摘要
目的探讨病房护士集体宣教联合手术室专职护士术前访视在膝关节镜手术患者临床护理中的应用效果。方法选取2019年5—6月在西安交通大学附属红会医院运动医学中心住院行膝关节镜手术治疗的208例患者作为研究对象。按时间顺序将2019年5月收治的104例患者纳入对照组,2019年6月收治的104例患者纳入干预组。对照组实施病区常规手术宣教及常规术前访视,干预组实施病房护士集体宣教联合手术室专职护士术前访视。对两组患者术前准备完成度、膝关节镜手术健康教育知识知晓率、康复锻炼依从性、访视前及访视后焦虑程度进行比较。结果干预组的术前准备完成度、康复锻炼依从性均高于对照组,差异具有统计学意义(P<0.05)。干预组膝关节镜手术健康教育知识知晓率为96.1%(100/104),对照组膝关节镜手术健康教育知识知晓率为81.7%(85/104),两组比较差异具有统计学意义(P<0.01)。干预后,两组患者焦虑评分均较访视前下降,且干预组低于对照组,差异具有统计学意义(P<0.01)。结论病区集体宣教联合术前访视应用于膝关节镜手术患者临床护理中,能够帮助患者顺利度过围手术期,提高疾病知识知晓率,增强康复锻炼依从性,值得临床推广应用。
Objective To explore the application effect of centralized propaganda of ward nurses combined with preoperative visit of full-time nurses in the operating room in patients undergoing knee arthroscopic surgery.Methods A total of 208 patients who were hospitalized and underwent knee arthroscopic surgery in Sports Medicine Center of Xi'an Honghui Hospital affiliated to Xi'an Jiaotong University from May to June 2019 were selected as research objects.In chronological order,104 patients admitted in May 2019 were set as the control group and 104 patients admitted in June 2019 were set as the intervention group.The control group received routine surgery-related propaganda and routine preoperative visit,while the intervention group received centralized propaganda of ward nurses combined with preoperative visit of full-time nurses in the operating room.The completion degree of preoperative preparation,awareness rate of health education knowledge of knee arthroscopic surgery,compliance of rehabilitation exercise and the anxiety level before and after visit were compared between the two groups.Results The completion degree of preoperative preparation and compliance of rehabilitation exercise of the intervention group were higher than those of the control group,and the differences were statistically significant(P<0.05).The awareness rate of health education knowledge of knee arthroscopic surgery in the intervention group was 96.1%(100/104)and that in the control group was 81.7%(85/104),and the difference between the two groups was statistically significant(P<0.01).After intervention,the anxiety scores after visit of patients in two groups were lower than those before visit,and that of the intervention group was lower than that of the control group,and the difference was statistically significant(P<0.01).Conclusions Application of ward centralized propaganda combined with preoperative visit in patients undergoing knee arthroscopic surgery can help patients successfully pass the perioperative period,improve the awareness rate of disease knowledge and enhance compliance of rehabilitation exercise,which is worthy of clinical promotion and application.
作者
李翠翠
李水霞
蒋珣先
周大莲
张国燕
李娟
汪静
解萍
Li Cuicui;Li Shuixia;Jiang Xunxian;Zhou Dalian;Zhang Guoyan;Li Juan;Wang Jing;Xie Ping(Knee and Ankle Ward,Sports Medicine Center,Xi'an Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China;First Department of Surgery and Anesthesiology,Xi'an Honghui Hospital,Xi'an Jiaotong University,Xi'an 710054,China)
出处
《中华现代护理杂志》
2020年第35期4940-4943,共4页
Chinese Journal of Modern Nursing
基金
陕西省自然科学基金(2016JM8138)
陕西省体育局常规课题(17059)。
关键词
关节镜
护理
术前访视
集体宣教
术前焦虑
Arthroscopes
Nursing
Preoperative visit
Centralized propaganda
Preoperative anxiety
