外科创伤性手术急救护理与心理护理的效果观察与研究

Observational Study on the Effects of Emergency and Psychological Nursing Care in Surgical Trauma Patients

钟梅芳 ¹林茜¹

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作者信息

1. 361000 福建厦门,陆军第七十三集团军医院
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摘要

目的分析手术急救护理和心理护理在外科创伤性患者中的应用效果.方法回顾性分析2022年6月至2024年5月在本院就诊的88例外科创伤性患者,根据护理干预的不同,分为观察组(手术急救护理+心理护理干预)和对照组(常规护理干预),每组各44例.比较两组患者的急救相关时间及住院时间,护理干预前后不良心理情况,患者家属的护理满意度以及抢救结局.结果观察组患者急诊接诊、建立静脉通道、心电监护、手术所需时间以及平均住院时间均显著短于对照组(P<0.001).干预前,两组创伤患者焦虑自评量表(Self-rating Anxiety Scale,SAS)评分和抑郁自评量表(Self-rating Depression Scale,SDS)评分无显著差异(P>0.05);干预后,两组创伤患者SAS和SDS评分均显著改善,且观察组创伤患者SAS评分和SDS评分均显著低于对照组(P<0.001).观察组患者中有43例患者家属对护理满意,显著高于对照组有35例患者家属对护理满意(护理满意度为79.55％),差异有统计学意义(P=0.007).观察组中42例患者抢救成功(抢救成功率为95.45％),显著高于对照组中34例患者抢救成功(抢救成功率为77.27％),差异有统计学意义(P=0.013).结论手术急救护理和心理护理可显著提高外科创伤患者的急救效率,缩短住院时间,改善患者抑郁和焦虑的不良心理,提高患者家属的护理满意度,促进术后恢复.

Abstract

Objective To analyze the effects and study the application of surgical emergency care and psy-chological nursing in patients with surgical trauma. Methods A retrospective analysis was conducted on 88 pa-tients with surgical trauma who were treated at our hospital from June 2022 to May 2024. Based on different nursing interventions,the patients were divided into an observation group (surgical emergency care+psychological nursing intervention) and a control group (routine nursing intervention),with 44 cases in each group. Emergency-related times,hospitalization duration,adverse psychological conditions before and after nursing intervention,family mem-bers'satisfaction with nursing care,and rescue outcomes were compared between the two groups. Results The observation group exhibited significantly shorter times for emergency reception,intravenous access establishment,electrocardiographic monitoring,surgery,and average hospitalization compared to the control group (P<0.001). Be-fore intervention,there were no significant differences in SAS scores and SDS scores between the groups (P>0.05). After intervention,both groups showed significant improvement in SAS and SDS scores,with the observation group having significantly lower scores than the control group (P<0.001). In the observation group,43 patients'family members expressed significant satisfaction with the nursing care,higher than the 35 satisfied family members in the control group (nursing satisfaction rate of 79.55％),with a statistically significant difference (P=0.007). In the observation group,42 patients were successfully rescued (rescue success rate of 95.45％),significantly higher than the 34 successfully rescued patients in the control group (rescue success rate of 77.27％),with a statistically sig-nificant difference (P=0.013). Conclusion Surgical emergency care and psychological nursing significantly improve emergency efficiency,shorten hospitalization duration,alleviate depression and anxiety,enhance family members' satisfaction with nursing care,and promote postoperative recovery in patients with surgical trauma.

关键词

手术中护理/急救/心理学,临床/创伤和损伤/抑郁/焦虑

Key words

intraoperative care/first aid/psychology,clinical/wounds and injuries/depression/anxiety

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出版年

2024

中华灾害救援医学

影响因子：0.796

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