胆道镜取石手术患者术中舒适状况调查及相关因素分析
发布时间：2019-05-16 10:12
【摘要】：目的 1.调查胆道镜取石手术患者术中舒适状况。2.分析影响胆道镜手术患者术中舒适状况的相关因素。方法 采用便利抽样的方法选取2014年9月至2015年2月期间郑州大学第一附属医院的肝胆外科符合纳入标准的患者共330例,采用一般情况调查表、疼痛量表、舒适状况量表和焦虑自评量表进行问卷调查。一般状况调查表与疼痛量表均有护士在患者手术结束时完成填写,舒适状况量表与焦虑自评量表由护士在患者术后发放于患者并在4小时内完成填写并回收。采用SPSS17.0对数据进行录入和统计学分析。结果 1.本研究共调查330名患者,回收有效问卷330例,有效回收率达到100%。2.胆道镜取石术中患者舒适度的得分为(76.19±3.99)分。条目平均分为整体(2.53±0.13)分,精神心理领域(2.56±0.23)分,生理领域(1.98±0.38)分,社会领域(2.86±0.22)分,环境领域(2.49±0.26)分。3.患者SAS评分为结果 (45.43±8.06)分,高于国内常模标准分均数(41.22±7.63)分。且患者的焦虑与生理、心理、社会文化和环境四个领域的舒适存在显著性负相关。4.不同年龄段、不同家庭经济水平和不同医疗付费方式的行胆道镜取石手术患者舒适状况差别有统计学意义(P0.05),而不同性别、职业、文化程度、婚姻状况及是否有宗教信仰等因素之间的差别无统计学意义(P0.05)。5.对影响患者舒适度的客观存在因素进行单因素方差分析和多元逐步回归分析,P≤0.05的纳入回归方程,结果显示,室温、冲洗盐水水温、体位、皮肤潮湿、腹胀、恶心呕吐、疼痛及焦虑是患者术中舒适度的影响因素。结论 1.胆道镜取石手术的患者术中生理领域舒适得分最低,环境和精神心理领域舒适得分其次,而社会文化领域舒适得分较高,提示护理过程中应注重满足患者的生理需求,提供心理护理,促进患者舒适。2.年龄、家庭经济、医疗付费方式对患者舒适度舒适有影响,提示在临床护理中,对年轻的、家庭经济状况比较差、自费的患者要更加关注,给予多的帮助和安慰。3.对室温、冲洗盐水水温、冲洗盐水量、体位、皮肤潮湿、腹胀、恶心呕吐、疼痛、焦虑等术中影响舒适的相关因素要及时给予干预,减轻患者的不适,提高患者的满意度。
[Abstract]:Objective 1. To investigate the comfort of the operation of patients with choledochoscopy. To analyze the factors that influence the comfort of the operation of the patients with choledochoscope. Methods A total of 330 patients with hepatobiliary surgery of the first affiliated hospital of Zhengzhou University from September 2014 to February 2015 were selected by means of a convenient sampling method. The general condition questionnaire, the pain scale, the comfort status scale and the anxiety self-rating scale were used in the questionnaire. The general condition questionnaire and the pain scale were filled in by the nurse at the end of the patient's operation, and the comfort status scale and the anxiety self-rating scale were issued to the patient after the patient's operation and completed and recovered within 4 hours. The data were recorded and analyzed by SPSS17.0. Results 1. In this study,330 patients were investigated,330 effective questionnaires were collected, and the effective recovery rate was 100%. The degree of comfort of the patients was divided into (76.19-3.99) points. The entries were divided into the whole (2.53-0.13), the mental-psychological field (2.56-0.23), the physiological field (1.98-0.38), the social field (2.86-0.22) and the environment (2.49-0.26). The results of the SAS (45.43-8.06) scores were higher than that in the national norm (41.22-7.63). There was a significant negative correlation between the patient's anxiety and the comfort of physiology, psychology, social culture and environment. The difference of comfort of the patients with different age groups, different family economic level and different medical payment methods was statistically significant (P0.05), while the different sex, occupation and culture degree were different. There was no significant difference between the marital status and the religious beliefs (P0.05). A single-factor analysis of variance and multiple stepwise regression analysis were performed on the objective factors that affected the comfort of the patient, and the regression equation was included in P-0.05. The results showed that the water temperature, body position, skin damp, abdominal distention, and nausea and vomiting were observed at room temperature. Pain and anxiety are the factors of comfort in the operation of the patient. Conclusion 1. In the operation of cholelithiasis, the comfort score in the physiological field is the lowest, the comfort score in the area of environment and mental psychology is the second, while the comfort score in the social and cultural field is high, and it is suggested that the nursing process should pay attention to meeting the physiological needs of the patient, provide the psychological nursing, and promote the patient's comfort. The age, family economy, medical payment method have an effect on the comfort and comfort of the patient, and it is suggested that in the clinical nursing, the situation of the young and the family is poor, the patients at their own expense should pay more attention and give more help and comfort. The factors that affect the comfort of the room temperature, the water temperature of the wash brine, the amount of wash salt, the body position, the damp of the skin, the abdominal distention, the nausea, the vomiting, the pain, the anxiety and the like should be timely given to the intervention to relieve the discomfort of the patient and to improve the patient's satisfaction.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.6
本文编号：2478224
[Abstract]:Objective 1. To investigate the comfort of the operation of patients with choledochoscopy. To analyze the factors that influence the comfort of the operation of the patients with choledochoscope. Methods A total of 330 patients with hepatobiliary surgery of the first affiliated hospital of Zhengzhou University from September 2014 to February 2015 were selected by means of a convenient sampling method. The general condition questionnaire, the pain scale, the comfort status scale and the anxiety self-rating scale were used in the questionnaire. The general condition questionnaire and the pain scale were filled in by the nurse at the end of the patient's operation, and the comfort status scale and the anxiety self-rating scale were issued to the patient after the patient's operation and completed and recovered within 4 hours. The data were recorded and analyzed by SPSS17.0. Results 1. In this study,330 patients were investigated,330 effective questionnaires were collected, and the effective recovery rate was 100%. The degree of comfort of the patients was divided into (76.19-3.99) points. The entries were divided into the whole (2.53-0.13), the mental-psychological field (2.56-0.23), the physiological field (1.98-0.38), the social field (2.86-0.22) and the environment (2.49-0.26). The results of the SAS (45.43-8.06) scores were higher than that in the national norm (41.22-7.63). There was a significant negative correlation between the patient's anxiety and the comfort of physiology, psychology, social culture and environment. The difference of comfort of the patients with different age groups, different family economic level and different medical payment methods was statistically significant (P0.05), while the different sex, occupation and culture degree were different. There was no significant difference between the marital status and the religious beliefs (P0.05). A single-factor analysis of variance and multiple stepwise regression analysis were performed on the objective factors that affected the comfort of the patient, and the regression equation was included in P-0.05. The results showed that the water temperature, body position, skin damp, abdominal distention, and nausea and vomiting were observed at room temperature. Pain and anxiety are the factors of comfort in the operation of the patient. Conclusion 1. In the operation of cholelithiasis, the comfort score in the physiological field is the lowest, the comfort score in the area of environment and mental psychology is the second, while the comfort score in the social and cultural field is high, and it is suggested that the nursing process should pay attention to meeting the physiological needs of the patient, provide the psychological nursing, and promote the patient's comfort. The age, family economy, medical payment method have an effect on the comfort and comfort of the patient, and it is suggested that in the clinical nursing, the situation of the young and the family is poor, the patients at their own expense should pay more attention and give more help and comfort. The factors that affect the comfort of the room temperature, the water temperature of the wash brine, the amount of wash salt, the body position, the damp of the skin, the abdominal distention, the nausea, the vomiting, the pain, the anxiety and the like should be timely given to the intervention to relieve the discomfort of the patient and to improve the patient's satisfaction.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.6
【引证文献】
相关期刊论文 前1条
1 王梦娜;秦德芳;夏瑾;王小梅;;复合保温措施预防胆道镜联合钬激光碎石治疗胆道难取性残余结石低体温的效果观察[J];激光杂志;2016年05期
，本文编号：2478224
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