对患者实施术前和术后护理访问的效果评价

唐秀花　刘海玲　何玲玲

摘要：为探讨手术室护理单元运用护理新模式做好手术期护理的效果评价，作者在完善术中护理的基础上，开展了对患者的术前和术后护理访问，使手术期护理成为完整、系统、连续的整体护理。其效果评价结果为：(1)增强了患者对手术护士的信赖感，消除或减轻了恐惧心理；(2)适应新模式，提高了手术室护士的专业素质；(3)使护理程序的科学方法应用于手术室护理中；(4)连接了病房与手术室的护理，改善护患关系。
关键词：手术期；护理；访问；评价
中图分类号：R472.3　　　文献标识码：A
文章编号：1008-9993(2000)01-0015-02

Evaluation on Preoperative and Postoperative Care Visit

TANG Xiu-hua,LIU Hai-ling,HE Ling-ling
(Nursing Department of Armed Police’s General Hospital,Shanghai,200000,China)

Obstract：To investigate the results of operative care by a new mode,we carried out preoperative and postoperative care visits on the basis of intraoperative care to make the operative care a complete,systematic,and continuous care.The results are as follows:(1)The patients heightened their faith in the nurses and cleared up their fear.(2)The specialized quality of the nurses were improved.(3)The scientific method of care procedures was applied in the care of operating room.(4)A closer relation between ward and operating room was established and the relationship between the patients and the nurses was improved.
Key words:operative period; nursing;visit; evaluation

　　护理模式的转变对护理工作是一场变革。早在1975年美国手术室护理学会(AORN)和美国护理学会(ANA)就共同出版了有关《手术室护理实施基准》。用手术期护理概念和手术室护士的职责，突出了包括术前、术中、术后三个阶段给予患者生理和心理两方面的援助。随着护理概念的更新，我院手术室护理单元也逐渐将这一模式引用至日常护理工作中。将单纯的术中护理扩展至术前和术后护理，使手术患者得到连续和完整的护理，从而使患者以最佳的心理状态达到躯体的早日康复。现将实施情况和预期效果报告如下。

1　资料与方法
1.1　临床资料　手术患者73例，其中男44例，女29例。年龄15～71岁。病例来源：普外科28例，骨科21例，泌尿科7例，五官科13例，脑外科4例。被访问者不受麻醉方法的限制。
1.2　方法　由负责该手术的巡回护士，作为责任护士于手术前一天对患者进行访问。访问的内容依据本科室制定的手术室护士行为准则进

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