摘要
目的 分析在脑出血患者手术中开展手术室风险评估护理的临床应用效果。方法 本次研究对象选取2023年1月至2024年1月期间我院接收的脑出血手术患者80例，通过随机数字表法将患者分成两组开展护理研究，组别类型为观察组与对照组，每一组中有患者人数40例。对照组患者接受常规护理，观察组患者开展手术室风险评估护理，分析并对比两组取得的护理效果。结果 两组最终结果比较显示，观察组患者的术中血压和心率保持效果优于对照组，术中护理不良事件以及术后并发症发生率均低于对照组，最终患者的脑神经功能恢复效果优于对照组，患者及家属对此次护理满意度明显高于对照组，（P<0.05）。结论 将手术室风险评估护理应用于脑出血患者中，可进一步提高手术安全性及效果，减少术中不良事件以及术后并发症发生，促进患者术后身体恢复。
关键词： 脑出血；手术室；风险评估护理；效果分析
Abstract
Objective To analyze the clinical application effect of risk assessment nursing in operating room in patients with cerebral hemorrhage. Methods The subjects of this study were 80 patients receiving cerebral hemorrhage surgery in our hospital from January 2023 to January 2024, and the patients were divided into two groups by random number table method to carry out nursing research. The group types were observation group and control group, and there were 40 patients in each group. Patients in the control group received routine nursing, patients in the observation group received risk assessment nursing in the operating room, and the nursing effects of the two groups were analyzed and compared. Results The comparison of the final results between the two groups showed that the maintenance effect of intraoperative blood pressure and heart rate of patients in the observation group was better than that in the control group, the incidence of adverse events and postoperative complications in the intraoperative nursing was lower than that in the control group, the final recovery effect of the neurological function of patients was better than that in the control group, and the satisfaction of patients and their families with the nursing was significantly higher than that in the control group (P<0.05). Conclusion The application of operating room risk assessment nursing in patients with cerebral hemorrhage can further improve the safety and effect of surgery, reduce the occurrence of intraoperative adverse events and postoperative complications, and promote the physical recovery of patients after surgery.
Key words： Cerebral hemorrhage; Operating room; Risk assessment nursing; Effect analysis
参考文献 References
[1] 王柯,李志萍,周昆,等.手术室风险评估护理在脑出血手术中的应用效果[J].河南医学研究,2023,32(12):2261-2264.
[2] 肖静宇,刘晓聪,吴莉丹.手术室风险评估结合安全护理干预对高血压脑出血手术患者术后并发症及血压水平的影响[J].心血管病防治知识,2024,14(2):78-80.
[3] 郑小燕,郭丽丹.高血压脑出血手术患者实施手术室风险评估结合安全护理干预的临床价值[J].心血管病防治知识,2022,12(36):46-48,52.
[4] 陈琦,詹美莺,李秀妹.手术室风险评估结合安全护理干预在高血压脑出血手术患者中的价值[J].心血管病防治知识,2022,12(3):80-83.
[5] 查世慧,张微.手术压疮防护评估记录单在脑出血患者术中护理的应用[J].中国病案,2023,24(10):107-110.
[6] 蔡银玲,孔静,李倩倩.基于量化评估策略的个体化手术室护理对急性脑出血患者躯体应激和手术并发症的影响[J].河南医学研究,2022,31(22):4190-4194.
[7] 詹彬彬,王丽爱,吴雪云.手术室安全护理对高血压脑出血患者手术成功率及并发症的影响[J].心血管病防治知识,2021,11(30):76-79.
[8] 陈诗菁.综合护理对手术室微创治疗高血压脑出血患者的影响分析[J].心血管病防治知识,2021,11(20):87-89.
[9] 麻敏,李时政,李思思.多学科协作快速康复外科手术室护理在高血压脑出血手术中的应用[J].齐鲁护理杂志, 2024, 30(10):33-36.
[10] 陈美珠,朱庆容.多学科协作手术室护理在高血压脑出血手术中的价值及对并发症的影响[J].心血管病防治知识, 2023, 13(26):68-70.