operating room nursing; Humanized nursing; affect
With the continuous development of medical nursing, new technologies, new knowledge and new methods related to nursing are constantly emerging in clinic, and are gradually affirmed in the process of continuous practice. Nursing service? People-oriented? As a basic principle, it has also become a principle that big nurses must follow in practice. The choice of nursing should be based on the patient's nursing feelings and requirements [1]. Although the operation process is short, the patient has to bear great pressure during and after the operation. Therefore, it is necessary to give psychological comfort to surgical patients and enhance their self-confidence, that is, to carry out humanized nursing. In order to discuss the clinical effect of humanized nursing in operating room in detail, 62 patients were selected as the research object, and the report is as follows.
1 data and methods
1. 1 General information:
62 patients who underwent surgery in our hospital from April 2065438 to May 2065438 were selected as the research object, and their clinical data were analyzed retrospectively. According to the nursing mode, they were divided into two groups, with 365,438+0 cases in each group, in which the nursing mode of the control group was routine nursing and the observation group was humanized nursing. In the control group, the ratio of male to female was 17: 14, and the age was 19~76 years old, with an average of (48.2? 8.4) years old; 19 cases of general surgery, 8 cases of urology and 4 cases of obstetrics and gynecology. The ratio of male to female in the observation group was 19: 12, and the average age was 18~74 years old (47.7? 8. 1) years old; 18 cases of general surgery, 7 cases of urology and 6 cases of obstetrics and gynecology. There was no significant difference in general data between the two groups (P & gt0.05), which was comparable.
1.2 nursing methods:
The control group was given routine care, that is, preoperative preparation, routine health education, pushing the patient into the operating room and sending him back to the ward after operation. The observation group was given humanized nursing, as follows:
1.2.65438+ If necessary, you can watch relevant pictures for patients or patients who have undergone surgery to express your views, so as to establish confidence in fighting diseases and improve cooperation. ② Operator preparation: Nurses in the operating room should carefully consult the patient's medical records, fully understand the patient's condition, master the operating characteristics of anesthesiologists and operators, ensure tacit cooperation, shorten the operation time and relieve the pain of patients. ③ Preparation of operating room: orderly place the instruments and articles in the operating room, reasonably adjust the temperature and humidity of the operating room according to patients' habits, speak softly and operate gently to create a quiet and comfortable environment.
1.2.2 humanized nursing during operation: after the responsible nurse sends the patient to the operating room, the operating room nurse should greet the patient enthusiastically and actively, and give the most sincere greetings. Put the patient down on the operating table slowly, and adjust the temperature and humidity of the operating room to the most comfortable state to ensure the patient's physical comfort. Routine indwelling catheter after anesthesia ensures that the catheter is in a smooth state during operation, and at the same time relieves the discomfort of catheterization to the greatest extent. Assist in placing the surgical position to ensure the most comfortable, and at the same time maximize the exposure of the surgical field of vision during the operation. But at the same time, we should also pay attention to patient privacy protection. It is necessary to closely monitor the patient's vital signs and notify the doctor in time if there is any abnormality. In this process, operating room nurses need to do every service well, so that patients can enjoy quality services. Visiting nurses should always stand by the operating table and carefully observe the operation process. If the items needed during the operation are insufficient, they should be supplemented quickly, and all nursing problems during the operation should be filled in the nursing record sheet and effectively solved. In addition, visiting nurses should not only stick to their posts, but also serve every link enthusiastically. Communicate with the patient during the operation and ask if there is any discomfort and whether the wound is pulled. If the patient is conscious, he will show anxiety and nervousness during the operation. The nurse needs to touch the patient or gently hold his hand to relieve his anxiety. If the discomfort caused by traction reaction is obvious, or the parturient feels pain when taking out the fetus by cesarean section, the above nursing methods can effectively alleviate it. If the patient's anesthesia mode is general anesthesia, chlortetracycline eye ointment should be applied to the eyes to avoid conjunctival dryness.
1.2.3 humanized nursing after operation: after operation, the blood or disinfectant on the patient should be scrubbed clean with warm physiological saline, and the patient should wear surgical gown, keep warm and cover the sheets. Correct fixation of drainage tube. If it is necessary to move the patient, it must be gentle to prevent excessive vibration from increasing pain or discomfort. Visiting nurses and anesthesiologists jointly escort patients back to the ward. After placement, they hand over the shift to the nurses in the ward in detail, and publicize and educate their families, so that they can understand the relevant precautions such as posture, warmth, infusion, etc., and encourage their families to spend more time with patients, so as to obtain psychological support, establish confidence in rehabilitation and cooperate with medical operations. About 3 days after operation, the visiting nurse asked about the patient's postoperative recovery, including wound healing, first exhaust, defecation, body temperature, diet and so on. , and asked about the operation experience. If the patient is in good condition, you can ask him to make suggestions and expectations for the nursing work in the operating room.
1.3 observation index
[2-3]: ① VAS score: VAS visual analog scale was used after operation, with numbers at both ends ranging from 0 ~ 10, and the pain intensity was positively correlated with the numbers. Painlessness was 0, and the most severe pain was 10. Finally, the pain intensity is defined on the scale. ② Nursing satisfaction: A self-made questionnaire was used to investigate the nursing satisfaction of patients in the two groups, including nursing attitude, service, etiquette and health education. 100 is the total score, and above 80 is the satisfaction. ③ Complications and hospitalization time.
1.4 statistical method:
The above data were statistically processed by SPSS2 1.0, and the counting data was represented by n(%). Chi-square test was used to compare the data between groups. Use (x-? S) said the measured data, with t test for comparison between groups, if P
Two results
Comparison of observation indexes between two groups
3 discussion
As a new nursing mode, humanized nursing is patient-centered, with high efficiency, individuality and integrity. In practice, nurses should combine the characteristics of nursing work in operating room, so that patients can enjoy the safest and most comfortable environment, the most exquisite technology and the most thoughtful service to meet the overall requirements of patients. Nurses' work also needs to extend from the operating room to pre-operation and post-operation follow-up, and take the responsibility system of special personnel to eliminate patients' negative psychology, which is conducive to the smooth operation and post-operation recovery and to build a harmonious nurse-patient relationship. At the same time, it can fully mobilize the enthusiasm and subjective initiative of nurses, make them have the consciousness of providing all-round services for patients, and fully embody the concept of patient-centered and people-oriented. 1.4)d, VAS score (3.6? 0.5), which were better than those in the control group, compared with P < 0.05; The incidence of complications in the observation group was 6.5%, and the nursing satisfaction was 96.8%, while that in the control group was 25.8% and 83.8%, respectively, with a comparison of P < 0.05. Similar to the research results of many scholars [4-5].
To sum up, humanized nursing is effective in operating room nursing, which can harmonize the relationship between nurses and patients and reduce medical disputes; It is worth popularizing to speed up the postoperative recovery process and reduce complications.
refer to
Ni lihong. Evaluation of the effect of humanized nursing mode in operating room nursing [J]. China Journal of Practical Nursing, 20 1 1, 27(24):24-25.
[2] Zhou Xiaohong. Application and effect observation of humanized nursing in operating room nursing [J]. China Medical Guide, 20 12, 14(4):697-698.
[3], Yue, et al. Application and effect evaluation of humanized nursing in operating room nursing [J]. Qilu Nursing Journal, 20 12, 18(2):48-49.
[4] Yuan Xuezhi, Yuan Ping, Gong Min, et al. Study on the influence of humanized nursing on operating room nursing [J]. International Journal of Nursing Science, 2015,34 (14):1890-1892.
Yuan Lanrong, Gu Mingfeng. Study on the application value and effect of humanized nursing in operating room nursing [J]. Journal of Clinical Rational Drug Use, 2015,8 (12):134-135.
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