摘要
目的 探讨中医护理在手术室护理中的临床应用效果。方法 本研究采用随机对照实验设计，将140名手术患者随机分为两组，研究组实施中医护理干预，主要为穴位按摩、情志护理等方法，对照组采用常规护理模式。通过对比两组患者在护理满意度、术后疼痛VAS评分、并发症发生率以及术后焦虑和抑郁评分等方面的差异，评估中医护理干预的临床效果。结果 研究组患者的护理满意率为95.14%，显著高于对照组的85.71%（P＜0.05）。术后72h疼痛VAS评分和并发症发生率均优于对照组，研究组的VAS评分为1.2±0.9，明显低于对照组的3.5±1.6（P＜0.05）；研究组并发症发生率为2.85%，对照组为11.43%（P＜0.05）。术后焦虑和抑郁评分在两组均有显著下降，但研究组的下降幅度更大，焦虑评分由术前的15.25±3.92降至术后的6.3±2.4（P＜0.05），抑郁评分由17.21±2.12降至5.1±2.0（P＜0.05），均显著低于对照组。结论 中医护理通过综合的生理与心理干预，提高了患者的整体恢复质量，具有较好的临床推广价值。
关键词： 中医护理；手术室护理；临床应用；疼痛管理；心理健康
Abstract
Objective To explore the clinical application effect of traditional Chinese medicine nursing in operating room nursing. Methods This study adopted a randomized controlled experimental design. 140 surgical patients were randomly divided into two groups. The study group implemented traditional Chinese medicine nursing intervention, mainly acupoint massage, emotional nursing and other methods, and the control group adopted conventional nursing mode. The clinical effect of traditional Chinese medicine nursing intervention was evaluated by comparing the differences between the two groups in nursing satisfaction, postoperative pain VAS score, complication rate, and postoperative anxiety and depression scores. Results The nursing satisfaction rate of the study group was 95.14%, which was significantly higher than that of the control group (85.71%) (P＜0.05). The pain VAS score and complication rate at 72h after surgery were better than those of the control group. The VAS score of the study group was 1.2±0.9, which was significantly lower than that of the control group (3.5±1.6) (P＜0.05); the complication rate of the study group was 2.85%, and that of the control group was 11.43% (P＜0.05). The postoperative anxiety and depression scores decreased significantly in both groups, but the decrease in the study group was greater. The anxiety score decreased from 15.25±3.92 before surgery to 6.3±2.4 after surgery (P＜0.05), and the depression score decreased from 17.21±2.12 to 5.1±2.0 (P＜0.05), which were significantly lower than those in the control group. Conclusion TCM nursing improves the overall recovery quality of patients through comprehensive physiological and psychological intervention, and has good clinical promotion value.
Key words： TCM nursing; Operating room nursing; Clinical application; Pain management; Mental health
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